The obsessions in magical thinking OCD revolve around bad things happening to oneself and others. Magical thinking OCD develops when an individual becomes consumed with obsessing over these thoughts, begins to feel anxiety, distress, doubt, confusion, or another difficult emotion because of these obsessions, and may develop some compulsive behaviours (physical or mental) to find short-term relief from these difficult emotions. They find it difficult to accept that they can’t be certain the bad thing won’t happen, may believe that their thoughts increase the likelihood of the bad thing happening or mean that they are a bad person for thinking it. The individual is often aware of the irrationality of the obsession and compulsion but feel compelled to complete it anyway “just in case”. Individuals with OCD often feel compelled to prevent bad things from occurring by performing an action (or thinking a thought) that is completely unrelated to the feared consequence. People who actually want to harm others embrace the thoughts and think about them voluntarily. It is normal to want to prevent bad things from happening to others.
Magical thinking OCD involves preoccupation with repetitive, intrusive thoughts about being responsible for preventing bad things (e.g., a car accident, a terminal illness or something undefined) happening to oneself or someone else.
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