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Obsessions about Dirt and Contamination
Unfounded fears of contracting a dreadful illness Excessive concerns about dirt and germs (including the fear of spreading germs to others); and environmental contaminants, such as household cleaners Feelings of revulsion about bodily waste and secretions Obsessions about one's body Abnormal concerns about sticky substances or residues
Obsessive Need for Order or Symmetry
An overwhelming need to align objects "just so" Abnormal concerns about the neatness of one's personal appearance or one's environment
Obsessions about Hoarding or Saving
Stashing away useless trash (such as old newspapers or items rescued from trash cans) The inability to discard anything because it "may be needed sometime," a fear of losing something or discarding something by mistake
Obsessions with Sexual Content
Unwanted sexual thoughts that one views as inappropriate and unacceptable Fear of molesting a child, despite no desire to do so Fears that one may be homosexual
Repetitive Rituals
Repeating routine activities for no logical reason Repeating questions over and over Rewording or rewriting words or phrases
Nonsensical Doubts
Unfounded fears that one has failed to do some routine task (such as paying the mortgage or signing a check)
Religious Obsessions (Scrupulosity)
Troublesome blasphemous or sacrilegious thoughts Excessive concerns about morality and right or wrong
Obsessions with Aggressive Content
The fear of having caused some fatal tragedy (such as a fatal fire) Repeated intruding images of violence The fear of acting out a violent thought (such as stabbing or shooting someone) The irrational fear of having hurt someone (for example the fear of having hit someone while driving)
Obsessions with Food and Weight
Preoccupation with foods or food measurements Rituals involving food (for example making sure that every bite is the same size, not letting foods touch on plate, etc.) Irrational fears that some foods are bad or must be avoided Being overly concerned about one's weight (for example weighing one's self several times a day)
Superstitious Fears
The belief that certain numbers are "lucky" or "unlucky" Excessive, ritualized hand-washing, showering, bathing, or tooth-brushing The unshakable feeling that household items, such as dishes, are contaminated and cannot be washed enough to be "really clean"
Compulsions about Having Things Just Right
The need for symmetry and total order in one's environment (for example, the need to line up canned goods in the pantry in alphabetical order, to hang clothes in the exact same spot in the closet every day, or to wear certain clothes only on certain days) The need to keep doing something until one gets it "just right"
Hoarding Compulsions
Minutely inspecting household trash in case some "valuable" item has been thrown out Accumulating useless objects
Checking Compulsions
Repeatedly checking to see if a door is locked or an appliance is turned off Checking to make certain one has not harmed someone (for example, driving around and around the block to see if anyone has been run over) Checking and rechecking for mistakes (such as when balancing a checkbook) Checking associated with bodily obsessions (such as repeatedly checking oneself for signs of a catastrophic disease)
