Talk:Obsessive–compulsive disorder

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Semi-protected edit request on 19 December 2024

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The photograph that is shown on this page of a man washing his hands is an example of OCD but this may lead to thinking that OCD is more related to actions rather when one visits wikipedia it should be more clear that not only action but repetition in thinking pattern is also OCD. The photograph shows more emphasis.. so it is better to not show this photograph or show multiple photographs Maverick 9828 (talk) 17:19, 19 December 2024 (UTC)[reply]

Yes, psychological and psychiatric conditions are not easily illustrated with photographs. Martinevans123 (talk) 17:26, 19 December 2024 (UTC)[reply]
 Not done: While I agree that the article could do with a better illustration, I'm not convinced that the removal of what we already have is the way to go, unless Martinevans123 agrees with you (I couldn't tell by their reply). M.Bitton (talk) 11:16, 20 December 2024 (UTC)[reply]
I'm not sure this image is better than none. It's a bit misleading. Martinevans123 (talk) 11:55, 20 December 2024 (UTC)[reply]
 Done If either of you can think of the most common obsessive and compulsive symptoms, please list them and I will try to create an illustration for the infobox. M.Bitton (talk) 12:21, 20 December 2024 (UTC)[reply]
I think we tend to fall into the trap of thinking "oh, there's an infobox, so it needs to have an image." Martinevans123 (talk) 12:27, 20 December 2024 (UTC)[reply]
This image, which has just been re-added, shows someone washing their hands. How does this single static image illustrate "Frequent and excessive hand washing "? Everyone washes their hands. Everyone knows what "washing your hands" looks like? What does the reader take away from this lead image... "ah, I see, people with OCD wash their hands"?? Martinevans123 (talk) 23:04, 21 December 2024 (UTC)[reply]
I don't really see any issue with it, and I have OCD. It is the first thing that springs to mind for most people, and not necessarily an inaccurate one. Bit stereotypical but not really wrong. PARAKANYAA (talk) 23:06, 20 January 2025 (UTC)[reply]
I wonder, as a percentage, how many people with OCD, have a compulsion for frequent handwashing. Perhaps you know? If it is to be retained as the lead image, that might be a useful addition to the caption. Martinevans123 (talk) 12:05, 8 February 2025 (UTC)[reply]
I have OCD and handwashing is an annoying stereotype I get tired of seeing. I think a photo of someone looking depressed/anxious would be better, as I feel like many people do not realize how distressing the condition is. the slight *irony* of all the OCD people in the chat...trying to perfect the OCD page... Sherlocke (talk) 13:49, 17 February 2025 (UTC)[reply]
@Maverick 9828, Martinevans123, JoyD Smiths PTMr8, and PARAKANYAA: please have a look at the replacement image and let me know what you think. I opted for the OCD cycle because that's what's covered in the first sentence of the article. M.Bitton (talk) 17:22, 20 February 2025 (UTC)[reply]
This image is much better. It captures essence of all types of OCD. I upvote. Thanks. Maverick 9828 (talk) 00:26, 21 February 2025 (UTC)[reply]
I think that's a better image, even if quite simplistic. Martinevans123 (talk) 17:38, 22 February 2025 (UTC)[reply]
I thought about creating a more complex one, but unfortunately, there is just so much text you can add before it becomes unreadable in a thumbnail. M.Bitton (talk) 17:41, 22 February 2025 (UTC)[reply]
For some reason I didn't get notified. I have no objection. PARAKANYAA (talk) 23:20, 25 February 2025 (UTC)[reply]
all the OCD people in the chat...trying to perfect the OCD page — More likely it is OCPD people trying to perfect the page. Mitch Ames (talk) 06:58, 21 February 2025 (UTC)[reply]
We'll never know, will we. Martinevans123 (talk) 17:40, 22 February 2025 (UTC)[reply]
Well that was faster then the autism page. Anthony2106 (talk) 23:07, 16 March 2025 (UTC)[reply]

Wording doesn't make sense

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> Some common obsessions include, ... , the sufferer's sexual orientation

It feels like this sentence is worded weird, I had to read the line a couple of times to understand what is said, is it just me or does this need rephrasing ? TheLNL (talk) 14:53, 11 February 2025 (UTC)[reply]

Have changed that to read just "sexual obsessions", which seems more in line with the content of the main body. Martinevans123 (talk) 14:58, 11 February 2025 (UTC)[reply]
Aren't those two different things, though?
Sexual Orientation OCD (SOCD/HOCD) is about one's sexual orientation.
Sexual OCD, on the other hand, is "unwanted obsessive sexual thoughts about a family member, dead or inanimate objects, animals, God, or children, which can range from mild to severe levels of occurrence." Crs5827 (talk) 03:48, 5 September 2025 (UTC)[reply]

Wiki Education assignment: Cardiopulmonary and Diagnostic Applications I

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This article was the subject of a Wiki Education Foundation-supported course assignment, between 20 January 2025 and 17 May 2025. Further details are available on the course page. Student editor(s): GeorgePineWay (article contribs).

— Assignment last updated by GeorgePineWay (talk) 21:49, 18 April 2025 (UTC)[reply]

That last lead paragraph

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Any possible way to have it not be that long? PARAKANYAA (talk) 04:43, 30 April 2025 (UTC)[reply]

Absolutely! What do you think of this:

OCD is chronic and long-lasting with periods of severe symptoms followed by periods of improvement. Treatment can improve ability to function and quality of life[24] Treatment for OCD may involve psychotherapy, pharmacotherapy such as antidepressants or surgical procedures such as deep brain stimulation or, in extreme cases, psychosurgery. Psychotherapies derived from cognitive behavioral therapy (CBT) models, such as exposure and response prevention, acceptance and commitment therapy, and inference based-therapy, are more effective than non-CBT interventions. Selective serotonin reuptake inhibitors (SSRIs) are the first-line treatment for OCD, with commonly used options including sertraline, fluoxetine, and fluvoxamine.Higher-than-standard doses may be more effective but can increase side effects. In treatment-resistant cases, options include clomipramine, atypical antipsychotics, deep brain stimulation, and other neuromodulation techniques.

PARAKANYAA, let me know what you think! Lova Falk (talk) 17:01, 6 May 2025 (UTC)[reply]
@Lova Falk Someone trimmed it after I asked [1]. The way it is now is fine. PARAKANYAA (talk) 17:05, 6 May 2025 (UTC)[reply]
Aha. Next time, please write something like {{fixed}} or {{done}}. Lova Falk (talk) 17:07, 6 May 2025 (UTC)[reply]
In my defense, no one told me they had done anything. PARAKANYAA (talk) 19:21, 8 May 2025 (UTC)[reply]
🙂👍 Jhambles (talk) 21:19, 13 May 2025 (UTC)[reply]

An unrelated image

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An unrelated image about a depiction of hell (not sure which one) is on here, but the article says nothing about it and there's no source for it. I think it should be removed. Deckerbecker (talk) 03:02, 12 September 2025 (UTC)[reply]

Here's the image caption: "People with OCD may face intrusive thoughts, such as thoughts about the devil (shown is a painted interpretation of Hell)." It's an illustration of the concept of intrusive thoughts about the devil and hell. Contrary to your comment, yes, it's in the article. And by the way, the standard procedure on Wikipedia is to wait for comments before making your preferred change instead of making your change at the same time you post here. Please respect that and wait for other opinions. You do not own the article. Sundayclose (talk) 03:17, 12 September 2025 (UTC)[reply]
Ok are we going to do a vote? Since idk what that has to do with the article and there's no source for it. Deckerbecker (talk) 04:06, 12 September 2025 (UTC)[reply]
Consensus on Wikipedia is not determined by voting. Please read WP:CONSENSUS for details about how this process works and wait for others to respond before continuing your edit war. In response to your comment that "there's no source", the concept of intrusive thoughts is quite adequately sourced in the article. Every image in an article doesn't require a source that explicitly states that the image illustrates concepts in the article. So the images of skin picking disorder or the brain do not require a source stating that the image itself belongs in the article. If an image illustrates a concept and the concept is sourced in the article, that's all that's necessary. Take some time to look at a few articles. You'll see that images have captions, and the captions point out the concept described in the article, but the images do not cite a source that states "This image should be in a Wikipedia article". Sundayclose (talk) 14:47, 12 September 2025 (UTC)[reply]
Although in general I agree with your comments here, it looks to me like the article text just mentions only "—such as God, the devil or disease—" and says nothing about Hell. I'm also struggling to find any sources which categorically say that OCD may include intrusive thoughts about any of these things. A problem with using an image like the 1180 depiction of Hell by Herrad of Landsberg (1130–1195) is that it may suggest that intrusive thoughts about Hell are the most common types of intrusive thoughts in OCD, or indeed that these thoughts involve some kind of visualisation of how Hell was imagined 800 years ago by 12th-century German nun?? Martinevans123 (talk) 15:03, 12 September 2025 (UTC)[reply]
 Done I added a source about fear of going to hell. Sundayclose (talk) 15:06, 12 September 2025 (UTC)[reply]
Thanks for adding that source, which makes it clear that the context is the "scrupulosity subtype of OCD". I've also added a mention in the text itself. (Ah, so that's what Hell looks like... I had always pictured it as involving perpetual torture.) Martinevans123 (talk) 15:31, 12 September 2025 (UTC)[reply]
Thanks for the source. However, the image of that (and the skin picking) seem a little misleading to me. Is there evidence that going to a bad afterlife or a specific type of compulsion is the most common? I think there should maybe be more pictures of other types of phobias/compulsions. Deckerbecker (talk) 03:43, 13 September 2025 (UTC)[reply]
I took a stab at updating the caption to leave less room for interpretation about the frequency of occurrence. Let me know what you think.
I agree it might be helpful to have more pictures that are related to other OCD themes. I'll see if I can think of any. Crs5827 (talk) 06:28, 21 September 2025 (UTC)[reply]
Thanks! I think we should use a picture of death and hand washing, respectively, since those are the most common intrusive thoughts/obsessions that people with OCD have. Or we could have lots of pictures of lots of different intrusive thoughts/obsessions. Deckerbecker (talk) 18:41, 2 October 2025 (UTC)[reply]

Pediatric OCD

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I propose adding a sentence to the end of this section that highlights that OCD treatment can be effectively supplemented with ERP via telehealth. A recent PCORI systemic review demonstrates its comparability particularly in the age of long waitlist for in person services. https://effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-276-obsessive-compulsive-disorders.pdf 

Frogdoc323 (talk) 19:25, 25 November 2025 (UTC)[reply]