Imagine the feeling of having a song stuck in your head. Now imagine that instead of "It's Raining Men," it's the thought of murdering your best friend. In graphic detail. Over and over again. You're not mad at your best friend, and you've never done anything violent, but it won't stop playing.

You probably feel kind of shitty just reading that. But that's what the "obsessive" part of OCD is like: intrusive, unwanted, disturbing thoughts that won't go away. No one seems to know what causes them, although it might be miscommunication between parts of the brain or something faulty in its error detection circuit.

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"Ohhhh, you don't want to feel debilitating helplessness. My bad."

The thoughts aren't always about you doing bad things, but they're never pleasant. Most obsessions are based on deep fears -- "What if I or someone I love gets sick?" -- or basically the worst things one can think of, like blasphemy, racism, suicide, murder, rape, contamination, animal abuse, cannibalism, torture ...

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"Excuse me, I have to go rape some video murders."

People with OCD who have thoughts of doing something violent never actually act on these thoughts, and those who dread bad things happening almost never see those things happen. But while most people can shake off a weird thought, when you have OCD, it sticks in your mind. Inevitably, you think, "Why do I keep thinking about these things? Is it because they'll happen? Do I want them to happen?"

The answer's no, you don't. But you'll always fear you do.

Many don't have physical compulsions at all, instead suffering from "purely obsessional" OCD, where all they have are obsessions. And some people with diagnosed OCD even obsessively doubt the fact that they have OCD. How's that for a mindfuck?

OCD, at heart, is an anxiety disorder. Yet movie and TV characters with OCD are often shown washing their hands or straightening things, never suffering from overbearing anxiety. This is probably because writing is hard and it's easier to show someone cleaning than to show someone going through extreme mental anguish.

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Unless you're Darren Aronofsky. Then "extreme mental anguish" is why they pay you.

There have been some more true-to-life accounts in the media lately: Maria Bamford talks about OCD in her standup act, and the depiction on Girls was actually pretty accurate. But the majority is still way off.

This is why I can be found staying up late writing to Obsessive Compulsive Cosmetics suggesting that, while they're at it, they should start selling their makeup in insulin syringes and call it "Diabetic Cosmetics."

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This could be their "Jaundice" line!

OCD is "ego dystonic," which means "out of sync with your ideal self" or "making you look and feel like an asshole." People with personality disorders usually think they're always in the right, and people with psychosis often don't realize that their delusions are coming from their heads. But one of the defining aspects of OCD is knowing that your thoughts are bizarre and your rituals are senseless.

Additionally, OCDers don't even get any joy out of their compulsions. Relief, sure, but it's temporary, like scratching a mosquito bite or responding to a YouTube comment. You don't want to count all the leaves on every tree you pass, you have to.

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Which leads to you excitedly reacting to "Winter is coming" like a bizarro Stark.

There are people who are perfectionist control freaks and love every meticulously planned minute of it. But they have a different diagnosis: obsessive-compulsive personality disorder. OCPD involves being neat and exacting to the point of disrupting one's life and being really annoying to everyone else; it's all of the OCD stereotypes with none of the anxiety or shame. They're kind of the trustafarians of the obsessive-compulsive world.

The day I was diagnosed with OCD was one of the best days of my life. Finally, I knew what was wrong, and I could get it treated. Then my doctor told me, "Oh, you've also got panic attacks and depression and generalized anxiety. Sorry about that."

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"Also there are spiders living under your skin. Kidding! Man, I am an irresponsible doctor."

Panic attacks, Tourette syndrome, hypochondria, body dysmorphic disorder, and eating disorders are all so-called OCD spectrum disorders. They're diagnoses in their own right that exist on their own but also hang around in the background while OCD fucks your mind. They're like its creepy cousins.

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"They asked if they could crash with me for just a couple of thoughts; next thing you know,
they're ruining my fancy synapses and using the guest neurons."

OCD also often coexists with depression. This is partly because of chemicals and genetics, and also because constant obsessing and feeling forced to keep everything you've ever owned to the point of isolation can be pretty fucking depressing. Studies show that having OCD from an early age tends to make you more susceptible to depression because it wears on you so much. You're also at higher risk of suicide.

The good news is that OCD and its tag-along disorders are treatable. There are all kinds of medications and therapies that can help alleviate symptoms. And since the spectrum disorders are linked, one treatment can sometimes cover all symptoms. OCD is not something that can be cured, but it can be controlled.

My own OCD has been in check for more than 13 years now. I still do have tendencies -- I'll tap out the lyrics to songs on my fingers, obsess over details, and worry about stupid crap. Still, it's better than it was. Now the only all-consuming compulsion I have is to set the record straight about OCD.

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*sigh*

Be sure to check out more of Mara's work on Cracked here and here.