There are several disorders that are related to a period of depression, one of them can be the disorder that is potentially destructive.

Of this disorder are addressed general characteristics, symptoms occur, a clear example of it, how it is diagnosed and an approach to monitoring.

What is it?

This disorder is characterized by the presence of ideas, thoughts, impulses, persistent invading the patient’s mind without a sense (obsessions), Which the individual lives as outsiders (not imposed from the outside) and inappropriate and that he considers absurd but can not control. These obsessions cause intense discomfort and anxiety.


Given these individual responds obsessions or compulsions, which are highly repetitive acts or conduct, excessive, without any purpose, whose goal is to reduce the anxiety of the obsession, but that does not provide pleasure or gratification. Examples of compulsions would be the compulsive ritual washing of hands, the many findings of closing the doors or faucets or gas, the intake of certain foods, etc.

Obsession – Compulsion

The compulsive behaviors or rituals are a mechanism to combat the anxiety produced by obsessions. But unfortunately, these repetitive behaviors turn out to be ineffective in reducing anxiety and obsessions tend to come again and again. Generally, release anxiety compulsions temporarily, but immediately appear again and with it the need to repeat this ritual.

Both obsessions and compulsions are ego-dystonic, that is, the individual has the feeling that you are outside and that are beyond their control. The patient may recognize that the obsessive thoughts (obsessions) Is a product of his mind and behavior (compulsions) Is irrational and absurd.


Obsession: Pollution, contamination or dirt. Compulsion: Repeated washing hands well, avoiding touching valves, taps, doors, towels, etc. With what we spend most of the time repeatedly washing your hands every time they feel they have touched something that they think may have been contaminated. They can even dermatitis or skin lesions such as washing hands and followed mainly by the use of disinfectants and soaps.

Symptoms and diagnostic tools

The symptoms are very variable but there are certain common themes to most patients and the obsession with cleanliness, hygiene, order, religious scruples, timeliness, body weight, Fear misfortunes that happen to them and be responsible for any neglect or default, strict adherence to rules and regulations, the fear of being homosexual, to kill someone, to commit suicide, go mad, to suffer or transmit incurable disease, and so on. The guidelines of the diagnostic criteria for obsessive-compulsive disorder are based primarily on the tenth revision of International Classification of Diseases World Health Organization (ICD-10 WHO).

Evolution and prognosis

The evolution in most cases is chronic and variable: fluctuating or continues. In some cases the patient may initially control the obsessive-compulsive symptoms and anxiety that you generate. In other cases take so long rituals throughout the day the patient is even unable to do anything because the compulsions dominate their daily activities.

Obsessive-compulsive disorder is associated with other psychiatric disorders such as anxiety disorders, major depressive disorder (up to two thirds of patients), eating disorders, alcohol and some drugs antidepressants, Hypnotics, anxiolytics and sedatives. It also increases the risk of suicide.