In people with mysophobia, this may include: Ataxophobia: Fear of untidiness. Williams MT, et al. Those individuals genetically predisposed to recognize contaminating objects and strongly experience the disgust affect thus had an evolutionary advantage, and would pass their inherent disgust sensitivity (as well as health and cleanliness strategies) to their children. Davarinejad O, et al. For some people, contamination is a theme. A 2021 study looked at the link between irritable bowel syndrome (IBS) and OCD. Brain scans also reveal differences in estrogen receptors and in the amount of white and gray matter in the brains of people with the contamination and cleaning symptom dimensions. (2020). Obsessive-Compulsive Disorder is a maladaptive reaction to these ordinary but unpleasant experiences of disgust, discomfort, and unease. It can include fears about illnesses, bodily fluids, and even more abstract contaminants like bad words, thoughts, or images. Common Obsessions in OCD* Contamination Body fluids (examples: urine, feces) Germs/disease (examples: herpes, HIV) Environmental contaminants . Obsessions can revolve. There are many examples of obsessions that may affect people with OCD. Finding a therapist can be a great first step in learning to manage your symptoms. If a feared substance or situation is too difficult to confront in one whole step, it is approached more gradually. It might be that anxiety and stress can affect your digestive system because stress prompts your body to enter flight or fight mode, during which your body doesnt prioritize digestion. OCD is a mental health condition with symptoms that can get in the way of your daily life. International OCD Foundation | OCD and Contamination Bodily fluids (such as urine, feces, spit, or blood) Environmental contaminants (such as asbestos, lead, and radiation) . Because OCD is biochemical in origin, medicine can often be of great help as well. The 2 Most Psychologically Incisive Films of 2022, The Surprising Role of Empathy in Traumatic Bonding. Researchers are finding differences in the brain structures of people with OCD, along with differences in how their brain functions. Treatment is tailored to each particular persons symptoms and is done at their own pace. Transcranial magnetic stimulation (TMS) is another approach to consider if other treatments arent helping you. In blood obsessions, it typically presents as: Fear of contracting a disease from casual contact with blood People with mysophobia may also suffer from obsessive-compulsive disorder (OCD). (2016). You have obsessions or compulsions that take up at least an hour of your day. And, for what its worth, thats a pretty common diagnosis. ERP helps you learn to stop engaging in compulsions. Researchers have found that people with symmetry obsession and an ordering compulsion often have trouble expressing anger in healthy ways and may have a personal history of trauma. Use this brief screening measure to help you determine if you might need to see a mental health professional for diagnosis and treatment of OCD. But that doesnt mean youre crazy. It means that, biologically and psychologically, youre a human being. fear of sperm and body fluids - Obsessive Compulsive Disorder (OCD Some patients can only touch something that has touched a feared substance or object, and only later do they go on to touch directly what is feared. The symptoms of OCD, as defined by the DSM-5, are obsessions and compulsions. People may even fear that theyre contaminating others. Once attached, it reprograms the cell to start attacking other cells and creating copies of itself that set out to attack even more and so on and so forth. The trick is that, while these are all good strategies for preventing disease, they dont solve the fundamental problem of diagnosing the cause. It is characterized by fear of getting contaminated with something and compulsive behaviors that are performed to eliminate the. For most people with contamination OCD there are two central distorted beliefs that drive all the others. Contamination OCD: . OCD contamination with feces, bodily fluids, etc. The clean world is usually a much more restricted area than the dirty one, and is often limited to special places at home or at work. HIV is the boogeyman of health anxiety. Similarly, if a thought about blood is present in the mind, mindfulness enables you to see it for what it is, a thought about blood. Use this brief screening measure to help you determine if you might need to see a mental health professional for diagnosis and treatment of OCD, Can Stanley Cup-Winning Goaltenders Have Anxiety and OCD? Contamination OCD | Intrusive Thoughts To further complicate our contamination picture, there is a variant that veers off into what is known as hyper-responsibility. This is where instead of being fearful of becoming contaminated, sufferers fear spreading contamination to others. DOI: Impact of the DSM-IV to DSM-5 changes on the National Survey on Drug Use and Health. Kelly, Daniel. OCD that focuses on germs and cleanliness is called contamination OCD. (2017). Some people choose to hide their symptoms, often in fear of embarrassment or stigma. By midlife, though, more women than men have symptoms of OCD. If you have OCD and contamination or cleaning are important to you, you may notice that you: If you have OCD and its important for you to keep things symmetrical or arranged in a precise order, you may notice that you: A doctor, psychologist, or psychiatrist can diagnose your condition by interviewing you about your thought and behavior patterns or by asking you about symptoms listed in DSM-5. So its important to remember: Thoughts about disgust and contamination are not irrational or unnatural. Its an inconvenient behavior, so it must be important, right? It spirals out of control pretty easily, with each new avoidance sending the message to the brain that death was narrowly escaped, prompting further, more indirect reasons for avoidance. Jalal B, et al. Showers can take an hour or longer, and in severe situations can last as long as eight hours. Unlike the popular view, contamination isn't simply limited to dirt, germs, and viruses. What is most interesting about the obsessive fear of HIV is that for all the handwashing and avoiding, HIV is not an environmental contaminant. The process depletes the immune system, resulting in a gradual deterioration of health, the final stages of which is called Acquired Immune Deficiency Syndrome (AIDS). The neural correlates of obsessive-compulsive disorder: A multimodal perspective. These are called OCD themes.. Compulsive cleaning is often related to fears of contamination, and compulsive arranging can be caused by a need for symmetry and balance. Talk therapy is one of the most common and effective treatments for OCD. a red mark on a wall), Checking for blood or for cuts in the skin (on self or others), Reassurance seeking online (or elsewhere) regarding blood-borne illnesses and how they are contracted, Reassurance seeking from others that they have not come in contact with blood, Mental rituals, such as mentally retracing what could have touched what or mentally repeating reassuring statements, Scrutinizing the behavior of dentists, doctors or any other professionals who may be exposed to blood (yours or others), There are no documented cases of contracting HIV through environmental contact (i.e., touching infected blood), There are essentially only two ways to get HIV the use of shared hypodermic needles in which blood from one person is literally extracted and put into the bloodstream of another person, and unprotected sex with an infected person in which semen or vaginal secretions are essentially pushed into the bloodstream of another person through tears in the skin of the mouth, vagina, anus, or penis (other ways of contracting it include transmission from pregnant mother to fetus and transfusions of infected blood [which is no longer an issue due to testing standards]). First, our ancestors learned to recognize clues to the presence of contagions, obvious ones like bodily fluids, excrement, and corpses, but also subtler signals like the skin discoloration or subdued behavior of the infected. They may . Facts about obsessive-compulsive disorder. The problem with OCD is the cyclical nature of obsessions and compulsions. Obsessive-compulsive disorder is a mental health issue in which the person suffering from it experiences unwanted intrusive thoughts and engages in repeated behaviors aimed at getting certainty that the thoughts wont come true. Studies have shown that CBT strengthens connections throughout your brain, especially in areas that deal with your ability to control your thinking and balance your emotions. I have a OCD fear of body fluids, especially sperm and blood. With contamination OCD, the symptoms can look like: Possibly. Some people feel that completing these actions will neutralize a threat, make an obsessive thought stop, or relieve the anxiety that unwanted thoughts create. Contamination OCD involves a lot more than simply being diligent about cleaning, and the symptoms can differ from person to person. And it only takes one bad experience to leave you permanently disgusted by somethinga phenomenon Kelly calls one-shot learning. Finally, once weve established a trigger for disgust, its very easy for that disgust to transfer to other objects, through physical contact, or even just thinking about it. If the OCD demands certainty and certainty is unavailable, then why would I certainly avoid sharing a needle but not certainly avoid hugging a person who looks like they might have once shared a needle? It just requires an ability to cope with the associated discomfort. Traditionally, germs have been the focus of attention when it comes to contamination obsessions, with the emphasis on health anxiety and fears of getting ill or causing others to get ill. To those of you familiar with OCD, the answer should be obvious behavioral therapy and possibly medicine. For more general information, please visit our "About OCD" section. The OCD makes a pretty strong case for doing compulsions. The internal voice that says ewww is also saying run away. Normally, this would not pose much of a problem, unless you felt you needed certainty that you were far enough away. So, despite there being nothing inherently dangerous about blood, somewhere in our genetic database is probably an urge to avoid being in its presence. Because bathrooms are often thought to be dirty, many people with contamination OCD develop anxiety around bathrooms, whether public or private. I have known clients to burn their clothes, spend hours showering, hours checking their body for cuts, abandon groceries in the parking lot of the supermarket, abandon entire locations (including their own home) for fear of blood contamination. Contamination obsessive-compulsive disorder (OCD) is a common type of OCD in which obsessions and compulsions revolve around dirtiness and contamination. Jalal B, et al. Basic self-care, like sleeping adequately and eating a balanced diet, can be helpful. Why is OCD more common in people with multiple sclerosis? One kind of cognitive-behavioral therapy (CBT), called exposure and response prevention (ERP), is particularly effective. Challenging distorted beliefs and ideas about blood can help reduce the reliance on compulsions, so long as these challenges are not used as a ritualized form of a reassurance. While symptoms of OCD may be grouped based on similarity or dimension, a diagnosis of OCD isn't generally divided by. Microphobia: Fear of small things. Blood pours out, not in. For example, 2015 study involving 22,084 Swedish twins indicates that two kinds of childhood trauma are particularly likely to lead to symptoms of OCD: abuse and family disruption. These dangers were invisible, undetectable, and could remain dormant for months after the initial contamination, making them difficult to avoid through simple cause-and-effect learning. Obsessive-compulsive disorder: Advances in diagnosis and treatment. Here's what can cause OCD guilt and how to reduce symptoms. OK, a reality check is all well and good, but if the OCD is in high gear, reality is no substitute for certainty and certainty doesnt exist. If your loved one lives with OCD, remember to take care of yourself, too. (2013). The most effective treatment for any form of OCD is exposure with response prevention (ERP). Among the more common manifestations of blood-focused OCD is an obsession with human immunodeficiency virus (HIV). Obsessive-compulsive disorder: Advances in diagnosis and treatment. In an attempt to keep clean and minimize compulsions, some sufferers will create two different worlds for themselves; one clean and one dirty. The Nature and Moral Significance of Disgust. Nothing in it has to be cleaned or avoided. Contamination OCD | Made of Millions Foundation It is common for people with OCD to experience guilt. Bathroom OCD can also refer to an obsession with pooping. It found that OCD was prevalent among people with IBS. Your obsessions and compulsions cause significant distress and impact your day-to-day life. In fact, some people might experience one OCD theme or multiple themes, and those themes can change over time. In addition to emotional reasoning, black-and-white thinking and magnifying can play an important role as well. Other times people need long-term treatment to keep symptoms in check. The good news is that there are treatments that can help, The glycemic index (GI) is a value used to measure how much a specific food increases your blood sugar levels. Hi. (2020). The following body fluids pose a risk for bloodborne virus transmission: blood, serum, plasma and all biological fluids visibly contaminated with blood laboratory specimens that contain concentrated virus pleural, amniotic, pericardial, peritoneal, synovial and cerebrospinal fluids uterine/vaginal secretions or semen. Why is OCD more common in people with multiple sclerosis? From my own experience, I would guess that the fear of certain illnesses may still the leader. These are prescription drugs often used for anxiety and depression. People often call this issue bathroom OCD.. Obsessive-compulsive disorder (OCD) is a debilitating mental health condition that can impact a person's relationships, work, and happiness. Melli G. (2019). However, a common obsession is the idea that germs will infiltrate your immune system and make you ill. A common compulsion is to wash your hands excessively to avoid spreading germs. Healthline Media does not provide medical advice, diagnosis, or treatment. The types of contamination that can be spread to others are about the same as those that trouble other sufferers. The belief here is that these names, images, concepts, or the characteristics of certain people can be magically transferred, simply by thinking about them or by coming into casual contact with them. While this can be difficult in the short term, it eventually reduces the strength of the obsessions. Obsessive-Compulsive Disorder is a maladaptive reaction to these ordinary but unpleasant experiences of disgust, discomfort, and unease. For example, individuals with OCD may think, If I dont line up my toiletries exactly this far apart, someone is going to harm me today, or if I clean my sink five times this morning, my brother wont get sick today.. Contamination OCD and the Fear of Germs: Symptoms and Treatment Contamination & Health-related OCD: Obsessions, Fears, & Worries Have you considered getting some CBT? This removal of the unwanted becomes something the brain naturally gravitates toward more and more through a process called negative reinforcement. Masturbation & Fluids Contamination - OCD-UK Forums People dont get Hepatitis C from hugging. I believe it should be regarded as a tool to assist in doing behavioral therapy. The causes of contamination OCD are the same as the causes of any other type of OCD. Higher prevalence of irritable bowel syndrome and greater gastrointestinal symptoms in obsessive-compulsive disorder. Watching someone close to you in distress can cause you distress, too. You might use certain washing or cleaning rituals to get rid of those thoughts. All rights reserved. Actually, when you take a closer look, contamination is quite a bit more complicated than that. A 2022 study found that people with OCD were more likely to have an imbalanced microbial biosystem in the gut, which can affect digestion. Is there a type of OCD that focuses on cleaning? I should know I've lived it. Their hands often become bright red and chapped with cracked and bleeding skin. anxious thoughts about cleanliness, dirt, viruses, and contaminants of any kind, feeling the urge to perform certain cleaning rituals, strong feelings of disgust when you perceive something to be contaminated, excessive hand washing, showering, or cleaning, difficulty functioning in places you perceive to be dirty, constantly checking and re-checking to see if something is clean, needing reassurance from others that you are clean. Fear of germs, bodily fluids, and dirt: Doctor explains contamination All rights reserved, [ Placeholder content for popup link ] Contamination OCD: Blood, Fluids & Bodily WasteOh My! Part 1 Germaphobia: Symptoms, When to Be Concerned, Treatment, and More And how connecting with the OCD community changed her life forever. A long time ago, it was probably a good idea to get far away from it before it attracted saber-toothed tigers (or vampires). Learn more here. This remains the most widely used and accepted form of behavioral treatment for OCD. By trying to eliminate risk, they come to see that along with it they will eliminate their ability to function. DOI: Purty A, et al. Though it's commonly associated with illness and germs, contamination OCD can cause obsessive fear of a variety of contaminants, including: Blood Bodily fluids like saliva, sweat, tears, or mucus Bodily excretions like urine or fecal matter Garbage Mold Chemicals Semen Radioactive chemicals or fluids Household chemicals or cleaning supplies OCD sufferers can feel alienated by their disorder, or even find themselves judged by others. Exposure and response prevention for obsessive-compulsive disorder: A review and new directions. Outside of the body, it is gross (for many people anyway). DOI: Moreira PS, et al. OCD includes two parts: obsessions and compulsions. This article was initially published in the June 2000 edition of the OCD Newsletter. Real event OCD is a type of obsessive-compulsive disorder that centers around an event in your life. The origins of this obsession lie with our prehistoric ancestors and their dangerous environment. The chain of thought typically goes something like this: I must be certain that I did not get any blood on me. Are stressful life events causally related to the severity of obsessive-compulsive symptoms? Poor sleep and diet can worsen your mood, which can increase your stress levels and OCD symptoms. Contamination obsessive-compulsive disorder (OCD) is one of the most well-known types of OCD. OCD is not so much an amusement as it is a private hell. The prevalence of obsessivecompulsive disorder in patients with irritable bowel syndrome: A cross-sectional study. Diagnostic and statistical manual of mental disorders (5th ed.). Enter OCD stage right. It often includes fears around dirt, germs, or illness, and it can involve excessive cleaning and washing rituals. Mindfulness practice would entail noticing the feeling of contamination and allowing it to be there, as a feeling, without making compulsive attempt to eliminate it. Generally speaking, so are the types of avoidance and decontamination compulsions. Alcohol preps and disinfectant hand wipes are also popular. Learning to support a loved one with OCD can look like practicing patience, helping them get therapy, and learning the difference between supporting. Its not clear why this is the case. It is also true that at some point, we draw a line in the sand and we say, enough. While OCD isnt curable, it is treatable. One of my favorite OCD therapists & writers, Jon Hershfield, has put together a series of articles exploring the common contamination triggers of various bodily fluids. Another is that the feeling of disgust, the state of gross is somehow dangerous; that the experience is so unacceptable that it should not be tolerated or that the experience itself is an indicator of impending harm. This means that there is no cure. Many people with OCD have obsessions about contamination or using the restroom. Commonly identified contaminants the context of Contamination OCD include (but are not limited to): Dirt Germs Animals Insects Bodily excretions and fluids (urine, feces, vomit, sweat, tears, mucus, blood, semen, saliva) Bacteria and viruses Raw or spoiled foods Plants Chemicals Cleaning products Radioactivity Sticky substances High traffic areas There is also a whole category of fears of contamination of a stranger and more magical type, which could include: Obviously, logic has little to do with these fears. After all, dirt, germs, washing what could be simpler? Magnetic fields interact with nerve cells in your brain in an attempt to lessen your OCD symptoms. Two of these symptom dimensions have a clear link to cleaning tasks: contamination and cleaning as well as symmetry and ordering. Turna J, et al. Washers as they are referred to are probably the most visible among those with contamination obsessions. Its easy to see why this was such a powerful and effective system for keeping our prehistoric ancestors healthyand how, today, this system can misfire to trigger visceral and terrifying obsessive thoughts about sickness and death. The actions may be physical behaviors (such as arranging objects in a particular order) or mental ones (like praying in a particular way). The virus is actually pretty fascinating. You can resist washing in the presence of a blood-related thought (you can also presumably resist putting tap shoes on a giraffe). Obsessive-compulsive disorder is a mental health issue in which the person suffering from it experiences unwanted intrusive thoughts and engages in repeated behaviors aimed at getting certainty that the thoughts won't come true. Basically they enhance the activity of serotonin, the brain chemical implicated in this disorder. However, research from 2019 disputes this link. Sometimes OCD goes into remission on its own, especially if it initially appears during childhood. Common Contamination OCD compulsions: Avoidance: Avoiding objects, places and people that you fear could threaten your health. (2013). There are practically no limits to the things that can be contaminating. OCD is well researched. Therapeutic encounters are like small experiments to test patients theories about the dangers of their particular type of contamination. Contamination OCD: Blood, Fluids, and Bodily Waste Part 2 This involves a gradual process of identifying with your therapist what your triggers and compulsions are, then working to overcome each one from the easiest up to the hardest. If I am not certain, then I may have gotten some blood on me and it may give me a terrible disease. (2017). Our website services, content, and products are for informational purposes only. Your therapist then helps you practice gradually facing stressful situations both in your imagination and in real life without using your compulsions. The best outcomes happen when people are diagnosed early and start a robust treatment program right away. Cognitive behavioral therapy (CBT) is an effective treatment for many people dealing with OCD. Support Group. (n.d.). All rights reserved. They may involve any protective act that an individual carries out to avoid becoming contaminated or to remove contamination that has somehow already occurred. One unusual belief sufferers have is that very small amounts of contaminants can cover very large areas. In more extreme cases, hands may be washed up to 200 times per day. Protection: Wearing gloves or using paper towels to try and stop germs from touching your skin. OCD, Contamination, and the Disgust Affect | Psychology Today (2015). "Obsessive-Compulsive Disorder (OCD) is a debilitating mental illness that consists of unwanted intrusive thoughts that cause high levels of anxiety followed by compulsive behaviors performed in an attempt to temporarily relieve the anxiety. The compulsion might be to avoid going out in public for too long or to locate a bathroom as soon as you get to a public space. You cant prevent OCD, though doctors say an early diagnosis and intervention may mean you spend less time dealing with the difficulties this disorder can present. If you have or think you may have this condition, consider looking for a therapist who is experienced in treating OCD. This disorder can be treated with therapy, medications, and procedures that stimulate parts of your brain known to be affected by the disorder. OCD symptoms include not only obsessions and compulsions, but significant anxiety as well. Contamination OCD can also include the fear of more abstract contaminants like thoughts, words, or images that you perceive to be immoral or bad luck. This can include disease-causing germs, bodily fluids, chemicals, trash, environmental toxins, dead animals, and even dirt. Some will go as far as to make lists of things they believe may have happened in the past, so as not forget this vital information. Knowing what you value will help you build the most meaningful life possible. If they get the disease, they will resent me for ruining their life and I will live in terrible shame knowing it was all my fault. There may also be a clean car which can only be driven when clean. This could include: You might also benefit from using an OCD workbook, such as Getting Over OCD: A 10- Step Workbook for Taking Back Your Life or The Mindfulness Workbook for OCD. These articles are about special topics related to OCD and related disorders. Yet OCD creates the same problem. With the right treatment for your OCD, you can reclaim the funny, the interesting, and the beautiful parts of life while mastering your discomfort with the dangerous. Washing may in some cases be strongly ritualized. If OCD wont let you draw the line with rational thinking, then how are you supposed to choose to ever draw the line? For example, they may believe that a drop of blood or urine can somehow be spread to coat entire rooms, or even everything they own. Yuck! (2017). OCD: Everything You Need to Know | McLean Hospital hospitals), Avoidance of intimacy and sexual behavior for fear of catching or spreading blood-borne diseases, Excessive avoidance of sharp objects, Band-Aids, or anything that could be perceived as causing or having come in contact with exposed blood, Excessive washing to ensure there is no blood on the skin or clothes, Excessive cleaning of items feared to have come in contact with blood (i.e. Genetics seems to play a role in whether you develop OCD or not. It may have to be done according to exact rules, which if not followed force the sufferer to start all over again. Hezel DM, et al. Obsessive-compulsive disorder (OCD) causes repeated actions or thoughts, and it can manifest in a variety of ways. Obsessivecompulsive disordercontamination fears, features, and treatment: Novel smartphone therapies in light of global mental health and pandemics (COVID-19). Behavioral therapy would be in the form of Exposure and Response Prevention (ERP). OCD begins for people to obtain appropriate treatment. If you're curious about what OCD is or how it's treated, you can learn more with these frequently asked OCD questions. Hirschtritt ME, et al. Hockey player Corey Hirsch shares his story on this podcast episode. Doctors, psychiatrists, and psychologists have found a number of treatments that can decrease your symptoms and improve your daily functioning.