He has become hygiene freak like washing hands many times, taking bath frequently even midnight, applying hand sanitizer too many times. Hyper active, High temper from one month. He is very religious. He wakes early morning does exercise and goes to office again evening does exercise. He is disappointed with almost all relations in this life except wife and children. Gets frusted if something goes wrong around him. Like polluting vehicles, some misbehaviour from others etc. He has high levels of anxiety. We advised him to meet physiachrst but he denies. What can be the problem do we need medical help. Please advice.

Dr. D. S. PooniaPsychiatrist5yrs exp

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Hi, definitely you should visit a psychiatrist. He is suffering from OCD (Obsessive Compulsive Disorder). The essential feature of this disorder is recurrent obsessional thoughts or compulsive acts. Obsessional thoughts are ideas, images or impulses that enter the individual's mind again and again in a stereotyped form. They are almost invariably distressing (because they are violent or obscene, or simply because they are perceived as senseless) and the sufferer often tries, unsuccessfully, to resist them. They are, however, recognized as the individual's own thoughts, even though they are involuntary and often repugnant. Compulsive acts or rituals are stereotyped behaviours that are repeated again and again. They are not inherently enjoyable, nor do they result in the completion of inherently useful tasks. Autonomic anxiety symptoms are often present, but distressing feelings of internal or psychic tension without obvious autonomic arousal are also common. There is a close relationship between obsessional symptoms, particularly obsessional thoughts, and depression. So, you need to be treated and for that have to visit a psychiatrist otherwise its severity with time will increases. 

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