A member asked:

What happens inside the mind of someone with ocd if they do not perform their "rituals"?

4 doctors weighed in across 2 answers
Dr. Alan Ali answered

Specializes in Psychiatry

OCD: Rituals are performed in order to reduce anxiety, hence if no rituals, the OCD person becomes more anxious & their sense of impending doom or disaster becomes overwhelming.

Answered 1/12/2015

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Decreased distress: Interesting question! the answer is technical and related to behavioral reinforcement. If a person actually does not perform the ritual any longer, the distressing thoughts (obsessions) will tend to briefly get worse before they go away entirely. The reason they go away is partly because they are not reinforced by the relief of the ritual. Response prevention is the name of this approach.

Answered 12/9/2013

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