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Obsessive Compulsive Disorder, or OCD, although very popular for the rituals performed by its sufferers, can be manifested through non-actualized thoughts as well. These intrusive thoughts, however, can go as far as convincing a sufferer that he has the tendencies of a serial killer and that anything that can trigger that killer instinct in them should be avoided at all cost. There are those who also believe that they will become sadistic husbands, so in order to prevent that from happening, they either refuse intimacy or worse, interaction with women. These thoughts are of course, very irrational to begin with, however, because of the nature of OCD, it is impossible for the sufferers to identify which is irratioal and which is not. Intusive thoughts are often the most diffilcult OCD manifestion to treat bacause of its non-physical nature. However, at the end of the day, like other OCD rituals, it has to be treated still.