Opening the why-box. Part 11. Counting Compulsions, Ordering and arranging compulsions

“Counting compulsions” is a category unto itself. This might include counting silently or overtly to oneself (as in “one, two, three, four,…” or “one, two, three; one, two, three;…”) while one does a task or chore. In this case, counting serves as a timekeeper to indicate how long a person has been doing a task. It might Continue reading

Opening the why-box. Part 9. Checking compulsions

Checking compulsions are often paired with harming fears, but can be paired with any kind of uncertainty.

“Checking locks, stove, appliances, etc.” includes multiple forms of checking to see if these were left on, open, or in some manner perceived as unsafe. Checking can be visual (either staring at the item, or looking multiple times), tactile (pushing the button over and over, holding down the lock firmly to make sure it’s closed, Continue reading

Opening the why-box. Part 7. Somatic obsessions

Somatic obsessions are thoughts or worries about one’s body, health or disease.

“Concern with illness or disease” may or may not be a true obsession, depending on how it presents. If the person is otherwise healthy, has no delusional thinking and expresses his thoughts in terms of worry or anxiety (as opposed to conviction or conclusion), this may represent an actual obsession. Continue reading

Opening the why-box. Part 4. Hoarding/saving obsessions

Hoarding/saving obsessions are thoughts about the need to save certain things. This category does not include the actual saving of the items, nor the failure to discard items, as this item involves only the thoughts behind the actions. In this case, the word “save” can mean either “retain” or “keep safe from harm”. Thoughts about retaining items Continue reading