With the rising psychological pressure brought about by the social transition, it has become apparent to me in recent years that more and more people are suffering from OCD in the course of counseling and treatment. Unfortunately, almost all of the patients with OCD whose main symptom is obsessive-compulsive attention have been previously diagnosed with schizophrenia by psychiatrists and have been poorly treated with antipsychotics. It appears that those doctors misdiagnosed the obsessive-compulsive attention symptoms as “relational delusions”. This is because a common form of obsessive-compulsive attention is involuntarily paying too much attention to the attitudes, actions, or words of those around you, or even perceiving them as “directed at you,” or perceiving a “hidden message” and so on. This is very similar to relationship delusion! In fact, it is not difficult to distinguish between the two: schizophrenic patients do not only have relational delusions, but also have other “knowing and feeling” dissonance symptoms (psychotic symptoms), while OCD usually has only obsessive-compulsive symptoms, no psychotic symptoms, complete self-awareness, cooperative conversation, and deep inner experience. Misdiagnosis can be avoided if the doctor is more careful and asks more questions.