a) Anxious preoccupation with some obscessive idea. The patient may ask himself over and over again some religious or metaphysical questions, e.g. "what was the begining of everything?" Some are disturbed by the reiteration of certain words or phrases in their mind.

(b) Morbid compulsions: fears associated with the obscessive ideas e.g, a fear of dirt and contamination may necessiate constant washing and scrubbing of the skin to ensure cleanliness. Patients may feel compelled to touch objects,to do things in a certain order,to steal something intrinisically worthless,(kleptomania),to commit homicidal acts or sexual assaults, to take alcohol (dipsomania) or drugs..

Some common obsessions :

* Fear of dirt or germs

* Disgust with bodily waste or fluids

* Concern with order, symmetry (balance) and exactness

* Worry that a task has been done poorly, even when the person knows this is not true

* Fear of thinking evil or sinful thoughts

* Thinking about certain sounds, images, words or numbers all the time

* Need for constant reassurance

* Fear of harming a family member or friend Compulsions are repetitive behaviors (rituals) or mental acts that reduce the anxiety that accompanies an obsession. The person feels driven to perform them in response to their obsession, or according to rules that must be rigidly applied. Some common compulsions include:

* Cleaning and grooming, such as washing hands, showering or brushing teeth over and over again

* Checking drawers, door locks and appliances to be sure they are shut, locked or turned off

* Repeating, such as going in and out of a door, sitting down and getting up from a chair, or touching certain objects several times

* Ordering and arranging items in certain ways

* Counting over and over to a certain number

* Saving newspapers, mail or containers when they are no longer needed These obsessions or compulsions cause marked distress, are time consuming (>1 hour a day), or significantly interfere with the person's normal routine, occupation (or academic) functioning, or usual social activities or relationships.

Aetiology:- There is no single, proven cause of OCD.

    1-There are no of factors responsible for OCD, like genectics,personality development, and how a person reacts to the environment around them.

    2 -It affects men and women equally and knows no geographic, ethnic, or economic boundaries.

    4- Interestingly, about 20-30% of OCD patients report a past history of tics.

Treatments:

 OCD was once thought to be untreatable, but today's medicine can help most individuals achieve meaningful long-term symptom relief. Some individuals have even reported being cured of OCD. Individuals whose symptoms persist, make no sense, cause much distress, or interfere with functioning, need to seek clinical help. Once the diagnosis is made, appropriate treatment can be prescribed.

 Homeopathic treatment

It is important to remember that in treating OCD, as in any condition, not to overly focus on the common symptoms of the disorder, but to focus on what is individuating in the case," . "This means that the homeopath must be aware of the common symptoms of OCD." He should not to be discouraged with the pace of healing. The cure is often slow in OCD and the possibility of a cure may take as long as a year.

The main rubrics under obscession are taken from 'complete repertory'. The grading of symptoms is given according to the most effective use in such condition.

Busy:Tying shoes, fumbling in pockets, picking threads etc,: Total Drugs :1 

                                  2 Kali-bi

Compulsive disorders: Total Drugs :22

                                3 Nux-v , 2 Ars ,1 Anh , 1 Arg-n ,1 Calc , 1 Carc , 1 Caust ,1 Con, 1 Cupr , 1 Foll , 1 Iod , 1 Kali-c, 

                                1 Lyss , 1 Manc , 1 Merc , 1 Nat-m ,1 Pin-s ,  1 Rat , 1 Rhus-t , 1 Sulph ,1 Syph , 1 Tub

Counting:Continually: Total Drugs :6

                                1 Arg-n , 1 Cand-a , 1 Hyos ,1 Phys , 1 Sil , 1 Verat

Counting:Pins: Total Drugs :1

                               1 Sulph

Counting:Continually:Things in the room: Total Drugs :1

                              1 Phys

Fills pockets with anything: Total Drugs :1

                              1 Stram

Gestures, makes:Actions, repeated: Total Drugs :1

                              1 Chen-a

New:Do anything, cannot: Total Drugs :1

                              1 Agar

Break things, desire to:Pins: Total Drugs :1

                              3 Bell

Repeats same things: Total Drugs :5

                              1 Chen-a , 1 Germ ,1 Lach ,1 Plat , 1 Zinc

Rest:Cannot, when things are not in proper place: Total Drugs :5

                             2 Ars ,1 Anac , 1 Carc , 1 Sep ,1 Sulph

Washing:Cleanness, mania for Total Drugs :4

                             1 Ars , 1 Sep , 1 Sil, 1 Sulph

Religious affections:Mania:Praying all the time: Total Drugs :1

                             2 Aur

Washing:Always:Underwear, her Total Drugs :1

                             1 Syph

 Washing:Always:Hands, her: Total Drugs :14

                            2 Lac-c , 2 Med , 2 Nat-m , 2 Sulph , 1 Ars , 1 Coca , 1 Cur ,1 Merc , 1 Plat , 1 Psor ,1 Sep , , 1 Sil , 

                            1 Syph  1 Thuj

Washing:Always:Face, her: Total Drugs :1

                            1 Puls

Washing:Bathing, mania for: Total Drugs :1

                            1 Zea-i

Touch things, impelled to: Total Drugs :10

                            2 Merc ,2 Thuj ,1 Bell ,1 Canth ,1 Carc ,1 Cina , 1 Hyos , 1 Lycps ,1 Sac-alb ,1 Sulph

Touch things, impelled to:Children, in: Total Drugs :2

                           2 Cina  , 1 Carc

Thoughts (see fancies, ideas):Persistent:Hedgehogs, (small spiny animal) 1 Choc

Thoughts Persistent:Homicide: 1 Calc ,1 Iod, 1 Op ,1 Phos, 1 Stram

Thoughts Repetition, of: 1 Lam ,1 Mag mur ,1 Stram

Talk, talking, talks :Sufferings, troubles, constantly of his

                                   2-MP, 2NV ,1 Arg n ,1 Asaf ,1 Zinc ,1Coff-t ,1Euph ,1 Germ ,1 Kreo, 1 Lach ,1 Lap-c-b,1Plat