[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:06.61,0:00:08.27,Default,,0000,0000,0000,,There's a common misconception
Dialogue: 0,0:00:08.27,0:00:11.00,Default,,0000,0000,0000,,that if you like to meticulously \Norganize your things,
Dialogue: 0,0:00:11.00,0:00:12.57,Default,,0000,0000,0000,,keep your hands clean,
Dialogue: 0,0:00:12.57,0:00:15.73,Default,,0000,0000,0000,,or plan out your weekend \Nto the last detail,
Dialogue: 0,0:00:15.73,0:00:19.15,Default,,0000,0000,0000,,you might have OCD.
Dialogue: 0,0:00:19.15,0:00:24.13,Default,,0000,0000,0000,,In fact, OCD, which stands \Nfor obsessive compulsive disorder,
Dialogue: 0,0:00:24.13,0:00:26.35,Default,,0000,0000,0000,,is a serious psychiatric condition
Dialogue: 0,0:00:26.35,0:00:28.62,Default,,0000,0000,0000,,that is frequently \Nmisunderstood by society
Dialogue: 0,0:00:28.62,0:00:31.74,Default,,0000,0000,0000,,and mental health professionals alike.
Dialogue: 0,0:00:31.74,0:00:34.67,Default,,0000,0000,0000,,So let's start by debunking some myths.
Dialogue: 0,0:00:34.67,0:00:40.32,Default,,0000,0000,0000,,Myth one: repetitive or ritualistic\Nbehaviors are synonymous with OCD.
Dialogue: 0,0:00:40.32,0:00:41.95,Default,,0000,0000,0000,,As its name suggests,
Dialogue: 0,0:00:41.95,0:00:45.10,Default,,0000,0000,0000,,obsessive compulsive disorder\Nhas two aspects:
Dialogue: 0,0:00:45.10,0:00:50.11,Default,,0000,0000,0000,,the intrusive thoughts, images,\Nor impulses, known as obsessions,
Dialogue: 0,0:00:50.11,0:00:53.41,Default,,0000,0000,0000,,and the behavioral \Ncompulsions people engage in
Dialogue: 0,0:00:53.41,0:00:56.94,Default,,0000,0000,0000,,to relieve the anxiety \Nthe obsessions cause.
Dialogue: 0,0:00:56.94,0:01:00.22,Default,,0000,0000,0000,,The kinds of actions that people often \Nassociate with OCD,
Dialogue: 0,0:01:00.22,0:01:04.08,Default,,0000,0000,0000,,like excessive hand washing,\Nor checking things repeatedly,
Dialogue: 0,0:01:04.08,0:01:08.03,Default,,0000,0000,0000,,may be examples of obsessive\Nor compulsive tendencies
Dialogue: 0,0:01:08.03,0:01:10.85,Default,,0000,0000,0000,,that many of us exhibit from time to time.
Dialogue: 0,0:01:10.85,0:01:16.26,Default,,0000,0000,0000,,But the actual disorder is far more rare\Nand can be quite debilitating.
Dialogue: 0,0:01:16.26,0:01:20.28,Default,,0000,0000,0000,,People affected have little or no\Ncontrol over their obsessive thoughts
Dialogue: 0,0:01:20.28,0:01:22.33,Default,,0000,0000,0000,,and compulsive behaviors,
Dialogue: 0,0:01:22.33,0:01:24.11,Default,,0000,0000,0000,,which tend to be time consuming
Dialogue: 0,0:01:24.11,0:01:28.40,Default,,0000,0000,0000,,and interfere with work, \Nschool or social life
Dialogue: 0,0:01:28.40,0:01:31.23,Default,,0000,0000,0000,,to the point of causing \Nsignificant distress.
Dialogue: 0,0:01:31.23,0:01:36.51,Default,,0000,0000,0000,,This set of diagnostic criteria is what\Nseparates people suffering from OCD
Dialogue: 0,0:01:36.51,0:01:39.70,Default,,0000,0000,0000,,from those who may \Njust be a bit more meticulous
Dialogue: 0,0:01:39.70,0:01:42.49,Default,,0000,0000,0000,,or hygiene obsessed than usual.
Dialogue: 0,0:01:42.49,0:01:47.24,Default,,0000,0000,0000,,Myth two: the main symptom of OCD\Nis excessive hand washing.
Dialogue: 0,0:01:47.24,0:01:51.86,Default,,0000,0000,0000,,Although hand washing is the most common\Nimage of OCD in popular culture,
Dialogue: 0,0:01:51.86,0:01:55.72,Default,,0000,0000,0000,,obsessions and compulsions\Ncan take many different forms.
Dialogue: 0,0:01:55.72,0:01:59.85,Default,,0000,0000,0000,,Obsessions can manifest \Nas fears of contamination and illness,
Dialogue: 0,0:01:59.85,0:02:02.20,Default,,0000,0000,0000,,worries about harming others,
Dialogue: 0,0:02:02.20,0:02:08.04,Default,,0000,0000,0000,,or preoccupations with numbers,\Npatterns, morality, or sexual identity.
Dialogue: 0,0:02:08.04,0:02:11.62,Default,,0000,0000,0000,,And compulsions can range from\Nexcessive cleaning or double checking,
Dialogue: 0,0:02:11.62,0:02:14.94,Default,,0000,0000,0000,,to the fastidious arrangement of objects,
Dialogue: 0,0:02:14.94,0:02:18.53,Default,,0000,0000,0000,,or walking in predetermined patterns.
Dialogue: 0,0:02:18.53,0:02:19.86,Default,,0000,0000,0000,,Myth three:
Dialogue: 0,0:02:19.86,0:02:24.86,Default,,0000,0000,0000,,individuals with OCD don't understand\Nthat they are acting irrationally.
Dialogue: 0,0:02:24.86,0:02:28.71,Default,,0000,0000,0000,,Many individuals with OCD actually\Nunderstand the relationship
Dialogue: 0,0:02:28.71,0:02:32.73,Default,,0000,0000,0000,,between their obsessions \Nand compulsions quite well.
Dialogue: 0,0:02:32.73,0:02:35.36,Default,,0000,0000,0000,,Being unable to avoid \Nthese thoughts and actions
Dialogue: 0,0:02:35.36,0:02:38.44,Default,,0000,0000,0000,,despite being aware of their irrationality
Dialogue: 0,0:02:38.44,0:02:42.04,Default,,0000,0000,0000,,is part of the reason\Nwhy OCD is so distressing.
Dialogue: 0,0:02:42.04,0:02:44.49,Default,,0000,0000,0000,,OCD sufferers report feeling crazy
Dialogue: 0,0:02:44.49,0:02:47.46,Default,,0000,0000,0000,,for experiencing anxiety \Nbased on irrational thoughts
Dialogue: 0,0:02:47.46,0:02:50.84,Default,,0000,0000,0000,,and finding it difficult \Nto control their responses.
Dialogue: 0,0:02:50.84,0:02:53.37,Default,,0000,0000,0000,,So what exactly causes OCD?
Dialogue: 0,0:02:53.37,0:02:56.33,Default,,0000,0000,0000,,The frustrating answer \Nis we don't really know.
Dialogue: 0,0:02:56.33,0:02:58.76,Default,,0000,0000,0000,,However, we have some important clues.
Dialogue: 0,0:02:58.76,0:03:02.24,Default,,0000,0000,0000,,OCD is considered \Na neurobiological disorder.
Dialogue: 0,0:03:02.24,0:03:06.47,Default,,0000,0000,0000,,In other words, research suggests \Nthat OCD sufferers brains
Dialogue: 0,0:03:06.47,0:03:10.23,Default,,0000,0000,0000,,are actually hardwired \Nto behave in a certain fashion.
Dialogue: 0,0:03:10.23,0:03:12.70,Default,,0000,0000,0000,,Research has implicated \Nthree regions of the brain
Dialogue: 0,0:03:12.70,0:03:16.90,Default,,0000,0000,0000,,variously involved in social behavior\Nand complex cognitive planning,
Dialogue: 0,0:03:16.90,0:03:18.58,Default,,0000,0000,0000,,voluntary movement,
Dialogue: 0,0:03:18.58,0:03:22.26,Default,,0000,0000,0000,,and emotional and motivational responses.
Dialogue: 0,0:03:22.26,0:03:24.09,Default,,0000,0000,0000,,The other piece of the puzzle
Dialogue: 0,0:03:24.09,0:03:28.27,Default,,0000,0000,0000,,is that OCD is associated \Nwith low levels of serotonin,
Dialogue: 0,0:03:28.27,0:03:32.02,Default,,0000,0000,0000,,a neurotransmitter \Nthat communicates between brain structures
Dialogue: 0,0:03:32.02,0:03:34.59,Default,,0000,0000,0000,,and helps regulate vital processes,
Dialogue: 0,0:03:34.59,0:03:37.42,Default,,0000,0000,0000,,such as mood, aggression, impulse control,
Dialogue: 0,0:03:37.42,0:03:42.20,Default,,0000,0000,0000,,sleep, appetite, \Nbody temperature and pain.
Dialogue: 0,0:03:42.20,0:03:46.73,Default,,0000,0000,0000,,But are serotonin and activity \Nin these brain regions the sources of OCD
Dialogue: 0,0:03:46.73,0:03:51.23,Default,,0000,0000,0000,,or symptoms of an unknown\Nunderlying cause of the disorder.
Dialogue: 0,0:03:51.23,0:03:52.77,Default,,0000,0000,0000,,We probably won't know until
Dialogue: 0,0:03:52.77,0:03:56.73,Default,,0000,0000,0000,,we have a much more intimate \Nunderstanding of the brain.
Dialogue: 0,0:03:56.73,0:04:00.25,Default,,0000,0000,0000,,The good news is there are \Neffective treatments for OCD,
Dialogue: 0,0:04:00.25,0:04:03.46,Default,,0000,0000,0000,,including medications, which increase\Nserotonin in the brain
Dialogue: 0,0:04:03.46,0:04:06.51,Default,,0000,0000,0000,,by limiting its reabsorption \Nby brain cells,
Dialogue: 0,0:04:06.51,0:04:11.52,Default,,0000,0000,0000,,behavioral therapy that gradually\Ndesensitizes patients to their anxieties,
Dialogue: 0,0:04:11.52,0:04:14.66,Default,,0000,0000,0000,,and in some cases, \Nelectroconvulsive therapy,
Dialogue: 0,0:04:14.66,0:04:19.19,Default,,0000,0000,0000,,or surgery, when OCD doesn't respond\Nto other forms of treatment.
Dialogue: 0,0:04:19.19,0:04:21.76,Default,,0000,0000,0000,,Knowing that your own brain \Nis lying to you
Dialogue: 0,0:04:21.76,0:04:26.00,Default,,0000,0000,0000,,while not being able \Nto resist its commands can be agonizing.
Dialogue: 0,0:04:26.00,0:04:30.10,Default,,0000,0000,0000,,But with knowledge and understanding\Ncomes the power to seek help,
Dialogue: 0,0:04:30.10,0:04:31.75,Default,,0000,0000,0000,,and future research into the brain
Dialogue: 0,0:04:31.75,0:04:34.96,Default,,0000,0000,0000,,may finally provide \Nthe answers we're looking for.