OCD: why mention rituals that happen only in your mind?

Compulsions are not always visible. In obsessive compulsive disorder, or OCD, they may involve counting or silently repeating words to ease an intrusive, distressing thought. A repeated mental act can therefore matter as much as an observable action.

Relief from a ritual is temporary. Some people also avoid situations that trigger their concerns. Tell your doctor what happens internally, even when people around you do not notice repeated movements or actions.

Describe the time involved, distress and effects on work, relationships or activities. These details support a clinical assessment; an isolated habit or reading this article cannot establish a diagnosis of OCD.

Consult your usual doctor promptly if these difficulties occur. They can make an initial assessment and refer you when needed. Care may involve psychotherapy and medicines according to the situation assessed by the clinical team.

Cognitive behavioural therapy may include gradual exposure with response prevention. Situations and exercises are agreed with a trained therapist: this article is not a programme for testing yourself or undertaking exposure on your own.

For suicidal thoughts, France’s free 3114 service is available day and night. For imminent suicide risk, call 15 or 112 in France. Do not wait for Mon bilan prévention to obtain this help.