Abnormal Diagnostic Manual

OCD 01

After returning from a business trip, Sheng Ming kept running to Li Wan's place non-stop. On the one hand, he advised Li Wan not to give up treatment because of the pain of the healing process. concern.

Qi Yu has become a hands-off shopkeeper, and Sheng Ming can run around without worry, but in fact, he himself is also busy with things - he is busy packing his bags so that he can go to Sheng Ming's house to realize the long-awaited cohabitation.

The opportunity to live together is that Qi Yu really can't stand the temptation of being on the verge of anxiety and collapse all the time, so he decides to be nicer to himself who has been holding back for ten years, and takes the initiative to ask for a cohabitation.Unexpectedly, Sheng Ming agreed right away. The reason why he didn't take the initiative to mention the cohabitation before was because he was so nervous that he didn't expect it at all—the workaholic Mr. Sheng often doesn't go home, and he has already lived in the company as his home. .

Originally, people like Qi Yu were too lazy to bother because they were used to being loose, and they wanted the "straight man" Mr. Sheng, who didn't have two catties of luggage, to move to live with him. Qi Yu was overwhelmed by the well-organized living environment comparable to that of a patient with obsessive-compulsive disorder. He suspected that if Sheng Ming was dissatisfied after moving into his home, then his home would probably have to be demolished and redecorated.

Even the hangers in Sheng Ming's closet must be placed in one direction, and the clothes must be hung in one direction, one cannot have one left sleeve outside and the other right sleeve outside, and they must be arranged according to the shade of color; clothes must be folded into The same size, tie underwear socks folded into the same shape, still arranged in order according to color.

There are two shelves of books in Sheng Ming's study room, and Qi Yu will only have more, never less. When Sheng Ming was still in City B, Qi Yu made the decision and asked someone to redesign the study room. It was spectacular, but later Sheng Ming reorganized and sorted out each category of bibliographies in alphabetical order, and it took a week to arrange them in succession.

Such prosperity is like a "sequence code madness", everything must be arranged in a certain order, even the money in the wallet must be sorted by face value, and the direction must be the same.

Qi Yu leaned against the wall and watched Sheng Ming put the newly bought books on the shelf in order, and said, "You have such a crazy tidying up habit, does your family know?"

Sheng Ming rolled his eyes: "You know now."

"What is it that made you mad?" Qi Yu wanted to know.

As far as he is concerned, although there is no mess at home, it is not so neat and orderly. All items must be where they are, and there is no delay for a second. Normal people will always be a little bit littered Something about it, especially for single men.Qi Yu felt that Sheng Ming's illness was cured.

"It's easy to find things when they're neatly arranged, so you can save time." Sheng Ming didn't bother to explain.

Qi Yu nodded: "Other than that?"

"what?"

"Aside from convenience and saving time, what else do you think about? Will you be anxious? For example, if I misplace this book, I will be in bad luck. If the potatoes are not cut into the same size, they will fall into the well tomorrow when I go out. Yes." Qi Yu said casually, and then saw Sheng Ming looking at him like he was crazy, so he waved his hand and said, "Okay, I just want to know how sick you are."

Although Sheng Ming's tidying madness is outrageous, it seems that he is still a long way from obsessive-compulsive disorder.

Obsessive-Compulsive Disorder (OCD) is a type of anxiety disorder. The symptoms are mainly summarized as obsessive thinking and compulsive behavior, and the excessive meaningless repetition is always irresistible.

There are many manifestations of obsessive thinking. The most common obsessive thinking is repeated doubts about whether doors and windows are closed tightly, and suspicion that touching dirty things will cause illness.

Compulsive behavior is an action that has to be taken in order to relieve the anxiety caused by obsessive thinking. The patient knows that it is unreasonable, but he still cannot stop it.For example, patients doubt whether the doors and windows are closed tightly, so they will check the doors and windows repeatedly; patients who are afraid of getting sick when encountering dirty things will wash their hands repeatedly to keep them clean.Over time, a certain routine will be formed. For example, when washing hands, you must start from your fingertips and continue to your wrists. If the order is reversed or the washing process is interrupted, you have to start washing again, which is simply painful.

The most characteristic feature of compulsions is this "ritualization"—a set sequence of steps with a clear beginning and end.

The difference between normal people and obsessive-compulsive patients is not the difference in content, but the degree of obsessive-compulsive symptoms.

The obsessive-compulsive symptoms that patients with obsessive-compulsive disorder cannot stop will seriously affect their normal life, while normal people do not reach such a strong degree of compulsion.For example, a patient with obsessive-compulsive disorder is worried that his doors and windows are not closed tightly, so he can't help but keep checking the doors and windows. If ordinary people have this kind of anxiety, it is probably enough to verify once, but patients with obsessive-compulsive disorder will verify endlessly. There is simply no way to get out and work normally.

Moreover, patients with obsessive-compulsive disorder generally know that their thinking or behavior is excessive and unreasonable, and some patients with obsessive-compulsive disorder will actively seek medical treatment.

At least Sheng Ming didn't frown and feel restless because of the uneven spacing of the clothes.

Sheng Ming obviously didn't take it seriously and said loudly: "You are the only one who is sick."

This is undoubtedly the greatest comfort to Qi Yu who has recently been consulted about trichotillomania and Tourette's syndrome.

Both trichotillomania and Tourette's syndrome are compulsive behaviors with a high prevalence in childhood.

The former repeatedly and irresistibly pulls out their own hair, eyebrows or body hair; the latter involuntarily, suddenly, and rapidly repeats muscle twitches, such as pouting, shrugging, shaking the head, and while twitching Accompanied by explosive, involuntary vocalizations and foul language, such as clearing the throat, blowing the nose, and swearing.

Generally speaking, this symptom will be relieved and cured after puberty, but there are also a small number of patients who will continue into adulthood, and rarely develop into schizophrenia.

=============================

There are many obsessive-compulsive disorder test charts on the Internet