OCD And Paranoia: Symptoms, Causes, And Treatment Options
Obsessive-compulsive disorder is characterized by obsessions and/or compulsions. Obsessions are persistent thoughts or images that intrude upon someone’s mind even if they don’t want them, but compulsions are repetitive behaviors that they do in response to those obsessions to try and control them or feel better about them.
Paranoia is an unrealistic set of viewpoints, usually distrust of others. It’s important to understand the connection between OCD and paranoia so that you can recognize symptoms and get the right treatment. This article will inform and guide individuals on symptoms, causes, and treatments for both.
Understanding OCD and Paranoia
Obsessive-compulsive disorder represents its own category of related obsessive disorders in the DSM. It is diagnosed with the presence of obsessions, compulsions, or both. Obsessions and compulsions are time-consuming and cause significant distress.
Paranoia is an irrational, intense, and persistent thought of things that are fearful or anxiety-inducing. This usually involves distrust or suspicion without any real reason, and it is not generally its own condition but rather something related to other mental health conditions like OCD.
Symptoms of OCD and Paranoia
The symptoms of OCD are as follows:
- Obsessions refer to recurrent and persistent thoughts and attempts to ignore or suppress those thoughts with some sort of action. That action refers to the compulsions.
- Compulsions are repetitive behaviors or mental acts that are done to prevent or reduce anxiety related to events or unwanted images, and they can include washing, organizing, checking things, counting things, or praying.
The symptoms of paranoia include:
- A mental state of feeling threatened, fearful, or distrustful, particularly of other people, without any supporting evidence.
- Social isolation and hostility toward others or being easily offended by others.
Can OCD Cause Paranoia?
Paranoia OCD symptoms are interrelated when you understand the mechanism behind obsessive-compulsive disorder.
How obsessive thoughts can lead to paranoid thinking
The reason that there is a relationship between OCD and paranoia is that OCD is an anxiety-based disorder, even though it is categorized as its own group. Since it is grounded in anxiety that can contribute to legitimate fears, and when individuals are exposed to those fears, it can cause significant rumination and concern that eventually leads to paranoia.
Progression
Let’s look at the progression of OCD and paranoia in a bit more detail.
Leah struggles with obsessive-compulsive disorder. She has a significant fear of germs from shared surfaces or workspaces, so she goes out of her way to keep her house clean and avoid social contact with other people who might expose her to germs.
Leah trusts a few friends and family members who are clean and orderly and understand her condition, so she can be around them in their homes without too much trouble.
However, Leah has a lot of anxiety about being exposed to germs at social events, particularly church and work-related functions. This contributes to legitimate fear, and whenever there’s an upcoming event that she cannot get out of, Leah’s OCD-induced rumination makes it difficult for her to take her thoughts away from anything other than the upcoming event and the possibility of germ exposure.
As the holidays approach, Leah is very stressed with some of her upcoming business travel and projects. She is trying to manage several projects without the appropriate support and she is finding it difficult to focus because she knows that there is an upcoming business event where she is required to attend.
The event itself will have her as a keynote speaker for her branch, after which there is a small cocktail party. Leah is becoming more stressed each week, obsessing about the potential germ exposure particularly for the podium where she will not be the only one touching the podium and microphone, and for the cocktail party after.
Over the next few weeks, Leah starts to experience paranoia as a result of this increase in her OCD-induced rumination, anxiety, and stress. She is paranoid about the people around her, constantly fearful that they are covered in germs and trying to infect her.
Causes and Risk Factors
As demonstrated in the case of Leah, paranoia OCD symptoms tend to happen in a subgroup of people with OCD who are under specific stress, and it doesn’t happen overnight. Can OCD cause paranoia in everyone? In theory, it can, but it usually only happens when individuals have a legitimate fear and know that they will be exposed to the source of their anxiety and have a lot of stress before that particular exposure.
Read more about OCD and Paranoia at Your Local Psychiatrist’s Blog
