QUESTION MAN
OCD equally affects men, women and children of all races, cultures and  socio-economic backgrounds.
 With the correct understanding tools and techniques, OCD is a treatable and manageble condition.

Disorders That May Co-exist with OCD

When more than one mental disorder occurs in a person, it is referred to as ‘co-morbid’. OCD can co-exist with other conditions such as mood, anxiety, ADHD, Autism, oppositional-defiant disorder and substance use disorder.


The following are frequently diagnosed co-morbid associated mental disorders.


Anxiety Disorders These can include phobia’s, panic disorder (panic attacks) social anxiety, generalised anxiety disorder, separation anxiety. These disorders can affect the sufferer on several levels; from mild fear to complete avoidant withdraw.


AD/HD- Attention Deficit/ Hyperactivity Disorder. This would be generally diagnosed in childhood from a trained professional. The symptoms represent as hyper, impulsive activity, low attention focus with sometimes anger outbursts.


Autism Spectrum Disorder (ASD) People with ASD have difficulties with social interaction and communication. They will often display unusual and repetitive patterns of behaviour and have a fixed unusual interest in things. They can show signs of hyper sensitivity to light, sound, touch, food and get very stressed when routine is not followed through. Again there are varying degrees of severity from very mild impairment to full co-dependence on others.


Bipolar Disorder The symptoms typically manifest as extremes changes in mood, energy and behaviour, with the presence of extreme depression. Bipolar I is characterised by the presence of a manic episode. This would be when the sufferer acted out of character and possibly experienced delusional thinking. They wouldn’t see any harm in anything and would be full of excitement, energy and not wanting to sleep as much. Everything would speed up and they can become very impulsive and irritable. Bipolar II is the same as the above without the mania. Instead they would experience ‘hypomania’ which is an elevated mood without the delusional extreme. This would also accompany episodes of depression. Cyclothymia is another level of mood alteration. The swings are less severe but they are prevalent.


Body Dysmorphic Disorder (BDD) Sufferers of BBD suffer from deluded and or exaggerated ideas about the various areas or and aspects of their body. It is also known as imagined ugliness. They will focus on a perceived or real flaw and obsess and fixate on that particular area. This will lead to compulsive behaviours such as checking, avoiding mirrors, asking for reassurance and compulsive investigation on how they can fix the problem. 


Depression is an illness that depletes you from things you use to find enjoyable. It is a loss of interest in usually pleasurable activities, difficulty concentrating, sadness, thoughts of suicide, low energy; sleeping too much or too little, weight loss or gain, irritability and even anger. Symptoms must persist for at least 2 weeks and represent a change from usual functioning.


Eating DisordersAnorexia nervosa is the preoccupation with controlling what the individual eats, either to feel in control or to minimise their weight. There is often a perceived delusional aspect to their self- image and low self-esteem. Bulimia nervosa is a binge eating disorder with compensatory behaviours such as vomiting, excessive exercise, misuse of laxatives to neutralise the effects of the binge. Binge eating disorder is recurrent compulsive eating for comfort. There are no associated neutralising strategies.


Excoriation (Skin Picking) Disorder Recurrent skin picking which can be noticeable or hidden and causes damage to the skin and produces sores and scabs. Skin picking may be triggered by feelings of anxiety or boredom; it may also be preceded by an increasing sense of tension or lead to gratification or a sense of relief when the skin or a scab has been picked.


Hoarding Disorder Hoarding involves a person becoming attached to items that for others would be of no consideration. They believe possessions have value such as usefulness and sentiment and struggle to discard them. This results in an accumulation of clutter which can become over whelming and even dangerous in extreme cases.


Trichotillomania (Hair Pulling Disorder) this is characterised by recurrent pulling of ones hair from any part of the body including hair, eye brows, eyelids. This may be preceded or accompanied by feelings of anxiety or boredom; it may also be preceded by an increasing sense of tension or lead to gratification or a sense of relief when the hair is pulled out.


Tic Disorder Tics are sudden rapid movement such as sniffing, blinking, jerking, grunting and tensing.
Tourette syndrome involves both motor and vocal tics. Shouting out obscenities and or jerking movements that can’t be controlled are the hallmarks of Tourette’s syndrome.


The above is a brief outline of co-morbid disorders which can be experienced alongside OCD. There are varying degrees of severity to each disorder from mild to severe. If you believe you may also be experiencing an additional disorder which is having a major impact on your wellbeing then a former diagnosis via your GP is recommended who will arrange an appointment for you to see a mental health expert such as a psychiatrist or psychologist.