Dual diagnosis with substance use disorder and alcoholism is common. Reports of the lifetime rate of body dysmorphic disorder (fear of imagined ugliness) in OCD patients are also prevalent, as well as hypochondriasis. Eating disorders may be more common in OCD patients than in the general population. OCD symptoms are common in patients with anorexia nervosa, second only to depressive disorders. Trichotillomania (compulsive hair pulling with bald spots) is another comorbidity of OCD, as is Tourette’s syndrome (the combination of vocal and behavioral tics).
OCD accounted for almost 6% of the estimated 1990 cost of all mental illness. High social costs are also reflected in the high rates of unemployment in OCD patients and receipt of disability and welfare payments. Family members suffer as well. Many studies indicate that patients’ symptoms may create disharmony, angry or anguished demands for participating in rituals, a draining dependency, restricted access to rooms or living space, difficulty in taking holidays and disruption with work obligations.
Do you constantly experience many of the obsessive thoughts and actions described above and/or “need” to wash excessively and with no reasons, check that you have done things correctly over and over, or do other behaviors repeatedly and all this leads to very negative consequences? You may have obsessive compulsive disorder.