Trust is a big issue in people with obsessive compulsive disorder. They have difficulty trusting that the environment is not this inherently dangerous place out to get them. That’s why they design often ridiculous compulsions to ward off what they perceive as constant impending harm. And if, by some miracle, a person with OCD is compelled to oppose their specifically designed safety ritual they once again face this trust issue, because to resist a compulsion is to let go of an insurmountable aching for control and trust that the world will not punish them for giving into the natural order of things– a natural order that they must trust is predominantly benevolent.
– Valerie Parente (5-2-16)