This often centers on what is called fear of harm or over-responsibility for harm.

Such fears are accompanied by heightened and excessive responsibility to prevent such disasters.

As a result, such fears may lead to compulsions that are focused on maintaining safety.

Older woman looking worried

MoMo Productions/Getty Images

This includes repeating certain words, phrases, or counts.

These thoughts may be centered on topics such as sex, death, or violence.

If you have OCD, your fear of losing control may manifest with compulsions that appear neglectful or avoidant.

However, these compulsions are carried out to ensure loved ones are safe.

If you have any of these thoughts, it is important to speak with your doctor or therapist.

If you havetreatment-resistant OCD, there are a number of treatment options available that may be helpful.

Your doctor may recommend different medications or psychotherapy approaches.

A Word From Verywell

OCD is often related to control.

The fear of losing control can result in behaviors that can disrupt your ability to function normally.

They can offer a diagnosis and treatment recommendations that will help you get back on track.

2010;12(2):187-197.

2015;76(6):e761-7.