How is OCD with compulsive cleaning treated? Does that mean you have obsessive-compulsive disorder (OCD)? As with all kinds of OCD, treatment can help you manage the symptoms of contamination OCD. They can disrupt a persons social, academic, or professional life. Is heightened disgust propensity truly a risk factor for contamination-related obsessive-compulsive disorder? Many people with OCD have obsessions about contamination or using the restroom. Fear of coming into contact with potentially harmful things like viruses, bacteria and bodily fluids. Get the help you need from a therapist near youa FREE service from Psychology Today. It can also include such things as: This list is by no means complete. So, despite there being nothing inherently dangerous about blood, somewhere in our genetic database is probably an urge to avoid being in its presence. The OCD makes a pretty strong case for doing compulsions. The origins of this obsession lie with our prehistoric ancestors and their dangerous environment. Last medically reviewed on September 23, 2021. But that doesnt mean youre crazy. It means that, biologically and psychologically, youre a human being. Contamination OCD is simply one kind of OCD. For instance, there are some sufferers who fear to touch the floor, the ground, outdoors, or any public objects. Bodily fluids (such as urine, feces, spit, or blood) Environmental contaminants (such as asbestos, lead, and radiation) . OCD, Contamination, and the Disgust Affect | Psychology Today spending a significant proportion of your day cleaning, washing your hands or showering in excess, worrying excessively about illness, germs, or dirt, experiencing intrusive thoughts about becoming ill or getting dirty, throwing away items that you think are contaminated or dirty, engaging in specific washing rituals (e.g. The obsession with contamination, and the associated rituals of cleaning and washing, are easy for non-sufferers to identifyand not only because the sufferers distress is so obvious. This dirty world usually takes in most of the outside world, and can also include parts of their home or work areas. And, for what its worth, thats a pretty common diagnosis. This doubt can be hurtful, but there are ways around it. (2021). Some people experience frequent intrusive thoughts about things that violate their own sense of morality and goodness. Common Contamination OCD obsessions: Fear of getting AIDs or other serious diseases. Stress can make the symptoms of OCD worse, so engaging in healthy stress-management activities may help. What is most interesting about the obsessive fear of HIV is that for all the handwashing and avoiding, HIV is not an environmental contaminant. I have known clients to burn their clothes, spend hours showering, hours checking their body for cuts, abandon groceries in the parking lot of the supermarket, abandon entire locations (including their own home) for fear of blood contamination. Both treatments together are often more effective than either one alone. Obsessive-compulsive disorder is a mental health issue in which the person suffering from it experiences unwanted intrusive thoughts and engages in repeated behaviors aimed at getting certainty that the thoughts wont come true. A 2022 study found that people with OCD were more likely to have an imbalanced microbial biosystem in the gut, which can affect digestion. DOI: Purty A, et al. So its important to remember: Thoughts about disgust and contamination are not irrational or unnatural. You cant just not think something. OCD is well researched. If you suffer from food poisoning, it might have been caused by your most recent meal, or the one before that, or anything you ate in the past forty-eight hours. We. Common Contamination OCD compulsions: Avoidance. A long time ago, it was probably a good idea to get far away from it before it attracted saber-toothed tigers (or vampires). (2013). And, on top of all of that, just thinking about any of this can cause physical symptoms like gagging, cramping or nausea. Sometimes OCD goes into remission on its own, especially if it initially appears during childhood. When it comes to obsessive-compulsive disorder (OCD), preoccupations differ from person to person: one person might have obsessions around car accidents, another might have obsessions around fires or natural disasters, while others might have obsessions about germs and cleanliness. What about shaking hands when you meet someone? With ERP, youll be exposed to the things that trigger your obsessions without being allowed to engage in your compulsions. Is there a type of OCD that focuses on cleaning? Obsessive-compulsive disorder (OCD) causes repeated actions or thoughts, and it can manifest in a variety of ways. Are you willing to sacrifice being social because you might encounter a triggering person? (2022). If you have or think you may have this condition, consider looking for a therapist who is experienced in treating OCD. Fear of coming into contact with potentially harmful things like viruses, bacteria and bodily fluids. Actually, when you take a closer look, contamination is quite a bit more complicated than that. Exposure and response prevention for obsessive-compulsive disorder: A review and new directions. Turna J, et al. Bradford MIT Press, Cambridge MA, 2011. The belief here is that these names, images, concepts, or the characteristics of certain people can be magically transferred, simply by thinking about them or by coming into casual contact with them. For magical types of contamination the solution is often a magical decontamination ritual designed to remove or cancel out the problem, thought, name, image, or concept. Some dangers, like predators or harsh weather, were easy to recognize, and our ancestors evolved straightforward behaviors to manage themsuch as the fight or flight response. Because bathrooms are often thought to be dirty, many people with contamination OCD develop anxiety around bathrooms, whether public or private. A physical examination could help your doctor determine whether an underlying health condition is causing your symptoms. The answer is a combination of cognitive and behavioral treatment strategies that together define cognitive behavioral therapy (CBT). Obsessive-compulsive disorder: Advances in diagnosis and treatment. This involves a gradual process of identifying with your therapist what your triggers and compulsions are, then working to overcome each one from the easiest up to the hardest. From my own experience, I would guess that the fear of certain illnesses may still the leader. In mainstream media, people with OCD are often depicted as strict cleaners who wash their hands excessively and have extreme fears of dirt. Contamination OCD is a common OCD subtype in which a person obsesses over contracting an illness or spreading germs. Jalal B, et al. SSRIs would have to be prescribed by a doctor or psychiatrist. Unlike the popular view, contamination isn't simply limited to dirt, germs, and viruses. Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), selective serotonin reuptake inhibitors (SSRIs), Getting Over OCD: A 10- Step Workbook for Taking Back Your Life, jamanetwork.com/journals/jama/article-abstract/2614194, ncbi.nlm.nih.gov/pmc/articles/PMC7691644/, sciencedirect.com/science/article/abs/pii/S0005789418301345, nimh.nih.gov/health/publications/obsessive-compulsive-disorder-when-unwanted-thoughts-take-over/index.shtml, Symptoms of Obsessive-Compulsive Disorder (OCD), Why Cleanliness Is Not Always an OCD Symptom, When You Fear Manifesting Negative Thoughts, Obsessive-Compulsive Disorder (OCD) Screening Quiz, Podcast: NHL Goalie with OCD & Anxiety Featuring Corey Hirsch, OCD and Multiple Sclerosis (MS): What to Know, avoiding things you perceive to be dirty or contaminated, seeking reassurance from others to ensure youre not contaminated, constantly checking food and items for dirt. Talk therapy, also called psychotherapy, is one of the most common and effective ways to treat OCD. You experience obsessions, compulsions, or both. Whats the outlook for people with OCD-related cleaning compulsions? Research from 2017 noted the symptoms of OCD can be managed effectively. You may feel stressed in circumstances where you feel out of control or uncertain. Therefore, many people with OCD do not There are many things caregivers can do to help a child manage their OCD symptoms. If a feared substance or situation is too difficult to confront in one whole step, it is approached more gradually. Contamination- or health-related OCD is associated with persistent worries about one's health or the health of loved ones. (2020). Here's my. Everything You Need to Know About Contamination OCD This particular piece focuses on fears around semen contamination & how to tackle that fear from evidence-based treatment . Hirschtritt ME, et al. Losing Control Some people choose to hide their symptoms, often in fear of embarrassment or stigma. What I mean by this is that I have intrusive thoughts about contaminating other people with bodily fluids such as saliva, blood or even anal secretions. Some people feel that completing these actions will neutralize a threat, make an obsessive thought stop, or relieve the anxiety that unwanted thoughts create. The process depletes the immune system, resulting in a gradual deterioration of health, the final stages of which is called Acquired Immune Deficiency Syndrome (AIDS). OCD contamination with feces, bodily fluids, etc. Driving me a bit (2019). They're normal, relatively benign and unharmful and no more dirty than getting some orange juice on your sheets and letting it dry. You might also have obsessions around bowel movements and bathrooms, public or private. These dangers were invisible, undetectable, and could remain dormant for months after the initial contamination, making them difficult to avoid through simple cause-and-effect learning. Contamination OCD: When It's More Than Fear of Germs - Choosing Therapy Davarinejad O, et al. Take time to decompress and reach out for help if you need it. For example, one 2017 study found that in people with OCD, theres greater connectivity and activity in parts of the brain associated with habit formation and in parts that process emotions especially fear. Contamination OCD: . Obsessions can revolve around the fear of: These obsessions might center on the feeling of uncleanliness. I should know I've lived it. Our website services, content, and products are for informational purposes only. Psychology Today 2023 Sussex Publishers, LLC, Psychology and the Mystery of the "Poisoned" Schoolgirls. Alcohol preps and disinfectant hand wipes are also popular. The main family of medicines used to treat OCD is known as SSRIs (Serotonin Specific Reuptake Inhibitors). One of my favorite OCD therapists & writers, Jon Hershfield, has put together a series of articles exploring the common contamination triggers of various bodily fluids. Fletcher Wortmann is the author of Triggered: A Memoir of Obsessive-Compulsive Disorder. Your therapist can then help you learn to restructure these thoughts in productive ways. While symptoms of OCD may be grouped based on similarity or dimension, a diagnosis of OCD isn't generally divided by. People with OCD take comfort in repetitive, irrational thoughts and urges. It involves a sometimes debilitating and distressing need to clean and reclean specific areas or items. When a person comes in contact with something they feel is contaminated, they have an opportunity to stop and take a look at what is going on inside. Sufferers will sometimes repeatedly ask others to check parts of themselves they cannot reach or see, or things they cannot go near. There is recovery though, and many have achieved it. This remains the most widely used and accepted form of behavioral treatment for OCD. The obsessions in contamination OCD revolve around exposure to potentially harmful substances, Rosen said. Common Obsessions in OCD. It asks you to sacrifice all the same things. The compulsion might be to avoid going out in public for too long or to locate a bathroom as soon as you get to a public space. Old Medication, New Use: Can Prazosin Curb Drinking? Its not a thing. People with contamination OCD may fear getting diseases, touching bodily fluids, spreading germs, and more. Contamination: Body fluids (examples: urine, feces) Germs/disease (examples: herpes, HIV) Environmental contaminants (examples: asbestos, radiation) The Center for OCD and Anxiety. This disgust may be an evolutionary necessity. Theres no way to be sure. Blood is a liquid in the body that delivers oxygen and nutrients to cells and carries away waste from those cells. This article reviews all you need to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. There may also be a clean car which can only be driven when clean. Germaphobia: Symptoms, When to Be Concerned, Treatment, and More Michael VS, et al. Some people fear that these substances may cause harm or even death. One kind of cognitive-behavioral therapy (CBT), called exposure and response prevention (ERP), is particularly effective. We look at 5 tips that may help. It is common for people with OCD to experience guilt. not feeling clean unless you wash your hands a certain number of times), constantly asking others to reassure you that youre not dirty/contaminated, avoiding dirty areas, like public bathrooms. How do we develop a capacity for uncertainty tolerance when the OCD makes it seem impossible? While there are many treatment options for OCD, ERP and SSRIs are the most effective. Because OCD is biochemical in origin, medicine can often be of great help as well. Some patients can only touch something that has touched a feared substance or object, and only later do they go on to touch directly what is feared. You may have heard that all people with OCD are focused on cleaning and organizing. Domnech L, et al. While you might want to help them clean their house excessively or reassure them that they wont get sick, they need to learn to cope without engaging in those compulsions. Enter OCD stage right. The two worlds may exist side-by-side like parallel universes that are never allowed to meet. Let us first examine the nature of obsessive contamination fears. In blood obsessions, it typically presents as: Fear of contracting a disease from casual contact with blood Some people with OCD benefit from using medication, but some do not. Yet it also includes the fear of being infected with them. OCD: Everything You Need to Know | McLean Hospital The disorder tends to appear at an earlier age in males. There is a further category that includes things that are more vague. They may also be able to live freely in their clean world as long as they themselves are clean when they enter it and also stay that way. Here's what can cause OCD guilt and how to reduce symptoms. In people with mysophobia, this may include: Ataxophobia: Fear of untidiness. (2017). Give them space to talk about their feelings. Some studies have found that the symptom dimensions involving OCD cleaning and ordering are especially likely to run in families. Living with OCD comes with a range of daily challenges. The symptoms of OCD, as defined by the DSM-5, are obsessions and compulsions. I have even worked with several people who poured straight bleach on their hands and bodies, resulting in chemical burns. In order to be diagnosed with OCD, you must fit the following criteria: Contamination OCD specifically can include the following symptoms: If you think you might have contamination OCD, its best to seek out a therapist who is experienced in treating OCD. Our team thoroughly researches and evaluates the recommendations we make on our site. Finding a therapist can be a great first step in learning to manage your symptoms. You could also join a support group for the loved ones of people with OCD try the IOCDF OCD in-person support groups list or the IOCDF online or telephone support groups list. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. You could also try to use an OCD workbook, such as Getting Over OCD: A 10- Step Workbook for Taking Back Your Life or The Mindfulness Workbook for OCD. First, our ancestors learned to recognize clues to the presence of contagions, obvious ones like bodily fluids, excrement, and corpses, but also subtler signals like the skin discoloration or subdued behavior of the infected. However, this stereotype does not illustrate the correct image of many sufferers. Obsessions are persistent, distressing thoughts or images. While that is a common and important area of attention for those interested in understanding OCD, the obsession with bodily fluids may warrant more attention. Generally, contamination OCD is associated with things like dirt, bacteria, or viruses, but any substance can become the focus of contamination fearsincluding bodily fluids, chemicals, or other . A Guide to Obsessive Compulsive Disorder Statistics and Treatment Contamination OCD: Blood, Fluids, and Bodily Waste Part 2 (2019). But OCD makes it difficult to draw that line. The problem with OCD is the cyclical nature of obsessions and compulsions. Magnetic fields interact with nerve cells in your brain in an attempt to lessen your OCD symptoms. (2018). This is sometimes called bathroom OCD. Kelly, Daniel. To break the cycle, the OCD sufferer has to remove the only removable element. I have a OCD fear of body fluids, especially sperm and blood. Diagnostic and statistical manual of mental disorders (5th ed.). What this means is that nobody wants to be the cautionary tale or the first person made famous by getting a terrible disease from casual contact with blood. (2017). What Is Contamination OCD and How To Overcome It Although a few different kinds of therapy can be used to treat OCD, a kind of cognitive-behavioral therapy (CBT), called exposure and response prevention (ERP), is particularly effective. Whats worse, compulsions simultaneously provide temporary relief from unwanted thoughts and feelings.