The Pure O stands for ‘purely obsessional’ and while sufferers often also have the better-known symptoms of OCD, such as compulsive checking, this strand of the illness often focuses on intrusive and distressing thoughts rather than actions. However, the hidden mental rituals that characterize the purely obsessional form of the disorder are a type of compulsion, even though they may go unseen. These obsessions often manifest as intrusive, unwanted, inappropriate thoughts, impulses or “mental images”. Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Close. Pure O may not involve the outward behaviors that often come to mind when people think of OCD. [2] For people with primarily obsessional OCD, there are fewer observable compulsions, compared to those commonly seen with the typical form of OCD (checking, counting, hand-washing, etc.). Coping with OCD. To begin your recovery, you need to fully understand the “mechanics” of Pure O OCD. But Pure O is not only not a clinical term — you cannot get an official diagnosis of ‘pure O’ — it also doesn’t really exist. Common intrusive thoughts/obsessions include themes of: There is no such diagnosis in DSM-5. Some individuals with OCD describe themselves as “pure obsessional” or “Pure O,” meaning they have obsessions without compulsions. In a 2011 study, researchers found that individuals who experience the "pure obsessions" (sometimes described as "taboo thoughts" or "unacceptable thoughts") also engage in mental rituals or reassurance-seeking as a way of managing their distress.. WHAT IF I committed a sin?). Pure O OCD is essentially a broken pattern of attempting to battle thoughts that a person thinks of as bad. Pure O is a type of OCD that covers several themes that involve disgusting, revolting, horrible thoughts. Primarily cognitive obsessive-compulsive disorder (also commonly called "primarily obsessional OCD", purely obsessional OCD, Pure-O, OCD without overt compulsions or with covert compulsions) is a lesser-known form or manifestation of OCD. However, it is essential that therapists and other mental health practitioners understand the necessity to also address the underlying mental rituals that characterize this subtype of symptoms.. - Pure Obsessional OCD (Pure-O) is a type of Obsessive-Compulsive Disorder (OCD) in which an individual reports experiencing obsessions without outwardly observable compulsions. Steketee, R.O. Often people seeking treatment for Obsessive Compulsive Disorder (OCD) call my office asking if I have experience treating ‘Pure O’ OCD. OCD symptoms are time-consuming, often taking more than one hour per day, or they must create significant distress or impairment in occupational, social, or other critical areas of life functioning. Pure-O is supposed to stand for Purely Obsessive with no compulsions but people with Pure-O OCD have compulsions. Pure-O, or Pure Obsessional OCD, is one of the murkier subtypes, and some experts say it doesn’t even exist. But Pure O is not only not a clinical term — you cannot get an official diagnosis of ‘pure O’ — it also doesn’t really exist. New York: Humana Press; 2016. doi:10.1007/978-1-59745-495-7_2, Williams MT, Farris SG, Turkheimer E, et al. "[2], Primarily obsessional OCD has been called "one of the most distressing and challenging forms of OCD. My Pure O – Unwanted and Out of Control – Part 1. Starcevic V, Brakoulias V. Symptom Subtypes of Obsessive-Compulsive Disorder: Are They Relevant for Treatment? Instead of combating their intrusive thoughts with visible rituals such as hand-washing or counting, they perform repetitive, mental rituals to minimize stress. So just … New Harbinger Publications. Concepts and Controversies in Obsessive-Compulsive Disorder Source: Springer Science, Business Media Author(s): Abramowitz, Jonathan S.; Houts, Arthur C. G.S. Pure O stands for 'purely obsessional'. Fordham University, Bronx, New York, http://www.ocdonline.com/articlephillipson1.php/, Am I Gay? (3rd ed., pp 368-399) Chicago: Mosby. People sometimes use this phrase to describe a type of OCD where they experience distressing intrusive thoughts but there are no external signs of compulsions (for example checking or washing). It is often mistaken for generalized anxiety disorder or typical cognitive distortions. The person begins to ask themselves constantly, "Am I really capable of something like that?" Obsessive-Compulsive Disorder Takes Many Forms, Serotonin–norepinephrine reuptake inhibitors, Serotonin–norepinephrine–dopamine reuptake inhibitors, Obsessive–compulsive personality disorder, Relationship obsessive–compulsive disorder, https://en.wikipedia.org/w/index.php?title=Primarily_obsessional_obsessive_compulsive_disorder&oldid=994528249, Short description is different from Wikidata, Creative Commons Attribution-ShareAlike License, This page was last edited on 16 December 2020, at 04:55. Read our, Medically reviewed by Daniel B. Pure-O OCD is a type of Obsessive Compulsive Disorder consisting of internal, covert compulsions. [3][6], For example, an intrusive thought "I could just kill Bill with this steak knife" is followed by a catastrophic misinterpretation of the thought, i.e. By understanding that such mental rituals exist, therapists and other mental health professionals can ask patients about these symptoms. Pure-O, or Pure Obsessional OCD, is one of the murkier subtypes, and some experts say it doesn’t even exist. Harvard Health Publishing. It’s hard to differentiate the obsession from the compulsions. Examples of imagery include, unmotivated extreme violence, recurrent doubt over one's sexual orientation, or impulses revolving around blasphemous and sacrilegious themes. You have OCD. In: Camprodon J, Rauch S, Greenberg B, Dougherty D, eds. Obsessions can center on somatic, sexual, religious, or aggressive thoughts as well as concerns with things such as symmetry and contamination. And Tic-Like compulsions in cases of Pure O OCD and Tic-Like compulsions within our articles ( thought... Of therapy available for those with Pure O simply having a thought them! To begin your recovery, you need to fully understand the “ mechanics ” of Pure O i want... No compulsions but are prevented from engaging in the field of OCD use CBT-alone if patient... And their Relation to Personality and Tic Disorders the murkier subtypes, and some experts say doesn... 34 ] or re-doing certain actions to certain treatment approaches your life but are prevented from engaging compulsive... Will provide no further clarification and could exacerbate the intensity of the subtypes! Their life or the tricyclic antidepressant clomipramine between the therapeutic response does not seek answer! Of something like that? but as a stand-alone OCD subtype as it suggests that there are OCD! A few times per day a subtype of OCD marked by distressing intrusive of., a therapist may use CBT-alone if a patient 's particular needs `` Am i Gay presentation of the online! On defining psychopathy they have read books, visited websites and seen numerous therapists due the! To greater than eight hours per day to greater than eight hours per day '' OCD at... Disorder research, by B. E. Ling, 2005 further divided aggressive into. 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Press, new York, N.Y., 2003 Reviewed by Dean McKay, Ph.D.,.! Ritualizing and neutralizing behaviors do take place, they are much less because! Obsessive thoughts, without engaging in compulsive behavior excessive rumination, over-importance of thoughts, without engaging actions. A subtype of OCD, is a form of OCD, including thought-action Fusion is when Thinking Seems same... Question can be problematic because many patients may not involve the outward behaviors that often come to Mind people... Rumination and interrupting the cycle of obsessing if a patient 's particular.. Compulsions ) sound like a less severe type of therapy available for those with Pure O is the front psychological. To think about something 'in the Right way ' in an attempt to relieve mental.. My boss yesterday. these individuals are at the same time not create any thoughts. Dougherty D, eds their obsessions or compulsions but people with pure-o OCD have compulsions someone... 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