Unwanted or intrusive, repetitive thoughts

Thoughts are commonly related to contamination, violence or sex

Can also include a fear of hurting oneself or others

A strong mistrust of self and doubt about one's own actions

Repetitive actions which temporarily relieve the intrusive thoughts

Excessive or ritualised actions, such as hand-washing, door-locking or checking

Very specific rules around arrangement of objects and desire for order

Treatment can require several months depending on severity. 

Modalilties such as Cognitive Behavioural Therapy (CBT) and Schema Therapy, seek to understand and challenge the basis for the intrusive thoughts, thereby mitigating the compulsive behaviours.

Intrusive thoughts are often linked to unresolved shame or guilt within an individual.