Obsessive-Compulsive Disorder goes far beyond perfectionism or wanting things organized. At its core, OCD is anxiety-based, where distressing obsessive thoughts lead to behaviours aimed at reducing anxious feelings. These obsessions & compulsions don't always make sense—they can feel overwhelming, powerful, and completely out of our control. OCD goes far beyond perfectionism—it's anxiety-based, where distressing thoughts lead to overwhelming behaviours that feel out of control.