What is Pure O OCD?

Pure O OCD, short for “Pure Obsessional OCD,” is a lesser-known subtype of Obsessive-Compulsive Disorder (OCD). It’s distinct from more typical forms of OCD in that it primarily involves obsessions without the obvious external compulsive behaviours that usually characterise the disorder. Here’s a closer look at its key aspects:

1. Obsessions: In Pure O OCD, individuals experience frequent and unwanted intrusive thoughts, images, or urges. These obsessions often cause significant anxiety or distress. Common themes include fear of harming others or oneself, unwanted sexual thoughts, fear of saying inappropriate things, and religious or moral scrupulosity. Read here: List of Pure O OCD Themes
2. Hidden Compulsions: Although Pure O is characterized by a lack of visible compulsions (like hand-washing, checking, or ordering), individuals with this subtype often engage in internal compulsions. These can include mental rituals like counting, praying, reviewing events in one’s head to ensure one didn’t cause harm, or other mental actions aimed at reducing anxiety or preventing a feared event.
3. Anxiety and Distress: The obsessions in Pure O typically cause significant anxiety or distress, as the individual often struggles with the content of their thoughts and may question their character or sanity.
4. Misunderstanding and Misdiagnosis: Pure O can sometimes be misunderstood or misdiagnosed, as its symptoms are less visible and can be mistaken for generalised anxiety or other mental health issues. The lack of external compulsions can make it harder for clinicians and individuals to recognise it as a form of OCD.
5. Treatment: The treatment for Pure O OCD is similar to that for other forms of OCD, typically involving a combination of cognitive-behavioral therapy (CBT), specifically Exposure and Response Prevention (ERP), and, in some cases, medication like SSRIs (Selective Serotonin Reuptake Inhibitors).

Understanding Pure O OCD is crucial for effective treatment and support. It’s important for individuals experiencing symptoms to seek professional help, as specialised treatment can significantly improve quality of life.