Symmetry OCD: Signs, Symptoms, and Treatment

What is Symmetry OCD?

Symmetry OCD is a type of OCD (obsessive compulsive disorder) that causes individuals to focus on symmetry and perfectionism. Individuals with symmetry OCD often have difficulty coping with any type of asymmetry or deviation from perfection, which can often lead to obsessive thoughts and compulsive behaviors. This type of OCD can affect every aspect of an individual's life, from the way they dress, groom themselves, arrange their furniture, and possessions. For many people with symmetry OCD, even the most minor asymmetry can be extremely distressing.

Two giraffes photographed in a symmetrical fashion.

Is Symmetry OCD Common?

Symmetry OCD is not as common as some of the other types of OCD, but it is estimated that around 2-3% of the population experiences symmetry OCD at some point in their lives. Symmetry OCD can affect anyone, regardless of age, gender, or race. Many people with symmetry OCD feel like they are the only ones who struggle with this type of disorder, but this is not the case. There are many people who deal with symmetry OCD on a daily basis.

What Causes Symmetry OCD?

There is no one definitive answer to this question, as symmetry OCD can be caused by a variety of factors. Some people may be more prone to symmetry OCD due to their biology or genetics, while others may develop the disorder due to environmental factors, such as experiencing a traumatic event. Additionally, perfectionism can also play a role in developing symmetry OCD.

Symptoms of Symmetry OCD

Symptoms of symmetry OCD can vary from person to person, but there are common obsessions and compulsions seen in people with symmetry OCD.

Symmetry OCD Obsessions

People with symmetry OCD may become obsessional about ensuring that everything in their environment is perfectly symmetrical. This can include objects on a desk, the placement of furniture, or even the way people are arranged in a photograph. They may spend hours moving objects around or editing photos to make them perfectly symmetrical.

Symmetry OCD Compulsions

People with symmetry OCD often engage in repetitive behaviors in an attempt to bring order and symmetry to their lives. Some common compulsions include arranging objects in a certain way, counting items, and checking for symmetry. Many people with symmetry OCD feel an intense need for everything in their environment to be perfect, and any deviation from this can cause immense anxiety and distress.

For some people with this type of OCD, the compulsion to symmetry can be so overwhelming that it interferes with their ability to live normal lives. They may spend hours each day organizing and rearranging objects, or checking for symmetry. This can lead to problems at work or school, as well as strained relationships with friends and family members.

A symmetrical picture of four buildings.

2. Exposure and response prevention (ERP): ERP is a type of behavioral therapy that involves gradually exposing individuals to the things that cause them anxiety or discomfort. ERP can be effective in helping people with symmetry OCD learn how to tolerate uncertainty and asymmetry.

3. Mindfulness-based therapies: Mindfulness-based therapies involve paying attention to the present moment in a nonjudgmental way. Mindfulness-based therapies can be helpful in managing OCD symptoms, including those related to symmetry.

4. Medication: Medication can be used to treat OCD symptoms that do not respond to other types of treatment. Some common medications used to treat OCD include selective serotonin reuptake inhibitors (SSRIs) and antipsychotics.

5. Self-care: Taking care of yourself is an important part of managing any chronic condition, including symmetry OCD. Some self-care strategies that may be helpful include exercise, relaxation techniques, and getting adequate sleep.

Other Subtypes of OCD

If you’d like to read about other subtypes of OCD, click here.

How To Treat Symmetry OCD

People with symmetry OCD may have difficulty coping with any type of asymmetry or deviation from perfection. As a result, they may have obsessive thoughts and compulsive behaviors related to symmetry and order. While there is no one-size-fits-all approach to treating symmetry OCD, some strategies that may be helpful include the following:

1. Cognitive-behavioral therapy (CBT): CBT is a type of therapy that helps individuals learn how to change their thoughts and behaviors. CBT can be effective in helping people with symmetry OCD learn how to manage their obsessions and compulsions.