OCD is one of the most painful of all neurological disorders. Why is it the most painful? The pain lies in knowing that these things are unnecessary to think and do but still thinking and doing them, which is very painful. OCD has a lot to do with personality, and knowing the obsessive-compulsive personality is good for us to adjust ourselves in life. There are three main types of OCD personalities: 1. The pursuit of 100% certainty Life (especially the future or has not yet occurred) is usually uncertain, the average person can accept the uncertainty in life. But OCD personalities seek 100% certainty, but this is an impossible goal to achieve. Therefore, people with OCD repeatedly have doubts about the correctness of their words and actions. We normal people also have doubts, such as did we close the car door after getting out of the car? So what kind of doubt is obsessive-compulsive doubt? It’s when you doubt what you’ve already done, and you’re not 100% sure you’ve done it. For example, some people with OCD are not sure about something, and often repeatedly ask others to explain or reassure them in detail, such as repeatedly asking a family member dozens of times if they have washed their hands. Sometimes it is a self-answer question; let’s say a person with OCD repeatedly worries about leaving the door unlocked after going out, suddenly remembering to return halfway to work in the morning, checking to see if it is closed, and then going back to work, still not sure, knowing that the previous times are closed, but remembering that he is not sure if the last time is closed, because it is impossible to verify and be 100% sure of the last time. He later called his family “you go back to see if the gas and doors are closed”, uneasy, which is not the same as our ordinary worry and doubt. 2, perfectionism Obsessive-compulsive people seek perfection, demanding high requirements for themselves, demanding not to do useless things! If life does not do something meaningful will feel like a waste of life, it will be painful! For example, the OCD brain always appear some antonyms: such as thinking of “peace” immediately associated with “war”, see this white, immediately think of black. Or when they see 4, they think of death, and when they think of sickness, they immediately think of germs, etc. They think the content is meaningless, but they can’t control it, and it’s very painful! People can’t control what they think and think about, but people with OCD are very hard on themselves and ask themselves to think about what they should think about and not think about what they shouldn’t think about, which is an impossible goal to achieve, and people with OCD struggle with their thinking in this way and make themselves miserable! 3, morality and taboos There are many instinctive impulses in human nature, such as sex and aggression and other content. The average person will allow thoughts that do not meet the moral dimension, but will control themselves not to put them into action and just not to violate the law and moral severance. However, people with OCD do not allow themselves not only to behave in those ways, but also not to have such thoughts, otherwise they will be blamed for their own sins. Usually, compulsive impulses are not acted upon. One 14-male patient had the symptom of repeatedly checking the faucet switch. By analyzing him the patient had anger and emotions towards his parents. The patient counteracted his guilt by displacing the result of turning on the faucet to symbolize drowning his parents, and by repeating the check to make sure the faucet was off. He himself considered this symptom to be ‘stupid and ridiculous’ for the reason that he did not allow himself to have angry and hostile thoughts about his parents! For example, one OCD patient put his hands up as soon as he got on the bus, because he was worried that in case there was a thief on the bus, someone lost his wallet and was worried that people would suspect that he had stolen it. He said I can say I didn’t do it this way because my hands are always up and there is no chance of a crime. There was a boy in his 20s, always put his hands dead in his trouser pockets when he went out on the street, only to find out later that he said he was worried about people telling him he was a hooligan, why? Because he had the idea that he always wanted to embrace the idea of a woman, so he prevented himself from going into action, he would put his hands in his trouser pockets, so that he would not produce this kind of hooliganism. Of course he does not put his hands in his trouser pockets, he will not put them into action, so the patient knows that this impulse is unnecessary, but he can not stop wanting. 4, thinking omnipotent The existence of thinking omnipotent in OCD (thinking what is like what happened) is the most obvious, OCD patients will be depressed by a deep sense of guilt (this guilt is usually only in the murderous executioner), it comes from the subconscious that strong and often want others to die early wishes and ideas, it is only subconscious thoughts rather than intentional behavior, but the patient will be Thoughts as facts, so it is exceptionally painful, where the thinking omnipotence plays an indefinite role. OCD fears the expression of any evil wishes as if their expression must eventually lead to their fulfillment, convinced that thoughts alone can change the external world; and it is precisely the most instinctive human wishes that are forbidden. A wife who fears and turns away from the razor, fearing that she will cut her child’s throat with it, clearly has a real reason for her taboo against the razor: she desperately wants to reject the subconscious wish for her husband’s death, which represents both a subconscious wish and a rejection of that wish. Thinking about the cardinality of the situation puts the patient in a deep state of self-blame and punishes herself through obsessive symptoms!