How Obsessions and Compulsions Can Change Over Time

与之相关的痴迷和强迫强迫症（OCD），虽然一般相似可被识别，但确保从人与人之间变化。但是，许多人都怀疑他们的痴迷和强迫会随着时间的推移而改变或被别人所取代。对于大多数人来说，这个问题的答案不是一个简单的是或否。

强迫症症状的类型

许多研究研究已经确定了截然不同类型强迫症的症状。最常见的包括：

• 痴迷to do with symmetry and repeating and counting, and ordering compulsions
• Hoardingobsessions and compulsions
• 污染相关的痴迷和清洁强迫
• Aggressive obsessions andchecking compulsions
• sexual/religious obsessions and related compulsions

While it is certainly possible to experience one, some, or all of these symptom types, the vast majority of research indicates that once an OCD symptom type appears, it is very rare for it to disappear and be replaced by other symptom types.

For example, if someone developed contamination-related obsessions and cleaning compulsions at age 13, they would be very unlikely to develop aggressive obsessions and compulsions or sexual/religious obsessions and related compulsions later in life.

On the other hand, it is possible for OCD symptoms to shift within the same symptom type. Using the example above, someone with contamination-related obsessions and cleaning compulsions might first begin with fears centered on contracting the HIV virus, but later in life switch to fears around salmonella or some other pathogen.

OCD症状的严重程度如何波动

It is also important to remember that the severity of OCD symptoms can and do fluctuate over a person's lifetime, which means you may have times when your symptoms are worse and times when they ease up. This can be related to压力水平，环境，您使用的处理方法，以及许多其他因素。

处理OCD相关的焦虑

有不同的方式来处理焦虑您感到来自您的OCD和每种选择，您都是积极的（接受OCD和学习宽容它），消极（试图逃避或获得救济），或中立（避免问题或忽略它）。尝试选择积极的，这将有助于加强您应对OCD的能力。

Consider managing your anxiety by describing it to yourself, rating it, and deciding if you can endure it, and if so, for how long:

1. Describe the anxiety。How does it make you feel? Do your palms feel sweaty? Is your heart beating faster? Are your muscles tense? Do you feel anxious and upset?
2. 评价你的焦虑on a scale of 0-10, with 0 being none and 10 being the worst anxiety you can think of.
3. 决定你是否可以忍受。你能忍受焦虑还是需要寻求救济？如果您决定可以处理它，请挑选一段时间，在此期间，您将避免救济。例如，如果你只是和某人握手，你真的想打破你的手冢，但你决定禁止10分钟，做任何你必须做的事情，无论是深呼吸还是专注于别的东西。

这基本上是这样做的exposure therapyon your own and may help you feel more in control and less anxious.