OCD may be expressed in the following ways:

  • Excessive worry
    – that dirt and germs will cause illness, resulting in excessive washing,-about “being good” (not sinning), resulting in excessive prayer,-not “acting stupidly”, or doing something wrong, resulting in avoidance of social interaction or attending school or work
  • Recurrent thoughts
    -about accidents, bodily harm, death, and destruction, resulting in avoidance of even simple tasks-ruminating about the arrangement
    of items, e.g., furniture, tools, stuffed animals, books, clothes, resulting in distress if this arrangement is modified
  • Repetitive questioning or exaggerated explanation
    -about the same subject or topic, seeking reassurance-the need to tell or confess “everything” to a parent or a spouse
  • Excessive checking in order to feel safe
    -rechecking locks, windows, and area under the bed-re-reading, re-writing and re-tracing steps in order to assure “correctness”


OCD may manifest in many different ways. Here are four (4) case scenarios:

Case 1. “Dr. Tom”, a 53-year-old surgeon, is increasingly distressed because he finds himself, at the end of his office work, repeatedly checking to ensure that his office computer and equipment are “properly” set or turned off and that all the doors are locked. Before leaving the office, he may return to check each lock 4 or 5 times. Very often, even after leaving the office and driving away, he returns to the office to, again, check the office equipment and the door locks.

Case 2. Pamela, a 31-year-old housewife, and mother of two small children is obsessed with the thought that her dishware, cutlery, a kitchen knife, and cutting board become contaminated or “infected” after ordinary use and are passing germs to her family. As a result, she repeatedly scrubs the dishes, utensils, and cutting board. Even after putting them away, a few minutes later, she retrieves them and, again, repeats the washing. Distressingly, this cycle may recur 8 to 10 times a day which results in her missing appointments and even being late to pick up her children at the daycare center.

Case 3. “Steve”, 13 years old, had always been a “very good” student, getting As and Bs on his report card. However, his grades began to decline suddenly for which his parents contacted his teacher. The teacher stated that Steve had not been completing his in-class work, including quizzes and tests, and had not turned in several homework assignments. When the parents questioned Steve about his poor academic performance and offered to get him, tutors, Steve stated that he did not have a problem understanding the subject matter in his classes. Rather, he was not able to complete his school work in a timely manner because he felt compelled to re-read and to re-write his assignments which made him feel very frustrated. Additionally, Steve admitted that he did not even attempt to do homework assignments just to avoid feeling aggravated.

Case 4. “ Karen”, 9 years old, began having arguments each school morning as her mother assisted her in getting dressed and doing her hair. Although Karen had always been a soft-spoken and “easy going” child, her behavior would radically change during the morning routine with mom. Karen would repetitively try on clothes until she found ones that felt and looked “right”; this could take 20 minutes to over an hour. Also, Karen would insist that her mother re-do her hair until it, too, looked “just right”. If mom attempted to help speed up the process by telling Karen that she looked great and forbidding her from trying on yet another outfit or by refusing to re-do her hair, Karen would react in a fit of rage, often crying vehemently.

Regine Diamond Information

Regine I. Diamond, J.D., M.S.W., LCSW
Florida License # SW5503

PHONE: (954) 964-3259

Providing counseling and psychotherapy to individuals in:

Miami - Ft. Lauderdale - Weston
Tampa - Jacksonville - Orlando
Destin and throughout the state of Florida.