You are absolutely correct. Obsessive-Compulsive Disorder (OCD) is not limited to thoughts of doing something bad like killing someone. While that is one form of intrusive thought that some people with OCD may experience, the condition can manifest in various ways and include a wide range of intrusive thoughts, images, or urges.
OCD is characterized by two main components:
Obsessions: These are intrusive, distressing, and unwanted thoughts, images, or urges that repeatedly enter a person's mind. These thoughts are difficult to control and can be disturbing, leading to intense anxiety or discomfort.
Compulsions: These are repetitive behaviors or mental acts that individuals with OCD engage in to try to alleviate the anxiety caused by their obsessions. The compulsive behaviors are often performed in a rigid and ritualistic manner.
The obsessions in OCD can revolve around different themes, and they vary from person to person. Some common themes of OCD include:
Contamination Obsessions: Fear of germs, dirt, or harmful substances, leading to excessive washing, cleaning, or avoidance.
Harm Obsessions: Fear of harming oneself or others, either intentionally or accidentally, resulting in excessive checking, seeking reassurance, or avoidance.
Perfectionism Obsessions: Fear of making mistakes or things not being "just right," leading to repetitive and ritualistic behaviors to achieve perfection.
Unwanted Thoughts: Intrusive thoughts about taboo or distressing subjects that go against a person's values or beliefs, such as violence, sexual content, or religious concerns.
Doubt Obsessions: Constant doubt and uncertainty about everyday decisions or situations, leading to repetitive behaviors to seek reassurance or to undo actions.
Symmetry and Order Obsessions: The need for things to be in perfect order or balance, leading to arranging, counting, or repeating actions.
Hoarding Obsessions: Persistent difficulty parting with possessions, leading to excessive collecting or keeping of items.
The reason why some people may associate OCD primarily with thoughts of harming others is likely due to media portrayals and misunderstandings about the disorder. However, it's crucial to recognize that OCD can manifest in diverse ways, and any distressing and intrusive thoughts can be a part of the condition.
If you or someone you know is struggling with OCD or similar symptoms, it's essential to seek help from a mental health professional who can provide an accurate diagnosis and appropriate treatment, such as cognitive-behavioral therapy (CBT) and/or medication. OCD is a treatable condition, and with the right support, many people can effectively manage their symptoms and improve their quality of life.