www.som360.org/es
All answers

Why does a person with OCD generally have thoughts related to magic and religion?

María del Pino Alonso Ortega
María del Pino Alonso Ortega
Psychiatrist. Obsessive-Compulsive Disorders Unit. Psychiatry Department
Hospital Universitari de Bellvitge

The content of obsessions can vary greatly among affected individuals, and often a single person may have several different obsessions simultaneously, or these may change throughout their life. So-called magical thinking (usually the fear that something bad will happen to oneself or a loved one, or sometimes to anyone in general) is a very common theme in people with OCD and is often accompanied by repetitive rituals (touching an object several times, repeating an action such as sitting down or getting up from a chair or bed, dressing and undressing, the need to repeat certain words or phrases, etc.), a need for order/symmetry (arranging objects in a certain way), and avoidance behaviors (not stepping on certain areas of the floor, not touching certain objects, etc.). These obsessions are usually experienced with intense anxiety, as the person feels guilty, believing that if they don't carry out their ritual, something terrible might happen to themselves or their loved ones.

Another distinct theme is religious (which affects around 20% of people with OCD) and may be related to moral issues (about doing or not doing certain actions that are considered morally incorrect) or to impulses/images of blasphemy or sacrilege (fear of having insulting or aggressive thoughts or impulses towards religious figures).

It is important to remember that, on the other hand, the most frequent obsessive symptoms are:

  • Doubts or fear of making a mistake that could have a negative consequence , which are associated with checking rituals (present in 60% of people with OCD)
  • Fears of contagion of diseases or contact with dirt , with washing/cleaning rituals (which are present in 40-50% of people with OCD).
  • Aggressive or "repugnant" obsessions in the form of images or impulses in which the person fears losing control and causing harm to a loved one
  • Obsessions with sexual content in which the person may be afraid of feeling sexual attraction to children, their own family members, etc.

In these cases, it is very important to reassure her, explain that these types of thoughts are obsessions, and help her recognize them without fear, with the certainty that they pose no risk to herself or to those close to her.

You are watching
Marta Carulla-Roig
Marta Carulla-Roig
Child and adolescent psychiatrist. Mental Health Area
Hospital Sant Joan de Déu Barcelona
María del Pino Alonso Ortega
María del Pino Alonso Ortega
Psychiatrist. Obsessive-Compulsive Disorders Unit. Psychiatry Department
Hospital Universitari de Bellvitge