Washing hands | Exploring 4 Common Types of OCD and Their Characteristics | Mindful Health Solutions

Obsessive-Compulsive Disorder (OCD) is a mental health condition that affects millions of individuals worldwide. However, what many people may not realize is that OCD encompasses various types, each with its own unique set of characteristics and behaviors. In this post, we delve into the four most common types of OCD: Checking OCD, Contamination OCD, Symmetry and Orderliness OCD, and Intrusive Thoughts OCD. By gaining a deeper understanding of these types, we hope to shed light on the experiences of those living with OCD and provide a foundation for empathy, support, and awareness.

Living with OCD: The Impact on Daily Life and Relationships

Before we dive into the four common types, we want to emphasize that living with any type of OCD can be challenging. Obsessive-compulsive disorder is a complex and often misunderstood mental health condition that can have a profound impact on a person’s life, regardless of the specific type. It is characterized by persistent and intrusive thoughts, images, or impulses (obsessions) that trigger intense anxiety and discomfort. To alleviate these distressing feelings, individuals with OCD engage in repetitive behaviors or mental rituals (compulsions).

OCD can consume a significant amount of time, energy, and mental space, making it challenging for people to focus on daily tasks and enjoy a fulfilling life. It can affect various aspects, including work, relationships, and overall well-being.

The impact of OCD extends across all types, emphasizing the importance of understanding and supporting individuals with this condition. It’s crucial to approach individuals with empathy and understanding, as they often face judgment and misconceptions about their condition. Remember that OCD is not a choice but a mental health condition that requires support and treatment.

Want to know more about the basics of OCD? Learn about the symptoms, themes, treatments, and more.

With all this in mind, let’s discuss these four common types of OCD.

Checking OCD: When Doubt Takes Over

Imagine constantly doubting whether you locked the front door or turned off the stove. That’s what life can be like for someone with checking OCD.

People with this type of OCD experience persistent doubts and fears that something terrible will happen if certain tasks are not repeatedly checked. For example, an individual may leave the house, but then return several times to ensure the door is locked. These checking rituals can consume a significant amount of time and lead to distress and anxiety.

Common behaviors and signs of checking OCD include:

  • Constantly checking locks, appliances, or switches.
  • Repeatedly verifying that doors and windows are closed.
  • Going back multiple times to make sure the stove is turned off.
  • Double-checking emails, texts, or written documents for errors or mistakes.
  • Feeling extreme anxiety or distress if the checking ritual is interrupted or incomplete.

Contamination OCD: The Fear of Invisible Threats

Have you ever hesitated to touch a doorknob or felt the need to wash your hands excessively? That’s a glimpse into the world of contamination OCD.

People with contamination OCD experience overwhelming fears of germs, dirt, or harmful substances. They may have intrusive thoughts that contamination could lead to illness or harm. As a result, they engage in repetitive cleaning or avoidance behaviors to alleviate anxiety. These individuals may spend an excessive amount of time and energy trying to eliminate perceived threats of contamination.

Common behaviors and signs of contamination OCD include:

  • Excessive handwashing or use of hand sanitizers.
  • Avoiding public places, public transportation, or crowded areas.
  • Fear of touching objects or surfaces perceived as dirty or contaminated.
  • Excessive cleaning of personal belongings or living spaces.
  • Rituals or compulsions related to specific cleanliness routines.

Symmetry and Orderliness OCD: Seeking Balance in Chaos

Some people find pleasure in neatness and symmetry, but for those with symmetry and orderliness OCD, it becomes an obsession. They have an intense need for things to be arranged in a particular order or symmetry. For example, someone may spend hours aligning books on a shelf or organizing items based on size, color, or shape. They may experience distress or discomfort when items are not in the desired order. This relentless pursuit of perfection can interfere with daily activities and cause significant distress.

Common behaviors and signs of symmetry and orderliness OCD include:

  • Constantly arranging or rearranging objects until they feel “just right.”
  • Ensuring that items are perfectly aligned or symmetrically arranged.
  • Feeling intense discomfort or distress when items are not in the desired order.
  • Spending excessive time organizing, sorting, or categorizing belongings.
  • Difficulty discarding items, even if they have no practical value.

Intrusive Thoughts OCD: Battling the Unwanted

Have you ever had an intrusive thought that seemed completely out of place or even disturbing? Well, intrusive thoughts OCD takes these thoughts to a whole new level.

People with this type of OCD experience distressing and intrusive thoughts or mental images that are often violent, taboo, or irrational. These thoughts can be incredibly distressing and lead to compulsions such as seeking reassurance from others or engaging in mental rituals to counteract or neutralize the thoughts. For example, an individual may repeatedly say a specific phrase in their mind to counteract a distressing thought. These individuals often go to great lengths to avoid situations or triggers associated with their intrusive thoughts.

Common behaviors and signs of intrusive thoughts OCD include:

  • Persistent and distressing thoughts or mental images of harm or violence.
  • Fear of losing control and acting on unwanted thoughts or impulses.
  • Engaging in mental rituals to counteract or neutralize intrusive thoughts.
  • Seeking reassurance from others to alleviate anxiety.
  • Avoiding situations or triggers associated with intrusive thoughts.

Seeking Help: Treatment Options and Strategies for all Types of OCD

Fortunately, OCD is treatable. If you or someone you know is struggling with OCD, seeking professional help is crucial. Treatment options for OCD often include a combination of therapy and medication and could include support groups or dTMS.

The quality of life for individuals with OCD can be significantly improved by seeking help and adhering to a treatment plan. With the proper support and resources, individuals can learn to manage their symptoms effectively and regain control over their lives.


Cognitive-Behavioral Therapy (CBT) is a widely used therapeutic approach for OCD. It helps individuals identify and challenge their obsessive thoughts and develop healthier coping mechanisms. Exposure and Response Prevention (ERP) is a specific form of CBT that gradually exposes individuals to their fears or triggers while preventing them from engaging in compulsive behaviors. This process allows them to learn that their feared consequences are unlikely to occur, reducing their anxiety over time. ERP is the gold-standard treatment option for OCD.


Medication can also be prescribed in certain cases to help manage OCD symptoms. Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly used antidepressants found effective in treating OCD. They help regulate serotonin levels in the brain, alleviating anxiety and obsessive thoughts.

Support Groups

Support groups and peer support can also play a crucial role in the treatment process. Connecting with others who understand the challenges of living with OCD can provide validation, encouragement, and practical strategies for managing symptoms.


One promising therapeutic option for OCD that has gained attention is Deep Transcranial Magnetic Stimulation (dTMS). This non-invasive procedure involves the use of magnetic fields to stimulate specific regions of the brain associated with OCD symptoms. By delivering targeted magnetic pulses, dTMS aims to modulate the neural activity in these areas, causing a reduction in OCD symptoms.

While research on dTMS for OCD is still ongoing, early studies have shown promising results, with some individuals experiencing significant symptom reduction. It is important to note that dTMS is typically considered when other treatment approaches, such as medication and therapy, have not been fully effective.

If you or a loved one is considering dTMS as a treatment option, it is crucial to consult with a qualified healthcare professional who can provide guidance and determine the suitability of this therapy for your specific situation. You can give us a call at 844-867-8444 to learn more about this treatment and your options.

How dTMS helps with treatment-resistant OCD.

Understanding the different types of OCD is a crucial step toward supporting individuals who live with this condition. Checking OCD, Contamination OCD, Symmetry and Orderliness OCD, and Intrusive Thoughts OCD all present unique challenges and manifestations, but they all share the common thread of causing significant distress and interfering with daily life.

Thank you for reading, and remember, if you or someone you know is struggling with OCD, reach out for professional help and support. Mindful Health Solutions has a designated OCD program with expert providers who specialize in treating OCD. Give us a call today at 844-867-8444 to get the support you deserve. You’re not alone, and there is hope for a brighter, more manageable future.

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