How should a Christian view Obsessive Compulsive Disorder (OCD)?

Obsessive Compulsive Disorder (OCD) was formerly classified as an anxiety disorder but is now categorized as a discrete disorder by the American Psychological Association. OCD is characterized by obsessive thoughts and fears that lead to compulsive behaviors. The thoughts are invasive and feel uncontrollable. Furthermore, the thoughts are anxiety-provoking, compelling the person to carry out certain behaviors to temporarily relieve the anxiety. Researchers have not found a cause for OCD, but they have identified parts of the brain that seem to be involved.

For those suffering from Obsessive Compulsive Disorder, distressing thoughts and repeated, compulsive routines interfere with daily life to varying degrees. Typical obsessions involve fears of contamination or germs, resulting in repetitive washing or cleaning; and uncertainty about having completed certain important tasks (e.g., such as turning off the stove or locking the door), resulting in excessive checking or regulating. Hoarding disorder is also related to OCD.

In popular culture, we sometimes use “OCD” to describe people with an A-type personality or who may have excessive worry. But it is important to distinguish true Obsessive Compulsive Disorder from a heightened affinity for organization or cleanliness and from chronic worry. OCD is not sinful fear, nor is it simply persistent worry; rather, it is a real mental illness. Help most often comes through specific forms of therapy and medication. That being said, it is also important for those suffering from OCD to meditate on the truth of Scripture, especially the promises of God.

When confronted with an invasive thought, a person suffering from Obsessive Compulsive Disorder can help combat it with the Word of God. A firm foundation in biblical truth will prove a reliable base from which to evaluate all thoughts and compulsions. Sufferers can also be helped by therapeutic protocols designed specifically for OCD, through counseling and the use of pharmaceuticals. There is much hope for those suffering with OCD. Often, it is a combination of medication, counseling, and personal Bible study that leads to freedom. Regardless of their troubling symptoms, those with OCD can rest in the love of God and rely on the power of the Holy Spirit to give them grace to walk the path before them (2 Corinthians 12:8–10).