Re: Where is the line
There can be a physical aspect too, otherwise medication wouldn't help at all.
Here's a way to think about OCD.
When we are born we have a wonderful brain with so much potential, but it has not yet learned many patterns that allow us to connect to the world.
Throughout life we learn patterns.
A couple of years ago I had eye surgery that radically changed the images that were sent to my brain. In some ways I had to relearn to see. Now the new ways of seeing are an established pattern and I rarely have to think about what I am seeing in order to see.
OCD is like a series of thought patterns.
Via cognitive therapy or medication or a combination of both or other methods we can at least partially disrupt these annoying, repetitive patterns.
Being diagnosed with a mental illness (e. g. OCD) does still bear something of a social stigma.
So, unfortunately there is a choice between getting help and bearing that stigma, or not getting help.
But if the OCD is causing behavior that makes people talk about you, well, then, the decision is obvious.