• Published on: May 26, 2022
  • 3 minute read
  • By: Second Medic Expert

Understanding Obsessive-Compulsive Disorder (OCD)

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Obsessive-compulsive disorder (OCD) is a mental disorder characterized by intrusive thoughts that produce anxiety, by repetitive behaviors aimed at reducing anxiety, or by a combination of both. These thoughts and behaviors can be classified into four categories: cleaning/washing, checking, counting, and symmetry. People with OCD often feel ashamed and embarrassed about their condition and may keep it secret. They may worry that others will think they are crazy or dirty. But OCD is actually a very common disorder. About 1 in 40 adults has OCD. It can occur at any age but often starts during adolescence or early adulthood.

OCD can manifest in many different ways. For some people, OCD might be characterized by obsessive thoughts that drive them to compulsively perform certain actions or rituals. For others, the compulsions might not be as overt, and may instead involve more subtle behaviors or rituals that are difficult to notice or understand. The important thing to remember is that OCD is a real and serious disorder that can cause a great deal of distress for those who suffer from it. If you think you might have OCD, please seek professional help. There is hope for recovery and there are treatments available that can help you manage your symptoms.

OCD can be treated with medication, therapy, or a combination of the two.  OCD is a mental disorder characterized by intrusive thoughts that produce anxiety, by repetitive behaviors aimed at reducing the anxiety, or by a combination of both. People with OCD may have difficulty controlling their thoughts and feelings. They may worry excessively about cleanliness, germs, or harm to themselves or others. They may have persistent doubts and fears about things like whether they turned off the stove or locked the door. And they may engage in rituals like hand-washing, checking locks, or counting items to try to reduce their anxiety.

OCD can be very disabling and can prevent people from carrying out even the most basic everyday tasks. But with treatment, many people with OCD can learn to manage their symptoms and lead productive lives. OCD is a mental disorder characterized by intrusive thoughts that produce anxiety (obsessions), repetitive behaviors aimed at reducing the anxiety (compulsions), or both. Obsessions are thoughts, images, or urges that repeatedly invade a person's mind, even when they don't want them to. These thoughts may produce anxiety, disgust, doubt, fear, or guilt. People with OCD often know their obsessions aren't reasonable, but they can't stop them from occurring.

Compulsions are repetitive behaviors or rituals that a person with OCD feels driven to perform in order to reduce the anxiety caused by their obsessions. OCD is a mental disorder in which people have unwanted and repeated thoughts, feelings, or images that make them feel stressed or anxious. They may also perform specific actions or rituals over and over again to try to relieve the anxiety. OCD can be very disabling. People with OCD may spend hours each day performing rituals or checking things excessively. The thoughts and images that occur in OCD are called obsessions, and the rituals are called compulsions. Some people with OCD know that their thoughts and behaviours don't make sense, but they can't stop themselves from carrying out the rituals anyway.

People with OCD often have intrusive thoughts about dirt, germs, or harm. As a result, they may develop compulsive behaviors such as hand-washing, cleaning, or checking to make sure things are done in a certain way. OCD can be very disabling and can interfere with work, school, and relationships. There is no cure for OCD, but treatment can help control symptoms. Treatment options include cognitive-behavioral therapy (CBT), medications, and exposure and response prevention (ERP).

There is no one-size-fits-all approach to treating OCD, but cognitive behavioural therapy (CBT) has been found to be one of the most effective treatments. CBT helps people understand and change their thoughts and behaviours, thereby reducing their symptoms. Other types of therapy may also be useful for people with OCD, such as exposure therapy or mindfulness-based therapies.

People with OCD may have difficulties with normal daily activities because of the time and energy they spend on their obsessions and compulsions. OCD can be a very disabling condition, but it is treatable. There are a number of effective treatments for OCD, including cognitive-behavioral therapy (CBT), medication, and self-help strategies. With treatment, many people with OCD can learn to manage their symptoms and lead healthy, productive lives. People with OCD may have frequent thoughts about germs, dirt, or harm. They may spend a lot of time washing their hands, cleaning, or checking things. They may also have rituals such as counting or touching things in a specific way.

Treatment usually includes counseling and sometimes medications. Obsessive-compulsive disorder (OCD) is a mental health condition that causes people to have intrusive, upsetting thoughts (obsessions) and/or repetitive, behaviors or rituals (compulsions) that they feel they can't control. For example, someone with OCD may obsessively worry about germs and cleanliness, leading them to wash their hands over and over again. Or they may have the compulsion to organize things in a very specific way, such as arranging all of their books in alphabetical order. OCD can be extremely frustrating and disabling for the people who have it. However, there are treatments available that can help people manage their symptoms.

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breath

Shortness of Breath Causes: From Common Triggers to Serious Health Conditions

Shortness of breath, medically known as dyspnea, is a symptom that ranges from mild discomfort during exertion to a distressing sensation of not getting enough air. In India, increasing air pollution, lifestyle diseases and respiratory infections have made breathlessness a frequent complaint across age groups. Understanding shortness of breath causes is essential to identify when it is harmless and when it signals a medical emergency.

 

What Is Shortness of Breath?

Shortness of breath refers to difficulty breathing or a feeling of air hunger.

It may present as:

  • rapid breathing

  • shallow breathing

  • tightness in the chest

  • inability to take a deep breath

The sensation can develop suddenly or gradually.

 

Common and Benign Causes of Shortness of Breath

Physical Exertion

During exercise, the body demands more oxygen.

Temporary breathlessness during:

  • climbing stairs

  • running

  • heavy physical work

is normal and resolves with rest.

 

Anxiety and Panic Attacks

Stress and anxiety alter breathing patterns.

Symptoms include:

  • rapid breathing

  • chest tightness

  • dizziness

These episodes often resolve with calming techniques.

 

Respiratory Causes of Shortness of Breath

Asthma

Asthma causes airway narrowing and inflammation.

Symptoms include:

  • wheezing

  • chest tightness

  • breathlessness during exertion or at night

Asthma is a leading cause of chronic breathlessness.

Chronic Obstructive Pulmonary Disease

COPD includes chronic bronchitis and emphysema.

Risk factors include:

  • smoking

  • indoor air pollution

  • occupational exposure

WHO identifies COPD as a major cause of breathlessness in adults.

 

Respiratory Infections

Infections such as pneumonia and bronchitis reduce lung capacity.

Breathlessness may be accompanied by:

  • cough

  • fever

  • chest pain

Severe infections require urgent treatment.

 

Heart-Related Causes of Shortness of Breath

Heart Failure

The heart fails to pump blood efficiently.

This leads to:

  • fluid accumulation in lungs

  • breathlessness on exertion

  • breathlessness while lying flat

ICMR data shows heart disease as a major contributor to unexplained breathlessness.

 

Coronary Artery Disease

Reduced blood supply to the heart can cause:

  • breathlessness

  • chest discomfort

  • fatigue

This may occur even without chest pain in some individuals.

 

Blood and Metabolic Causes

Anemia

Low hemoglobin reduces oxygen delivery.

Common symptoms include:

  • fatigue

  • breathlessness on mild activity

  • pale skin

NFHS-5 highlights anemia as highly prevalent in India.

 

Thyroid Disorders

Hyperthyroidism increases metabolic demand, causing breathlessness.

Hypothyroidism may contribute indirectly through weight gain and reduced stamina.

 

Lung Circulation Disorders

Pulmonary Embolism

A blood clot in the lungs causes sudden, severe breathlessness.

This is a medical emergency and may be accompanied by:

  • chest pain

  • coughing blood

  • fainting

Immediate treatment is critical.

 

Lifestyle-Related Causes

Obesity

Excess body weight restricts lung expansion.

Breathlessness occurs due to:

  • increased oxygen demand

  • reduced lung volumes

Weight management improves breathing efficiency.

 

Sedentary Lifestyle

Poor physical conditioning reduces respiratory muscle strength.

Even mild exertion may cause breathlessness.

 

Environmental and Occupational Factors

Air Pollution

Pollutants irritate airways and reduce lung function.

Urban populations experience higher rates of breathlessness.

Workplace Exposure

Dust, chemicals and fumes increase respiratory risk.

Protective measures are essential in high-risk occupations.

When Shortness of Breath Is a Warning Sign

Seek urgent care if breathlessness:

  • starts suddenly

  • worsens rapidly

  • occurs at rest

  • is associated with chest pain, bluish lips or confusion

These may indicate life-threatening conditions.

 

How Shortness of Breath Is Diagnosed

Evaluation may include:

  • physical examination

  • chest imaging

  • blood tests

  • lung function tests

  • heart evaluation

Diagnosis focuses on identifying the root cause.

 

Preventive Measures and Lifestyle Care

Prevention includes:

  • regular physical activity

  • pollution protection

  • smoking cessation

  • weight control

  • managing chronic conditions

Preventive healthcare reduces long-term risk.

 

Importance of Early Medical Evaluation

Delayed diagnosis can worsen outcomes, especially in:

  • heart disease

  • lung infections

  • anemia

Early care improves treatment success.

 

Conclusion

Shortness of breath causes range from temporary exertion and anxiety to serious heart, lung and blood disorders. While occasional breathlessness may be harmless, persistent or sudden symptoms should never be ignored. Understanding the underlying causes and seeking timely medical evaluation can prevent complications and save lives. Paying attention to changes in breathing is an essential step toward protecting overall health and wellbeing.

 

References

  • Indian Council of Medical Research (ICMR) – Respiratory and Cardiac Health Reports

  • World Health Organization (WHO) – Breathlessness and Chronic Disease Guidelines

  • National Family Health Survey (NFHS-5) – Anemia and Respiratory Health Data

  • Lancet – Dyspnea Evaluation and Outcomes Research

  • NITI Aayog – Non-Communicable Disease Prevention Reports

  • Statista – Respiratory Disease and Air Pollution Trends

See all

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