Symmetry OCD

Dr. Rameez Shaikh
2 min readMay 30, 2024

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Symmetry OCD, also known as Symmetry Obsessive-Compulsive Disorder, is a subtype of obsessive-compulsive disorder (OCD) characterized by an overwhelming need for things to be symmetrical, balanced, or aligned. Individuals with symmetry OCD experience intrusive thoughts or obsessions related to asymmetry or imperfection, leading to compulsive behaviors aimed at achieving symmetry or balance.

Photo by Vincent van Zalinge on Unsplash

Here are some examples of symmetry OCD:

Arranging Objects:

An individual with symmetry OCD may feel compelled to arrange objects in a precise and symmetrical manner. For example, they may spend hours arranging books on a shelf so that they are perfectly aligned or meticulously arranging items on a desk to ensure they are symmetrically spaced.

Aligning Body Parts:

Some individuals may feel the need to align their body parts symmetrically. For instance, they may repeatedly adjust their posture or position their limbs in a specific way to achieve a sense of balance or symmetry.

Counting or Ordering Rituals:

Symmetry OCD may manifest as counting or ordering rituals aimed at achieving symmetry. For instance, an individual may feel compelled to count steps in a specific pattern or organize objects in a particular sequence to maintain symmetry.

Checking and Rechecking:

Individuals with symmetry OCD may engage in compulsive checking behaviors to ensure symmetry or alignment. For example, they may repeatedly check door locks or light switches to ensure they are in a symmetrical position.

Visual Symmetry:

Some individuals may experience intrusive thoughts related to visual symmetry and feel compelled to adjust objects or elements in their environment to achieve visual balance. This could include straightening pictures on walls or aligning furniture symmetrically in a room.

Grooming Rituals:

Symmetry OCD may also affect grooming habits, leading individuals to engage in repetitive grooming rituals to achieve symmetry. For example, they may spend excessive time grooming their hair or facial features to ensure they are perfectly balanced.

Extreme Distress:

Individuals with symmetry OCD may experience significant distress and anxiety when faced with asymmetry or perceived imperfections. This distress can interfere with daily functioning and lead to avoidance behaviors aimed at preventing exposure to asymmetrical stimuli.

Interference with Daily Life:

Symmetry OCD can significantly interfere with daily life, leading to difficulties in completing tasks or participating in social activities. The compulsive need for symmetry may consume a significant amount of time and energy, impacting work, relationships, and overall well-being.

It’s important to note that while symmetry OCD often involves visual symmetry and balance, the specific obsessions and compulsions can vary widely among individuals. Treatment for symmetry OCD typically involves a combination of therapy, such as cognitive-behavioral therapy (CBT) and exposure and response prevention (ERP), along with medication in some cases. These interventions aim to help individuals manage their symptoms, reduce compulsive behaviors, and improve overall quality of life.

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Dr. Rameez Shaikh
Dr. Rameez Shaikh

Written by Dr. Rameez Shaikh

Consultant Psychiatrist, Psychotherapist and Sexologist at Mind & Mood Clinic, Nagpur

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