{"id":126590,"date":"2022-10-11T11:00:00","date_gmt":"2022-10-11T10:00:00","guid":{"rendered":"https:\/\/www.harleytherapy.co.uk\/counselling\/?p=126590"},"modified":"2023-02-09T15:20:16","modified_gmt":"2023-02-09T15:20:16","slug":"different-types-of-ocd","status":"publish","type":"post","link":"https:\/\/www.harleytherapy.co.uk\/counselling\/different-types-of-ocd.htm","title":{"rendered":"The Different Types of OCD &#8211; The Truth You Need to Know"},"content":{"rendered":"<div id=\"attachment_126592\" style=\"width: 410px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-126592\" class=\"size-medium wp-image-126592\" src=\"https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-cottonbro-6763595-400x267.jpg\" alt=\"types of ocd\" width=\"400\" height=\"267\" srcset=\"https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-cottonbro-6763595-400x267.jpg 400w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-cottonbro-6763595-500x333.jpg 500w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-cottonbro-6763595-768x512.jpg 768w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-cottonbro-6763595-180x120.jpg 180w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-cottonbro-6763595-1200x800.jpg 1200w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-cottonbro-6763595-600x400.jpg 600w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-cottonbro-6763595.jpg 1417w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><p id=\"caption-attachment-126592\" class=\"wp-caption-text\">photo by Cottonbro for Pexels<\/p><\/div>\n<p class=\"p1\"><span class=\"s1\" style=\"color: #333399;\">by Andrea M. Darcy<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">TV and films now love to portray characters with obsessive compulsive disorder (OCD). Which has added awareness but also created unhelpful myths. So what are the actual different types of OCD you should be aware of? <\/span><\/p>\n<h2 class=\"p1\"><span class=\"s1\">The different types of OCD<\/span><\/h2>\n<p class=\"p1\"><span class=\"s1\"><strong>It\u2019s important to differentiate between<\/strong> types of OCD used as a short hand when discussing what you are going through, and clinical types of OCD, as in what you can actually be diagnosed with by a mental health professional. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>So while on the internet you\u2019ll see talk of things like<\/strong> \u2018relationship OCD\u2019, \u2018<a href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/pure-o-pure-ocd.htm\">pure OCD<\/a>\u2019, and \u2018checking OCD&#8217;? <\/span><span class=\"s1\">These are NOT clinical terms you will be diagnosed with. <\/span><span class=\"s1\">They are simply useful ways to discuss what you are going through<em>, but on the other hand can be confusing and misleading.\u00a0<\/em><\/span><\/p>\n<blockquote><p><span style=\"color: #333399;\">And what is also important to know is that the way OCD is now diagnosed and the &#8216;official&#8217; different types of OCD&#8230; have changed! As recently as this year.\u00a0<\/span><\/p><\/blockquote>\n<h2>A quick recap about obsessive-compulsive disorder<\/h2>\n<p><strong>It&#8217;s important to remember when discussing different types of OCD<\/strong> what obsessive-compulsive disorder actually consists of. Namely, <em>obsessional thoughts<\/em> and <em>compulsive acts.\u00a0<\/em><\/p>\n<p><strong>Obsessions are recurrent thinking in the form of ideas, images, or impulses.<\/strong> You can&#8217;t stop them coming into your mind again and again, in the same persistent and upsetting form, causing you great distress.<\/p>\n<p><strong>Compulsions are repetitive behaviours or rituals, where you can&#8217;t stop doing the same action even though<\/strong> it&#8217;s not at all enjoyable or useful. You believe that by doing this behaviour you will either prevent something bad from happening to you or others.<\/p>\n<h2 class=\"p1\"><span class=\"s1\">The &#8216;popular&#8217; types of OCD <\/span><\/h2>\n<p class=\"p1\"><span class=\"s1\"><strong>So let\u2019s look at the common ways that OCD is described across the internet.<\/strong> You\u2019ll see articles claiming that there are four types! Five, six, seven! <\/span><span class=\"s1\">And they way these types are organised is confusing, many mixing up types by obsessions and compulsions, or even by the areas of your life your OCD affects.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>For example, a common list of \u2018types of OCD\u2019<\/strong> on the internet is: <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>Checking<\/strong> (this is a compulsion, a behaviour where you check lights, stoves, security of your house, etc). <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>Contamination<\/strong> (this on the other hand is an obsession. You have many thoughts about dangerous germs and viruses getting to you or your loved ones). <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-126604 alignright\" src=\"https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-rodnae-productions-8580763-400x266.jpg\" alt=\"different types of OCD\" width=\"400\" height=\"266\" srcset=\"https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-rodnae-productions-8580763-400x266.jpg 400w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-rodnae-productions-8580763-500x333.jpg 500w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-rodnae-productions-8580763-180x120.jpg 180w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-rodnae-productions-8580763-600x400.jpg 600w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/pexels-rodnae-productions-8580763.jpg 709w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/>Symmetry<\/strong> (again, a compulsion. You are convinced if you don&#8217;t ritually line up and arrange things, bad things will happen to you or someone else). <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>Rumination and intrusive thoughts<\/strong> (and back we go to an obsession. Violent, sexual, or uncomfortable thinking is an obsession that drives you to one of several compulsions).<\/span><\/p>\n<p><strong>Harm OCD<\/strong> is where your main obsession is harm coming to you or those you love.<\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>OCD divided into types by the area of life it most affects<\/strong> includes things like \u2018relationship OCD&#8217; and \u2018SO OCD\u2019, sexual orientation OCD, where you have obsessions about your own sexuality. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>Again, none of these are actually really forms of OCD. <\/strong>They are just different ways of talking about how OCD might affect your life.\u00a0<\/span><\/p>\n<blockquote><p><span style=\"color: #333399;\">And funnily enough, you never see talk of many now officially recognised\u00a0 related forms of obsessive-compulsive disorder, such as <a style=\"color: #333399;\" href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/what-is-trichotillomania.htm\">trichotillomania<\/a> (hair pulling), tic-related OCD, and <a style=\"color: #333399;\" href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/hoarding-truth-lies-beneath-mess.htm\">hoarding.<\/a><\/span><\/p><\/blockquote>\n<h2 class=\"p1\"><span class=\"s1\">The OFFICIAL types of obsessive compulsive disorder<\/span><\/h2>\n<p class=\"p1\"><span class=\"s1\">So let\u2019s talk about the official types of OCD. That you can actually be diagnosed with. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>The two main guidelines refereed to worldwide when diagnosing mental health disorders<\/strong> are America\u2019s infamous <a href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/what-is-the-dsm.htm\">\u201cDSM\u201d, the Diagnostic and Statistical Manual of Mental Disorders <\/a><\/span><span class=\"s1\">. And then<a href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/what-is-the-icd-10.htm\"> the \u201cICD\u201d<\/a>, the World Health Organisation\u2019s International Classification of Disease guide. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>We have recently seen new versions of both manuals with an all new way of diagnosing OCD.<\/strong> <\/span><\/p>\n<blockquote>\n<p class=\"p1\"><span class=\"s1\" style=\"color: #333399;\">OCD originally was classified under<span class=\"Apple-converted-space\">\u00a0<\/span>\u2018anxiety disorders\u2019 in the DSM, and a &#8216;neurotic, stress-related, or somatoform (psychosomatic) disorder&#8217; in the ICD. But new research shows OCD is more driven by brain patterns than anxiety. So OCD now is its own standalone category.\u00a0<\/span><\/p>\n<\/blockquote>\n<h2 class=\"p1\"><span class=\"s1\">The DSM<\/span><\/h2>\n<div id=\"attachment_126606\" style=\"width: 410px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-126606\" class=\"size-medium wp-image-126606\" src=\"https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/cdc-VRpjDw3WqqI-unsplash-400x266.jpg\" alt=\"different types of ocd\" width=\"400\" height=\"266\" srcset=\"https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/cdc-VRpjDw3WqqI-unsplash-400x266.jpg 400w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/cdc-VRpjDw3WqqI-unsplash-500x333.jpg 500w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/cdc-VRpjDw3WqqI-unsplash-180x120.jpg 180w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/cdc-VRpjDw3WqqI-unsplash-600x400.jpg 600w, https:\/\/www.harleytherapy.co.uk\/counselling\/wp-content\/uploads\/cdc-VRpjDw3WqqI-unsplash.jpg 709w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><p id=\"caption-attachment-126606\" class=\"wp-caption-text\">Photo by cdc for unsplash<\/p><\/div>\n<p class=\"p1\"><span class=\"s1\"><strong>The DSM is now in its fifth edition. The DSM-5 , used <\/strong>to diagnose you if you live in America, now has the category of \u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK519704\/table\/ch3.t13\/\">Obsessive-Compulsive and Related Disorders\u2019 (OCRD)<\/a>. <\/span><\/p>\n<p class=\"p1\"><strong><span class=\"s1\">And as far as \u2018types\u2019 of OCD you can be diagnosed with, <\/span><\/strong><span class=\"s1\"> it refers to<\/span><span class=\"s1\">:<\/span><\/p>\n<ul>\n<li class=\"p1\">presence of obsessions<\/li>\n<li class=\"p1\"><span class=\"s1\"> presence of compulsions<\/span><\/li>\n<li class=\"p1\"><span class=\"s1\">or presence of both.<\/span><\/li>\n<\/ul>\n<p><strong>This is further divided into sub categories depending on how much you believe in your symptoms<\/strong>. So there is OCD with:<\/p>\n<ul>\n<li><strong>good or fair insight:<\/strong> You know your beliefs are not true or may not be true.<br \/>\n<strong>poor insight:<\/strong> You think your OCD beliefs are probably true.<br \/>\n<strong>absent insight\/delusional beliefs:<\/strong> You are completely convinced that your OCD thinking is true.<\/li>\n<\/ul>\n<p><strong>And finally, one further &#8216;sub type&#8217; is if your OCD is tic-related,<\/strong> if you have a current or past history of tic disorder.<\/p>\n<h3>OCRD &#8211; Obsessive compulsive related disorders<\/h3>\n<p>Also included under the OCRD banner in the DSM-V are:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/what-is-body-dysmorphic-disorder.htm\">body dysmorphic disorder (BDD)<\/a><\/li>\n<li><a href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/hoarding-truth-lies-beneath-mess.htm\">hoarding disorder<\/a><\/li>\n<li><a href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/what-is-trichotillomania.htm\">trichotillomania (hair pulling)<\/a><\/li>\n<li>excoriation (skin-picking)<\/li>\n<li>substance\/medication-induced OCRD<\/li>\n<li>OCRD due to another medical disorder<\/li>\n<li>other specified OCRD &amp; unspecified OCRD.<\/li>\n<\/ul>\n<h2 class=\"p1\"><span class=\"s1\">The ICD<\/span><\/h2>\n<p class=\"p1\"><span class=\"s1\"><strong>The new version, the ICD-11, was finally released in English form in February 2022,<\/strong> and is very similar to the DSM-5. It also places OCD its own classification of &#8220;Obsessive Compulsive and Related Disorders (OCRD)&#8221;.\u00a0<\/span><\/p>\n<p><strong>Again similar to the DSM, it states that<\/strong>\u00a0<em>&#8220;obsessive-compulsive disorder is characterised by the presence of persistent obsessions or compulsions, or most commonly both.&#8221;\u00a0<\/em><\/p>\n<p><strong>It includes most of the same disorders under &#8216;OCRD&#8217; as the DSM-5, <\/strong>while also including:<\/p>\n<ul>\n<li>olfactory reference disorder<\/li>\n<li>hypochondriasis (health anxiety disorder)<\/li>\n<li>body-focused repetitive behaviour disorders.<\/li>\n<\/ul>\n<h2 class=\"p1\"><span class=\"s1\">I\u2019m confused. So then what type of OCD to I have? <\/span><\/h2>\n<blockquote>\n<p class=\"p1\"><span class=\"s1\" style=\"color: #800080;\">Officially, you would just have &#8216;OCD&#8217; or &#8216;OCRD&#8217; (obsessive-compulsive related disorder).\u00a0 Even if you don&#8217;t have many compulsions, if any, the diagnosis is still &#8216;OCD&#8217;.\u00a0<\/span><\/p>\n<\/blockquote>\n<p class=\"p1\"><span class=\"s1\"><strong>And really, the type shouldn\u2019t be the main focus. Getting the support you need should be.<\/strong> Obsessive-compulsive disorder is really hard to break through alone, but on the other hand can responds well to support and treatment.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>Self-help is of course a great start, although one<\/strong> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28681717\/\">research study<\/a> found that guided self help was useful to keep OCD symptoms from worsening, but did not diminish symptoms.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong> Therapy is recommended.<\/strong> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3181959\/\">CBT with exposure therapy has been found helpful<\/a>, although the research is dated and and <a href=\"https:\/\/journals.lww.com\/intclinpsychopharm\/Fulltext\/2020\/07000\/Clinical_advances_in_obsessive_compulsive.1.aspx\">newer research<\/a> is looking into rational emotive therapy as the best contender.\u00a0 Other recent research suggests <a href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/5-mindfulness-apps.htm\">mindfulness<\/a> helps, <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.661807\/full\">finding positive results with mindfulness-based CBT (MBCT)<\/a>.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>If you have<\/strong> <a href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/managing-suicidal-thoughts.htm\">suicidal thinking<\/a> alongside your OCD, or it makes you want to hurt yourself, it\u2019s particularly important that you seek support. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5479089\/\">Research does show<\/a> that while it is not a large difference, OCD can place you more <a href=\"https:\/\/www.harleytherapy.co.uk\/counselling\/feeling-suicidal-or-like-self-harming-techniques-to-stop-distress.htm\">at risk for suicide<\/a>.<\/span><\/p>\n<p><strong><span style=\"color: #800080;\">Sick of letting your OCD dictate your life? We connect you with some of London&#8217;s most highly regarded talk therapists who can provide <span style=\"color: #333399;\"><a style=\"color: #333399;\" href=\"https:\/\/www.harleytherapy.co.uk\/obsessive-compulsive-disorder-counselling-london-ocd.htm\">CBT therapy for OCD<\/a>.\u00a0<span style=\"color: #993366;\"><span style=\"color: #800080;\">Or use our sister booking site to find <a href=\"https:\/\/harleytherapy.com\/therapists?specialism=ocd%7Cocd\">UK-wide\u00a0 OCD therapy<\/a> with therapists ranked by other users.\u00a0<\/span><\/span><\/span><\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>by Andrea M. Darcy TV and films now love to portray characters with obsessive compulsive disorder (OCD). Which has added awareness but also created unhelpful myths. So what are the actual different types of OCD you should be aware of? The different types of OCD It\u2019s important to differentiate between types of OCD used as [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":126592,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_lmt_disableupdate":"yes","_lmt_disable":"no","footnotes":""},"categories":[223],"tags":[201,102],"class_list":["post-126590","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-personality-disorders","tag-hoarding","tag-ocd","has_thumb"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>The Different Types of OCD - The Truth You Need to Know - Harley Therapy\u2122 Blog<\/title>\n<meta name=\"description\" content=\"What are the different types of OCD? NOT what you&#039;ll find all over the internet! 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