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Commonly referred to as ‘Pure O’ by the OCD community, ‘Pure O’ is a form of OCD where people mistakenly believe that it differs from traditional OCD, in that it features no outward compulsive manifestations; instead, the anxiety-inducing obsessions take place only in the mind.
However, a person with ‘Pure O’ will still have compulsions which mainly manifest as unseen mental rituals, and they will usually also engage in compulsive behaviours like seeking reassurance from loved ones, and avoidance of particular objects, places or people. They are compulsions, nonetheless, which is why the term ‘Pure O’ is somewhat imprecise.
Pure O is like any other form of OCD, it will involve both obsessions and compulsions which are the problems that need addressing through Cognitive Behavioural Therapy (CBT).
This Understanding Pure-O guide may help you further understand this often misunderstood form of Obsessive-Compulsive Disorder.