Unwanted fears, images, or thoughts about accidentally harming yourself or others, or being responsible for something bad from occurring. 

Persistent uncertainty and a strong need for confirmation, certainty, or reassurance that you did something correctly, made the right decision, or that everything is okay. 

Intense fears related to germs, illness, dirt, chemicals, or becoming contaminated, often accompanied by distressing thoughts about the consequences of exposure. 

A strong sense that something is wrong, incomplete, or uncomfortable unless things are arranged, repeated, or done in a specific way. 

Frequently asking others for confirmation or repeatedly searching for answers to reduce doubt, fear, or uncertainty. 

Excessive cleaning, washing, or sanitizing behaviors performed to reduce fears about contamination, illness, or feeling “unclean.” 

Repeating words, movements, routines, or actions a certain number of times to reduce anxiety or achieve a sense that things feel “right.” 

Spending significant time replaying events, analyzing thoughts, searching for certainty, or trying to mentally solve fears or doubts. 

Staying away from people, places, activities, or experiences that create fear or discomfort, often as a way to prevent anxiety from increasing.