*** Compulsive Behavior—Does It Control Your Life?
* Controlling the Uncontrollable
One doctor describes OCD behavior as the result of “a cerebral short circuit” in which sensory information does not register and “the program gets played again and again.” What causes this loop? No one is sure. The neurotransmitter serotonin seems to be involved, but other aspects of the brain are being considered as well. Some say that early life experiences may awaken OCD, perhaps in combination with a genetic predisposition.
Whatever the cause, however, one fact is clear: Simply telling those with OCD to stop washing or to stop checking will likely fail. More than willpower is involved.
Medication has proved helpful to many. Another approach involves exposing the patient to the feared situation and then preventing the usual response. A person with washing rituals, for example, would be required to hold something that is dirty and then refrain from washing. Of course, such treatment does not cure one overnight. But with persistence, some feel that it can provide relief.
Experts have also explored the possibility that, at least in some cases, OCD might be rooted in early life experiences. It has been noted that many mistreated children grow up feeling inherently worthless or dirty, and some of these have subsequently developed compulsive washing rituals.