Some behaviors are either forms of magical thinking to prevent or reduce harm or they are excessive.Some forms are repetitive mental acts which might include counting, repeating words, praying, or going over events (which are called rituals).When family members accommodate the person it helps to reinforce the OCD behaviors.If your family is accommodating a number of behaviors, then change needs to be slow; almost one at a time because of the distress it will cause.There is an Obsessive Compulsive Personality Disorder (OCPD) which differs from OCD. If they have OCPD they do not tend to be bothered by their overbearing, inflexible approach to life.These people often find themselves in frequent conflict with others in their work and personal lives. Family members need to understand that a person cannot just quit cold turkey. The treatment of choice is Cognitive Behavior Therapy (CBT).Providing Reassurance: “This is when you tell your loved one something to make them feel better. S/he may ask you the exact same question over and over again or reword the question in many different ways.
Assistance with decisions or simple tasks: Family members feel like they need to take over making choices or decisions for their loved one. There is risk in making a decision because it may turn out wrong or less perfect, which does not allow the person to learn that the consequences are not fatal and can be lived with; and we can adjust to mistakes and failure.If the person is not in therapy, they probably do not have other tools or strategies in place.You need to be aware that making them face their fears can be very threatening.This means that ” it involves both dysregulation of the chemistry and the circuitry of the brain and there are learned patterns of dysfunctional thought and behavior.Obsessions are persistent thoughts, impulses, ideas, or images that intrude into a person’s thinking and cause excessive worry, anxiety and distress. Compulsions are repetitive behaviors or mental acts that are performed in response to obsessions in order to relieve or prevent worry, anxiety and distress.