These articles, written by Dr. Scott Gibbs, appeared as regular health columns in the Southeast Missourian newspaper from 1999 to 2002.
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Obsessive-Compulsive Disorder 

  WASHERS, CHECKERS, CLEANERS, HOARDERS, REPEATERS, ORDERERS, AND PURE OBSESSIVES…these are generally accepted subdivisions of obsessive-compulsive disorder (OCD).  “Cleaners” feel that nearly everything is contaminated or dirty and they spend inordinate amounts of time cleaning and recleaning their surroundings.  “Checkers” have an overwhelming need to repeatedly check things.  For instance, a “checker” may turn off the stove and be compelled to check it 20, or even 100, times to be sure that it is indeed turned off.  “Hoarders” collect almost anything.  They may even have difficulty throwing away garbage, saving soup cans, empty boxes, milk cartons, pieces of paper and cardboard.  “Repeaters” are people who feel overwhelmingly compelled to do things a “right” number of times.   These people generally fear that if they do not do something the “right” number of times, that something bad will happen.  For instance, they may feel that they must always do everything seven times since seven is a “lucky number”.  “Orderers” are generally reluctant to let anyone touch their possessions, lest they will be misarranged.  Orderers might spend hours just aligning a piece of paper on a desktop in order to get it “exactly right”.  “Pure obsessive” may be troubled with recurring thoughts of a disturbing nature.  For instance, these people may constantly obsess about hurting someone that they love.  Even though they know that they would not do such a thing, they cannot stop worrying about this possibility. 

  OCD is an anxiety disorder characterized by involuntary thoughts, ideas, urges, impulses, or worries that run through one’s mind repeatedly (obsessions) followed by a behavioral response (compulsion) that result in time-consuming rituals.  Many OCD sufferers often attempt to hide their disorder rather than seek help.  The unfortunate consequences of this secrecy is that people with OCD usually do not receive professional help until many years after the onset of their disease.

  OCD affects not only the sufferer but the whole family.  It can be treated with behavior therapy and/or pharmacotherapy programs.  Family education is also very important to help manage anger and resentment that may develop from poor understanding of this disorder.

  Although this disorder was formerly thought to be quite rare, the National Institute of Health has estimated that OCD affects more than 2% of the population.  Males and females are equally affected and OCD strikes people of all ethnic groups.  The symptoms typically begin in teenage or early adult years although some studies have indicated that at least 1/3 of the cases of OCD in adults began in childhood.  There are approximately 1,000,000 children and adolescents in the United States that suffer from OCD.  Suffering from OCD during early stages of the child’s development can cause severe problems for the child. 

  If you believe that you may have OCD, you should seek the help of your family physician initially and if this diagnosis seems likely, a referral to a mental health professional may be necessary.