What are the main manifestations of obsessive-compulsive disorder?

1 is the patient's own thinking or impulse, not imposed by the outside world.

2. At least one thought or behavior must still be resisted in vain by the patient, even if the patient no longer resists other symptoms.

3. The idea of implementing the action itself will make the patient feel unhappy (simply to relieve tension or anxiety is not regarded as real pleasure), but if it is not implemented, it will cause great anxiety.

4. Ideas or impulses always recur unpleasantly.

The symptoms of obsessive-compulsive disorder can be summarized as compulsive thinking and compulsive behavior. Compulsive thinking can be divided into compulsive ideas, compulsive emotions and compulsive intentions. There are all kinds of contents, such as repeatedly wondering whether the doors and windows are closed properly, whether you will get sick if you touch dirty things, and why the sun rises and sets in the west, and you have the impulse to jump off the balcony.

Compulsive behavior is often an action that has to be taken to alleviate the anxiety caused by compulsive thinking. The patient knew it was unreasonable, but he had to do it. For example, if patients have doubts about whether the doors and windows are closed properly, they will repeatedly check the doors and windows to ensure safety. Patients who are afraid of getting sick when they encounter dirty things will wash their hands repeatedly to keep clean.

Extended data:

1, chronic anxiety (generalized anxiety)

(1) Emotional symptoms? In the absence of obvious incentives, patients often have excessive worries and nervousness that are inconsistent with the real situation. This kind of tension often has no clear object and content. Patients feel that they have been in the inner experience of tension, fear, fear and anxiety.

(2) Vegetative nerve symptoms? Physical symptoms such as dizziness, chest tightness, palpitation, shortness of breath, dry mouth, frequent urination, urgency, sweating and tremor.

(3) Exercise anxiety? Fidgeting, fidgeting, fidgeting, it is difficult to calm down.

2. Acute anxiety (panic attack)

(1) Feeling of dying or losing control? In normal daily life, patients are almost the same as normal people. Once the attack (some have specific trigger conditions, such as closed space, etc.). ), patients will suddenly have extreme fear and experience a sense of dying or losing control.

(2) Symptom of autonomic nervous system at the same time? Such as chest tightness, palpitation, dyspnea, hyperhidrosis, whole body trembling, etc.

(3) It usually lasts for several minutes to several hours? Sudden attack, clear consciousness during the attack.

(4) Easy to be misdiagnosed? During the attack, patients often dial "120" to see the emergency department of cardiology. Although the patient seems to have severe symptoms, most of the related examination results are normal, so the diagnosis is often unclear.

After the attack, the patient is still extremely scared and worried about his illness. They often go to various departments of major hospitals for various examinations, but they can't make a diagnosis. Not only delayed treatment, but also caused a waste of medical resources.

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