1. Obsessive-Compulsive Disorder . American Description. Anxiety Disorders Education Program - NIMH. obsessive compulsive disorder (Revised 1999) - APA....... ObsessiveCompulsive Disorder. http://www.mentalhealth.com/dis/p20-an05.html

Obsessive-Compulsive Disorder Description American Description European Description Anxiety Disorders in Children and Adolescents - U.S. Surgeon General Anxiety Disorders in Adults - U.S. Surgeon General Diagnosis Online Diagnosis Treatment External Links Treatment of Obsessive-Compulsive Disorder - Expert Consensus Guideline Series Anxiety Disorders: Future Directions for Research and Treatment - Health Canada Treatment of Anxiety Disorders - U.S. Surgeon General Research All Recent Research Important Research Anxiety Disorders - Important Research Booklets Anxiety, Depression and Manic Depression - CPA External Links Anxiety and Phobias - Royal College of Psychiatrists Anxiety Disorders (Revised 1999) - APA Anxiety Disorders - NIMH Anxiety Disorders Education Program - NIMH Obsessive Compulsive Disorder (Revised 1999) - APA Facts About Obsessive-Compulsive Disorders - NIMH Obsessive-Compulsive Disorder - NIMH Obsessive-Compulsive Disorder (OCD), A Real Illness - NIMH Step on a Crack ... Obsessive-Compulsive Disorder - NIMH Obsessive-Compulsive Disorder - NIMH's Anxiety Disorders Education Program Magazine Articles Obsessive Compulsion and Tics Linked to Sore Throats - Medical Post, May 21, 1996

2. Obsessive Compulsive Disorder In Children And Adolescents - AACAP Facts For Fami ObsessiveCompulsive Disorder (OCD), usually begins in adolescence or young adulthood and is seen in as many as 1 in 200 children and adolescents. http://www.aacap.org/publications/factsfam/ocd.htm

O BSESSIVE-COMPULSIVE D ISORDER IN C HILDREN AND A DOLESCENTS No. 60 O bsessive-Compulsive Disorder (OCD), usually begins in adolescence or young adulthood and is seen in as many as 1 in 200 children and adolescents. OCD is characterized by recurrent obsessions and/or compulsions that are intense enough to cause severe discomfort. Obsessions are recurrent and persistent thoughts, impulses, or images that are unwanted and cause marked anxiety or distress. Frequently, they are unrealistic or irrational. They are not simply excessive worries about real-life problems or preoccupations. Compulsions are repetitive behaviors or rituals (like hand washing, hoarding, keeping things in order, checking something over and over) or mental acts (like counting, repeating words silently, avoiding). In OCD, the obsessions or compulsions cause significant anxiety or distress, or they interfere with the child's normal routine, academic functioning, social activities, or relationships. The obsessive thoughts may vary with the age of the child and may change over time. A younger child with OCD may fear that harm will occur to himself or a family member, for example an intruder entering an unlocked door or window. The child may compulsively check all the doors and windows of his home after his parents are asleep in an attempt to relieve anxiety. The child may then fear that he may have accidentally unlocked a door or window while last checking and locking, and then must compulsively check again.

3. Obsessive - Compulsive Disorder In the mental illness called obsessive compulsive disorder (OCD), a person becomes trapped in a pattern of repetitive thoughts and behaviors that are senseless http://www.kidsource.com/kidsource/content/obsess.html

Obsessive - Compulsive Disorder advertisement Credits Source National Institute of Mental Health Contents Foreword What is OCD? How Common is OCD? Key Features of OCD ... How to Get Help For OCD Forums Raising our Kids Related Articles Eating Disorders Foreword MESSAGE FROM THE NATIONAL INSTITUTE OF MENTAL HEALTH Research conducted and supported by the National Institute of Mental Health brings hope to millions of people who suffer from mental illness and to their families and friends. During the past 10 years, researchers have advanced our understanding of the brain and vastly expanded the capability of mental health professionals to diagnose, treat, and prevent mental and brain disorders. Now, in the 1990s, which the President and Congress have declared the "Decade of the Brain," we stand at the threshold of a new era in brain and behavioral sciences. Through research, we will learn even more about mental disorders such as depression, bipolar disorder, schizophrenia, panic disorder, and obsessive- compulsive disorder. And we will be able to use this knowledge to develop new therapies that can help more people overcome mental illness. The National Institute of Mental Health is part of the U.S. Department of Health and Human Services.

4. Obsessive Compulsive Disorder obsessive compulsive disorder. obsessive compulsive disorder can occur in both children and adults At one time, obsessive compulsive disorder (OCD) was believed to be fairly rare http://www.ncpamd.com/obsessive.htm

Obsessive Compulsive Disorder Obsessive compulsive disorder can occur in both children and adults. It is characterized by obsessions (repeated thoughts or images which cause distress) and compulsions (repetitive behaviors or rituals) These symptoms are often associated with significant anxiety and depression. The affected individual often fears that he is "'going crazy." Obsessions may often involve thoughts which seem unacceptable to the individual, so that he or she feels ashamed. Because of this, many people keep their thoughts a secret and suffer silently. In the past decade, there have been advances in the behavioral and pharmacological treatment of Obsessive Compulsive Disorder. Diagnosis and Treatment of OCD in Children and Adolescents Obsessive-Compulsive Disorder in Adults Books for Children and Adolescents with OCD Links to other OCD Web sites For OCD related mental health links, please see our web page: www.ncpamd.com/Consumer.htm#

5. MedlinePlus: Obsessive-Compulsive Disorder ObsessiveCompulsive Disorder. Genetics; Mutant Gene Linked to obsessive compulsive disorder (National Institute of Mental Health). http://www.nlm.nih.gov/medlineplus/obsessivecompulsivedisorder.html

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Other health topics: A B C D ... List of All Topics Obsessive-Compulsive Disorder Contents of this page: From the NIH General/Overviews Coping Research ... Women Search MEDLINE for recent research articles on Obsessive-Compulsive Disorder You may also be interested in these MedlinePlus related pages: Anxiety Mental Health and Behavior From the National Institutes of Health Obsessive-Compulsive Disorder (OCD), A Real Illness (National Institute of Mental Health) - Links to PDF File Also available in: Spanish Step on a Crack... Obsessive-Compulsive Disorder (National Institute of Mental Health) General/Overviews Obsessive-Compulsive Disorder (Mayo Foundation for Medical Education and Research) Clinical Trials ClinicalTrials.gov: Obsessive-Compulsive Disorder (National Institutes of Health) Coping Anxiety Disorders Information: Helping a Family Member (Anxiety Disorders Association of America) Research Early Trials Show Deep-Brain Stimulation Holds Promise as Potential Treatment for Most Severe Cases of Obsessive-Compulsive Disorder (American Association of Neurological Surgeons) Specific Conditions/Aspects What Other Problems Are Sometimes Confused with OCD?

6. An Evolutionary Hypothesis For Obsessive Compulsive Disorder: A Psychological Im Abed, Riadh T and de Pauw, Karel W (1999) An Evolutionary Hypothesis for ObsessiveCompulsive Disorder A Psychological Immune System?. Behavioural Neurology 11245-250. http://cogprints.soton.ac.uk/documents/disk0/00/00/11/47/cog00001147-00/ocd-fina

An Evolutionary Hypothesis For Obsessive Compulsive Disorder: A Psychological Immune System? *Riadh T. Abed, MBChB, MRCPsych, DPM, Consultant Psychiatrist, Rotherham District General Hospital, Moorgate Road, Rotherham S60 2UD , UK; and Honorary Clinical Lecturer, University of Sheffield. Karel W. de Pauw, MBChB, MD, MRCPsych, Consultant Psychiatrist and Senior Clinical Lecturer , St James’s University Hospital, Leeds LS9 7TF, UK. * Correspondence : E-mail abed@globalnet.co.uk An Evolutionary Hypothesis for Obsessive Compulsive Disorder: A Psychological Immune System? Abstract: A new hypothesis is presented within the framework of evolutionary psychology that attempts to explain the origins of obsessive-compulsive disorder. It is suggested that obsessions and compulsions originate from the overactivity of a mental module that the majority of humans possess and has the function of generating risk scenarios without voluntary intervention. It is hypothesised that obsessional phenomena function as an off-line risk avoidance process, designed to lead to risk avoidance behaviour at a future time, thus distinguishing it from anxiety and related phenomena as

7. First_steps_website_frame Help, information advice and support for those suffering from stress/anxiety disorders such as phobias, panic attacks, obsessive compulsive disorder and tranquiliser withdrawal. Factsheets and contact details. http://www.first-steps.org/

8. Obsessive Compulsive Disorder (OCD) - MentalHealthChannel Obsessivecompulsive disorder (OCD) causes people to respond to anxiety with complicated, compulsive behavior. http://www.mentalhealthchannel.net/ocd/

Home Search SiteMap Ask the Dr. ... Medical Store advertisement OBSESSIVE COMPULSIVE DISORDER Overview Risk Factors Causes Symptoms ... Treatment CONDITIONS Alcohol Abuse Attention-Deficit Hyperactivity Disorder (ADHD) Bipolar Disorder Depression Eating Disorders General Anxiety Disorder Narcotic Abuse Obsessive-Compulsive Disorder (OCD) Panic Disorder Phobias Posttraumatic Stress Disorder (PTSD) Schizophrenia RESOURCES Clinical Trials Depression Quiz Links Videos ... What Is a Psychotherapist? What Is a Clinical Social Worker? ABOUT US Healthcommunities.com Pressroom Testimonial Bibliography Obsessive-compulsive disorder (OCD) can be a debilitating disorder with the following two anxiety-related essential features Obsessions : undesirable, recurrent, disturbing thoughts Compulsions : repetitive or ritualized behaviors People with OCD experience unwanted obsessions, which cause anxiety. Severe anxiety produces feelings of dread, worry, fright, and apprehension (see generalized anxiety disorder GAD). Certain behaviors are performed compulsively in an attempt to lessen this anxiety. Although they realize their obsessions are excessive and their behavior is unreasonable, they feel powerless to control either. In fact, their symptoms can overwhelm them and result in severe impairment and dysfunction, which can begin at an early age. Incidence and Prevalence The National Institute for Mental Health reports that about 3% of people in the United States have OCD. Typical age of onset for boys is 6 to 15, while for women it is often later, between 20 and 30. Risk factors like genetic predisposition and environmental stress contribute to OCD. Also, OCD is more common among people of higher education, IQ, and socioeconomic status. Men and women, however, are affected equally. Though its course is chronic and usually lasts a lifetime, it is treatable with medication, behavioral therapy, and, in extremely rare cases, brain surgery.

9. Camp Winston For Children With Tourette Offers residential recreational summer programs for campers with complex neurological disorders such as Tourette Syndrome, ADD/ADHD, learning disabilities, Oppositional Defiant Disorder, obsessive compulsive disorder, Anxiety Disorder, autism, and other PDD spectrum disorders. Located on Sparrow Lake in the Muskoka Region of Ontario, Canda. http://www.campwinston.com/

Camp Winston operates a residential recreational summer programme for campers with complex neurological disorders such as Tourette Syndrome, Attention Deficit (Hyperactivity) Disorder, Learning Disabilities, Oppositional Defiant Disorder, Obsessive Compulsive Disorder, Anxiety Disorder, Autism and other PDD Spectrum Disorders. We also provides Behaviour Management and Skills Workshops and weekend retreats. Home Page Our Organization Our Summer Camp Camp Waiting List ... Links search this website: Camp Winston Home

10. Anxiety, Panic Attacks, Panic Disorder & Phobias - Cures And Resources An informative resource website for sufferers of anxiety disorders, panic attacks, obsessive compulsive disorder and post traumatic stress disorder. http://www.anxman.org/

Anxiety Disorder Panic Disorder Anxiety Symptoms Generalized Anxiety Disorder ... Members WELCOME TO OUR WEBSITE Do you feel like you could be developing an anxiety disorder? Are you experiencing anxiety, panic attacks, phobias, Obsessive Compulsive Disorder or Post Traumatic Stress Disorder? This site is dedicated to those people who wish to educate themselves about the disorder and find fast and permanent solutions to their anxiety condition... without drugs! One of the first questions people ask themselves is, why me? There are many theories about what causes panic attacks/anxiety attacks and anxiety disorders to develop. Are the causes biological, psychological or psychodynamic? (i.e. caused by past experiences or traumas). The anxiety disorders include panic disorder which is the fear of having a spontaneous panic attack / anxiety attack, social anxiety or agoraphobia, obsessive compulsive disorder or OCD, which causes the development and repetition of habitual rituals and post traumatic stress disorder or PTSD which occurs after a life changing incident or experience such as bereavement or a near fatal accident for example. People with social anxiety may have specific panic attacks / anxiety attacks in situations where they feel they may embarrass or make a fool of themselves in some way. The other major disorder is

11. Obsessive Compulsive Disorder (OCD). Privat side om en bekendts sygdom. Personlige erfaringer og symptomer. http://www.ingersen.dk/ocd.htm

Om OCD Kristoffers Historie Boganmeldelser Mailingliste for OCD ramte og pårørende ... OCD links Jeg vil skrive lidt om Obsessive Compulsive Disorder, som er en tilstand med tvangshandlinger og tvangstanker (OCD). Dette emne interesserer mig meget fordi jeg kender en ung mand, Kristoffer der har denne lidelse. At lide af OCD er en meget stor belastning for ens hverdag. Tvangstanker er ideer, tankebilleder eller indskydelser, der dukker op i bevidstheden igen og igen på en ensartet måde. De er næsten altid pinagtigt generende og uhyre svære at modarbejde. Tvangshandlinger og ritualer er tilbagevendende handlinger, der udføres efter bestemte mønstre, ofte for at undgå en eller anden frygtet begivenhed og ofte foranlediget af tvangstanker. Såvel tvangstanker som handlinger erkendes af patienten som overdrevne og meningsløse, men på grund af den samtidige angst og urofølelse er de færreste OCD-patienter i stand til at bryde den onde cirkel ved egen hjælp. Mange dagligdags ting er besværlig, at komme igennem, fordi det kræver mange ritualer at udfører disse dagligdags ting. Kristoffers historie: At Kristoffer er stoppet med sine behandlinger betyder ikke at Kristoffer er helbredt, det er meget normalt at man får tilbagefald, skal starte i behandling og skal medicineres. På det tidspunkt hvor jeg skriver dette har Kristoffer kun været ude af behandling i en måned, så det er svært at sige hvordan det har påvirket Kristoffer at undvære behandlingerne, endnu har det ikke været negativt.

12. OCD ONLINE HOME PAGE Phillipson s Center for Cognitive Behavioral Psychotherapy Website features information and support for those who suffer from obsessive compulsive disorder. http://www.ocdonline.com/

W elcome to OCDOnline.Com. This web site is exclusively devoted to promoting a greater understanding of Obsessive Compulsive Disorder's (OCD) treatment and mental processes. The creator of this site, Dr Steven Phillipson, recognizes that OCD is still minimally understood by the vast majority of mental health professionals. Although the most commonly known forms of OCD (contamination and checking) have received the greatest amount of media and research attention, lessor known forms of OCD (i.e. the purely obsessional type and the responsibility OC ) make up a very large proportion of the clinical population. The articles presented here represent state of the art conceptual understanding and treatment approaches developed for mainstream and lessor studied forms of OCD. D r. Steven Phillipson is a licensed clinical psychologist who has specialized in the cognitive-behavioral treatment (CBT) of OCD since 1986. Dr. Phillipson has contributed numerous articles to the OC Foundation's newsletter and was asked in 1991 to produce the first video on the treatment of the purely obsessional type of OCD. In 1987 Dr. Phillipson and his mentor Dr Gordon Ball started the first

13. Schizophrenia This site contains information geared to the clinician as well as the consumer. Information is provided regarding treatment and a possible link to obsessive compulsive disorder. http://www.athealth.com/Practitioner/Newsletter/FPN_4_32.html

At Health, Inc. Sponsored Links From our sponsors: Practitioner Friday's Progress Notes advertisement Schizophrenia Friday's Progress Notes - October 27, 2000 Mental Health Information - Vol. 4 Issue 32 Published by athealth.com - http://www.athealth.com Join our leading online community of mental health professionals by subscribing to Friday's Progress Notes! It's free! CONTENTS Treatment algorithm for schizophrenia Practice guideline for treatment of schizophrenia Assessment and treatment of children and adolescents Diagnosis and treatment of schizophrenia ... Medications for mental illness SPONSOR'S INFORMATION Dear Colleagues, Schizophrenia, an often-misunderstood brain disease, affects about 1% of the population worldwide. Comorbid conditions include impairment of cognitive function, depression, obsessive-compulsive behavior, substance abuse, and aggressive behavior. Today's newsletter focuses on this complex and disabling mental illness. Please feel free to forward this information to professional colleagues, who can sign-up for a free subscription to the e-newsletter at http://www.athealth.com/Practitioner/Newsletter/fpn_subscribe.html

14. OCD ONLINE - What Is O.C.D.? What is OCD? by Steven Phillipson, Ph.D. obsessive compulsive disorder (OCD) is an anxiety disorder, first and foremost. It is not a thought disorder. http://www.ocdonline.com/defineocd.htm

What is O.C.D.? What is Cognitive-Behavioral Therapy For O.C.D.? Articles by Dr. Steven Phillipson Cognitive-Behavioral Therapy Success Stories ... OCD Online Home Services Available Telephone Consultations Individual Therapy Group Therapy Family Coping Skills ... Psychological Testing What is O.C.D.? by Steven Phillipson, Ph.D. Speak of the Devil ). However this insight provides no relief. Therefore attempting to help sufferers through reassurance has no long lasting positive effect. The most common and well-studied branch of OCD involves the OC where the undoing response generally involves some overt behavior. The most commonly thought of form of OCD involves contamination. Here an awareness of germs, disease, or the mere presence of dirt evokes a sense of threat and an incredible inspiration to reduce the presence of these contaminants. Most commonly the escape ritual involves a cleaning response (e.g., hand washing, chronic cleaning). The next most common form of OCD involves checking. Typically checking involves door locks, light switches, faucets, stoves or items that left unchecked might pose a risk to either one's well-being or the well-being of others. It is not at all uncommon for persons with this manifestation to check items between 10 to 100 times. The overwhelming impulse to recheck remains until the person experiences a reduction in tension despite the realization that the item is secure. Less common forms of OCD include hoarding, which is the excessive saving of typically worthless items such as junk mail, or excessive purchasing of certain items (e.g., owning hundreds of pairs of shoes). Other typically hoarded items include garbage, novelty items, or magazines and newspapers. A common rationale given to justify obsessive-compulsive hoarding behavior is an overriding fear that one day these items might come in handy or be of some value and therefore must not be thrown away. Another subgroup of hoarders involves persons who become emotionally attached to the items or feel that these items hold some emotional significance that reflects a particular moment in time. The person feels that relinquishing the item is in some way tantamount to releasing a past experience or association with a significant other.

15. Common Mental Problems Neeraj Dhote provides an insight into common mental ailments and conditions like obsessive compulsive disorder, hypomania, depression, insomnia, and grief. http://ekloveyaneeraj.tripod.com/page1.html

var cm_role = "live" var cm_host = "tripod.lycos.com" var cm_taxid = "/memberembedded" This page is dedicated to few of my FRIENDS.... " Common Mental Problems " " Mental Health is one of the dynamic approaches that ENABLES people to be healthy " Friends this is the first page I am designing. Hope you all like this and send me the feed back of what better is to be done with this page.. thanx hope to hear from you soon.. Neeraj Dhote In this page I am highlighting few COMMON MENTAL PROBLEMS, through which lots of tragedy happens in life. And I have been pushed up to make this page after losing few things in life. Anyway hope by this brief information which I have in this these page's you all will not do that mistakes.. What is ALCOHOLISM ? What is INSOMNIA ? What is DEPRESSION ? What is MANIAC EXCITEMENT or HYPOMANIA ? ... Signature

16. MY EXPERIENCENCES WITH TOURETTE SYNDROME AND ITS ASSOCIATED DISORDERS Internet links to sites about Tourette Syndrome, ADHD, obsessive compulsive disorder, and Oppositional Defiant Disorder (provided by a fellow Mom and Child/Family Advocate) http://www.geocities.com/Heartland/Estates/7713/ts.htm

Bobbie Vanover's Home Page Use this menu for quick and easy access to other links and home pages about Tourette Syndrome. Enjoy your journey... Menu Tourette Syndrome Association United States - Chapter Websites International - Chapter Websites Newsletters About Tourette Syndrome ... Associated Disorders Tourette Syndrome Association: List of Chapters in the United States - T.S.A. List of International Chapters - T.S.A. Catalog of Publications and Films Newsletters About Tourette Syndrome: Tourette Syndrome Foundation of Canada - The Green Leaflet Tourette Syndrome Association of New Jersey Tourette Syndrome Association Northern New York Chapter Washington State Chapter of the T.S.A. - Connections Online Resources for Information about TS: Ask Noah About: Tourette Syndrome Association for Comprehensive NeuroTherapy - Latitudes Craig Whitley's Tourette Syndrome On-line El síndrome de Gilles de la Tourette ... Yale University School of Medicine: Child Study Center Articles about TS: A Family Guide to Tourette Syndrome A Mother's Quest for Answers Adults With Tourette Syndrome Brain secrets of Tourette's syndrome revealed ... It's Not Just the Tics: Behavior and Learning Issues...

17. BIBRI: Body Image Betrayal And Related Issues Devoted to speaking out about Eating Disorders and related issues including therapy abuse, selfinjury (cutting), domestic violence, child abuse, and obsessive compulsive disorder (OCD). Also includes links to treatment and help through other sites and chat. http://www.bibri.com

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18. Tourette Syndrome Association Of Greater Washington Information, support and resources to families, individuals and professionals dealing with Tourette Syndrome, Attention Deficit Disorder and obsessive compulsive disorders. Self help and advocacy resources also provided. http://www.tsagw.org

Welcome! The Tourette Syndrome Association of Greater Washington (TSAGW) is dedicated to serving the needs of families and individuals living with Tourette Syndrome, and the professionals who serve them, in Maryland, Virginia, West Virginia, and Washington, D.C. ...read more Special Events: Volunteer Families Needed ! Learn about how you can take part in an important national research study to educate schoolchildren about Tourette Syndrome Contribute to the CFC and United Way Campaign and Designate TSAGW for your contribution "You've Got a Friend" - A video to educate children about Tourette Syndrome Support Group Meetings: To be announced Northern Virginia May 19, 2004 - Theresa Ziemba, an Occupational Therapist at Inova Fairfax Hospital will speak on fine motor/handwriting challenges and sensory integration issues for children with TS. It's easy to make your donations to TSAGW now ! Just click on below We thank Danya International, Inc.

19. Obsessive-Compulsive Disorder Web Sites 19May-2004, E-mail. Again and Again. Obsessive-Compulsive Disorder Web Sites. Past Life Research and OCD; Project obsessive compulsive disorder (OCD) - who knows? http://www.geonius.com/ocd/

Home GEONius.com 19-May-2004 E-mail Again and Again Obsessive-Compulsive Disorder Web Sites "Having OCD is like being allergic to life - every waking moment is spent in a state of mental hyper-sensitivity." On This Page On Separate Pages First of All Obsessional Medals of Honor Arts/Entertainment/Media Humor ... Frank and Ernest First of All Where would we be without NIMH? National Institute of Mental Health (NIMH) Obsessive-Compulsive Disorder National Library of Medicine (NLM) MedlinePlus Obsessive-Compulsive Disorder - links to OCD information. Trastorno Obsesivo-Compulsivo - the above, in Spanish. The experts speak at Expert Consensus Guidelines Treatment of Obsessive-Compulsive Disorder " is a collection of guidelines, presented in tables and text, for selecting various types of treatment for OCD. The target audience is professionals in the field. The list of experts who drew up the guidelines reads like a Who's Who of OCD research. A Guide for Patients and Families " provides an in-depth look at what OCD is and how it is treated.

20. OBSESSIVE-COMPULSIVE DISORDER ObsessiveCompulsive Disorder. (posted by Hopkins Technology). Ellsworth, ME Dilligaf Publishing, 1994. Greist, JH obsessive compulsive disorder A Guide. http://www.hoptechno.com/ocd.htm

Obsessive-Compulsive Disorder (posted by Hopkins Technology) What is OCD? Obsessive-compulsive disorder (OCD), one of the anxiety disorders, is a potentially disabling condition that can persist throughout a person's life. The individual who suffers from OCD becomes trapped in a pattern of repetitive thoughts and behaviors that are senseless and distressing but extremely difficult to overcome. OCD occurs in a spectrum from mild to severe, but if severe and left untreated, can destroy a person's capacity to function at work, at school, or even in the home. The following three case histories are typical for those who suffer from obsessive-compulsive disordera disorder that can be effectively treated. Isobel is intelligent, but she is failing her first period class in biology because she is either late to class or absent. She gets up at five o'clock, hoping to get to school on time. The next three hours are spent taking a long shower followed by changing clothes repeatedly until it "feels right." She finally packs and repacks her books until they are just right, opens the front door and prepares to walk down the front steps. She goes through a ritual of pausing on each step for a particular length of time. Even though she recognizes her thoughts and behaviors are senseless, she feels compelled to complete her rituals. Once she has completed these rituals, she makes a mad dash for school and arrives when first period is almost over. Meredith's pregnancy was a time of joyous anticipation. If she had moments of trepidation about taking care of a new baby, these times passed quickly. She and her husband proudly brought a beautiful, perfect baby boy home from the hospital. Meredith bathed and fed the baby, comforted him when he was restless, and became a competent young mother. Then the obsessional thoughts began; she feared that she might harm her child. Over and over again she imagined herself stabbing the baby. She busied herself around the house, tried to think of other things, but the distressing thought persisted. She became terrified to use the kitchen knives or her sewing scissors. She knew she did not want to harm her child. Why did she have these distressing, alien thoughts?

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