5 Ways to Break Free From Anger-Driven OCD

Understanding Anger-Driven OCD is crucial for effective treatment. You won’t believe what happened during one of my sessions last month. A client sat across from me, visibly frustrated, and said, “I’m so angry at myself for having these thoughts. Why can’t I just stop them?” That moment perfectly captured something I’ve been seeing more and more in my practice here in Edinburgh. In my experience treating Anger-Driven OCD, the emotional landscape is complex and sensitive.

I’m Federico Ferrarese, a cognitive behavioural therapist specialising in OCD treatment, and I want to share something that might surprise you. Anger and obsessive thoughts share a surprisingly powerful connection that most people—including many therapists—completely miss. More importantly, the dynamics of Anger-Driven OCD can often lead to self-blame.

Here’s what I think. While anger isn’t technically a core symptom of OCD, it’s one of the most common experiences my clients face. And here’s the fascinating part: when understood correctly, anger can actually become one of your strongest allies in recovery. But when it gets mismanaged, it turns into fuel that keeps your obsessive thinking patterns burning even brighter. Clients often seek help for Anger-Driven OCD without realising its depths.

The research backs this up completely. Studies consistently show that people with OCD report much higher levels of anger and anger suppression compared to those without the condition. Think about it for a second. How frustrating would it be to have intrusive thoughts constantly bombarding you—thoughts that don’t reflect who you really are? Not feeling heard or validated, even by those closest to you, creates a perfect storm of distress and anger. Recognising Anger-Driven OCD symptoms can be the first step towards recovery.

But here’s what most people don’t understand. The folks experiencing these distressing thoughts? They have no history of violence. They never act on their intrusive ideas or urges. Instead, something else happens. That anger turns inward, creating what I call “permissive thoughts”—internal justifications that actually strengthen obsessive-compulsive cycles. In addressing Anger-Driven OCD, we often uncover hidden layers of frustration.

So what’s the deal with this anger-OCD connection? Well, I’m going to walk you through the hidden mechanisms that link anger and obsessive thinking. I’ll explain why trying to suppress these intrusive thoughts might actually make them more upsetting. And most importantly, I’ll give you practical tools to transform this challenging emotion from your enemy into a powerful force for recovery. Understanding how Anger-Driven OCD manifests is vital for therapists.

Ready to explore this connection?

How Anger and Obsessive Thoughts Actually Connect

Patients with Anger-Driven OCD often struggle to articulate their feelings. Let’s break it down. The biological connection between OCD and anger runs much deeper than most clinicians realise. According to psychodynamic and cognitive models, anger and aggression play a fundamental role in both developing and maintaining obsessive-compulsive disorder. This connection stays hidden beneath the more obvious anxiety symptoms. Studies highlight the implications of Anger-Driven OCD on daily life.

Why Anger Gets Completely Missed in OCD

Addressing Anger-Driven OCD entails exploring these emotional connections. Here’s the thing. For loads of people with OCD, anger works like a silent symptom, frequently written off as just having a “bad temper”. Even healthcare professionals miss this emotional piece during assessments. In therapy, we focus on the nuances of Anger-Driven OCD to facilitate healing.

Here’s a truth-bomb. Studies reveal that 50% of people with OCD experience anger attacks—sudden surges of rage with physical symptoms like rapid heartbeat, sweating, and feeling completely out of control. Yet these episodes get completely overshadowed by the more recognisable checking, washing, or intrusive thought patterns. Recognising the patterns of Anger-Driven OCD can aid in developing coping strategies.

The suppression piece is massive. Research confirms that people with OCD report much higher anger suppression compared to healthy people. This suppression comes from sky-high moral standards and an exaggerated sense of responsibility—both crucial contributors to OCD according to Freudian theory. The interplay of emotions in Anger-Driven OCD is often overlooked in treatment.

The Fear-Anger Loop That Keeps You Stuck

Effective strategies for Anger-Driven OCD often emerge from understanding these triggers. Think of anger and fear like two sides of the same coin in OCD. Anxiety represents the “flight” response, while anger embodies that classic “fight” reaction in your nervous system. This creates a never-ending cycle where fear triggers protective anger.

Here’s where it gets interesting. OCD creates the perfect breeding ground for anger. The condition’s relentless chase for certainty—which is impossible to achieve—generates constant internal stress. As Rachman suggests, difficulties expressing anger come from taking excessive responsibility for preventing harm, which produces guilt instead of a healthy expression of frustration.

This creates what I call the “responsibility trap.” You feel responsible for keeping yourself and others safe, yet find it impossible to guarantee complete protection. So frustration and anger build up, but get turned inward rather than outward. That’s exactly why 50% of OCD patients experience those anger attacks. Those with Anger-Driven OCD often describe feeling trapped by their emotions.

How Anger Makes Intrusive Thoughts Worse

Therapeutic approaches for Anger-Driven OCD aim to dismantle these cycles. Perhaps most importantly, anger can dramatically amplify obsessive thinking. When intrusive thoughts stay unprocessed, they create a feedback loop of increasing intensity. The frustration from having unwanted thoughts generates anger, which then makes those same thoughts feel more threatening and uncontrollable. Understanding Anger-Driven OCD can lead to significant breakthroughs in treatment.

For people with checking symptoms, anger and aggression become particularly problematic. These individuals often show elevated moral standards whilst simultaneously experiencing higher levels of anger. This contradiction creates internal tension that strengthens obsessive patterns. Recognising the signs of Anger-Driven OCD is essential for effective intervention.

This anger-thought cycle shows up differently across various OCD presentations. For some, anger becomes tangled up with specific obsessions, like harm OCD, where the question “What if getting mad means I’m capable of harming others?” creates paralysing fear. For others, anger shows up as a reaction to interrupted compulsions or imperfect ritual performance. Strategies to manage Anger-Driven OCD can significantly improve quality of life.

Understanding this anger-obsessive thought connection provides a crucial missing piece in OCD treatment. When we address both components simultaneously, we can disrupt the cycle that keeps obsessive thinking locked in place. Exploring Anger-Driven OCD is a key part of my therapeutic practice.

The Hidden Ways Anger Shows Up in OCD

Many people with Anger-Driven OCD remain unaware of its impact on their daily lives. Here’s the thing about anger in OCD. It doesn’t always look like what you’d expect. Most people think anger means shouting or throwing things. But in my practice, I see anger hiding in much subtler ways that can completely derail someone’s recovery if we don’t spot them. Learning about Anger-Driven OCD can empower clients in their recovery journey.

Let me tell you what I’ve noticed. For many of my clients, anger isn’t some fleeting emotion that comes and goes. It’s a constant undercurrent that shows up in patterns most therapists miss entirely. Through understanding Anger-Driven OCD, clients can begin to heal from their struggles.

When Someone Interrupts Your Rituals

Each client’s experience of Anger-Driven OCD is unique and requires tailored approaches. Picture this. You’re in the middle of a checking ritual, making sure the door is properly locked. Suddenly, your partner calls out, “Come on, we’re going to be late!” That instant spike of rage you feel? That’s not you being unreasonable. That’s your brain screaming because its safety system just got disrupted. Those experiencing Anger-Driven OCD often feel isolated in their struggles.

I remember working with ten-year-old Molly, who had to repeat specific phrases in her head to keep her family safe. When her parents interrupted her mid-ritual—not knowing what was happening—she’d explode with anger that seemed to come from nowhere. Her parents thought she was just being difficult. But here’s what was really happening. Molly’s brain believed she’d have to start her protective ritual all over again. Support for Anger-Driven OCD is crucial for recovery and understanding.

Can you imagine that level of panic turning into rage instantly? Families often grapple with the challenges posed by Anger-Driven OCD.

The Anger That Turns Inward

Understanding Anger-Driven OCD can foster empathy among family members. Now, not everyone with OCD expresses anger outwardly. For many of my clients, the anger goes somewhere much more damaging—straight inward. They become their own worst critic, their own harshest judge. Education on Anger-Driven OCD is vital for both patients and their loved ones.

This self-directed anger creates a twisted kind of control. If you’re the problem, then maybe you can fix yourself. The brain actually finds it more comfortable to believe “I’m bad” than to sit with uncertainty. I see this pattern constantly—clients who withdraw from loved ones, criticise themselves relentlessly, and spiral into feelings of worthlessness. Recognising the signs of Anger-Driven OCD can help in seeking timely support.

It’s a vicious cycle. Shame makes the obsessive thoughts worse. Worse thoughts lead to more compulsions. More compulsions create more shame. Round and round it goes. Support systems for Anger-Driven OCD must be robust and understanding.

Emotional Meltdowns That Come From Nowhere

Therapists focusing on Anger-Driven OCD often employ diverse strategies for healing. Here’s a statistic that might surprise you. Fifty per cent of people with OCD experience what we call “anger attacks”—sudden surges of rage that come with physical symptoms like racing heart, sweating, and feeling completely out of control. Addressing Anger-Driven OCD can be transformative in the recovery process.

For children, especially, this looks like explosive outbursts over seemingly tiny things. But these aren’t tantrums. They’re responses to a nervous system that’s been pushed beyond its limits. Sometimes it doesn’t even look like anger—it might show up as irritability, emotional shutdown, or crying spells that seem to have nothing to do with OCD. Skills to manage Anger-Driven OCD can lead to lasting change.

But they absolutely do. Ultimately, tackling Anger-Driven OCD is an essential part of recovery.

The Crucial Difference: Intrusive Thoughts vs Real Aggression

Consider the emotional impact of Anger-Driven OCD on daily life. Let’s clear something up right now. There’s a massive difference between having intrusive angry thoughts and actually being aggressive. Research shows that people with harm OCD are actually less likely to be violent than everyone else. Therapists must recognise the impact of Anger-Driven OCD to provide effective care.

The intrusive thoughts create overwhelming anxiety, guilt, and shame precisely because they go against everything you believe in. Compare that to genuine aggressive thoughts, which typically bring satisfaction or indifference to the person having them. Remember, understanding Anger-Driven OCD is the first step towards healing.

Here’s what I tell my clients. Feeling angry is completely normal. Acting aggressively is a choice. The distress you feel about these thoughts? That’s because they clash with your true self—what we call “ego-dystonic” thoughts. With insight into Anger-Driven OCD, clients can reclaim their lives from obsessive thoughts.

Understanding this difference isn’t just academic. It’s essential for getting the right treatment and breaking free from the guilt that keeps so many people stuck. Recognising the role of Anger-Driven OCD allows for a more compassionate approach.

Simple to understand, but not always easy to believe when you’re in the thick of it. With awareness of Anger-Driven OCD, clients can break free from its constraints.

How Anger Actually Fuels Your Compulsions

Ultimately, addressing Anger-Driven OCD is crucial for effective treatment. Here’s something that might shock you. The driving force behind many compulsions isn’t fear—it’s unprocessed anger. Research consistently shows that anger is clearly associated with major obsessive-compulsive symptoms, even when depression is factored out. The implications of Anger-Driven OCD are profound and often overlooked.

Think about it. This connection operates through several sneaky mechanisms that can strengthen compulsive patterns and create massive barriers to recovery. Therapists should strive to understand Anger-Driven OCD’s nuances.

The “I Deserve This” Trap

Anger has this clever way of transforming into what we call “permissive thoughts”—internal justifications that give you permission to engage in compulsions even when you know better. These thoughts sound familiar: “I’ve been through enough today, so I deserve to perform this ritual” or “I’m too frustrated to resist right now”.

Let me paint a picture. Imagine someone who’s made real progress resisting checking behaviours. Then they have a particularly rubbish day filled with anger-provoking situations. Suddenly, they think, “I’ve dealt with so much already; I deserve the relief of checking just this once”.

See what happens there? This permissive thinking creates a dangerous loophole in recovery. That momentary relief? It strengthens the compulsive cycle all over again.

Anger as the Perfect Excuse

Beyond those permissive thoughts, anger provides the most convenient justification for avoiding therapeutic challenges. Studies show that people with checking compulsions often experience profound frustration when their rituals fail to provide lasting certainty. That frustration becomes a handy excuse to keep compulsing.

Here’s what else happens. When compulsions get interrupted, it often triggers anger attacks—sudden spells of autonomic arousal including rapid heartbeat, sweating, and flushing. Afterwards, many people use this emotional distress to justify avoiding future exposure to work: “I can’t handle both anger and anxiety simultaneously”.

This avoidance? It ultimately reinforces OCD’s grip.

The Relapse Connection

Perhaps most importantly, suppressed anger plays a massive role in OCD relapse. Research demonstrates that people with OCD report much higher anger suppression compared to healthy individuals. This suppression stems from an inflated sense of responsibility and difficulty accepting emotions—both key mediators between OCD diagnosis and anger management difficulties.

Freud theorised that suppressed anger leads to hypermorality and exaggerated feelings of guilt and responsibility—both crucial contributors to OCD. People who struggle to express anger appropriately often direct it inward, creating a cycle where compulsions temporarily relieve self-directed rage.

The connection between anger and compulsions creates a treatment paradox. Many individuals with OCD report thoughts like “I don’t deserve to get better” or “I deserve to suffer”. They’re literally sabotaging their own recovery efforts.

Identifying these patterns? That’s a crucial step towards breaking the cycle between anger and compulsive behaviours.

5 Ways to Break Free From Anger-Driven OCD

Right, let’s get practical. You understand the connection now between anger and your obsessive thoughts. But what do you actually do about it?

Here’s what I’ve learned from working with clients here in Edinburgh who’ve successfully broken this cycle. These aren’t just theoretical tools – they’re battle-tested strategies that work when you’re in the thick of it.

1. Call Out Intrusive Angry Thoughts for What They Are

Here’s the thing. The first step isn’t trying to stop the thoughts – it’s learning to recognise them as intrusions rather than genuine concerns. Intrusive thoughts are unwanted, ego-dystonic ideas that don’t align with your values. They feel more intense and revolve around distressing themes that contradict who you really are.

Think of it like this: when an intrusive, angry thought pops up, try labelling it. “Ah, there’s an intrusion” or “Just OCD trying to get my attention again.” This simple act creates distance between you and the thought itself. You’re not the thought – you’re the observer of it.

2. Master the Art of Non-Engagement

Non-engagement responses offer a powerful way to step out of OCD’s mental ping-pong game. Unlike thought suppression, which backfires spectacularly, these techniques involve acknowledging the thought without getting drawn into a debate with it.

I teach my clients to try affirming anxiety: “Yes, I feel anxious right now.” Or affirming uncertainty: “I’ll never know with 100% certainty.” Some even use sarcastic agreement to disarm the power of the thought. The key is responding without feeding the monster.

3. Turn Anger Into Your Recovery Fuel

Instead of viewing anger as something dangerous that must be suppressed, try recognising it as valuable information. Here’s what I tell my clients: turn your frustration toward OCD itself rather than directing it at yourself or others.

Remember, the true enemy is the disorder – not you, and not those around you. One of my clients put it perfectly: “I’m not angry at myself anymore. I’m angry at OCD for stealing so much of my life.” That’s the perspective shift that transforms anger from a destructive force into useful energy for recovery.

4. Find Your Healthy Anger Outlets

Physical activity works brilliantly for many people – think walks, gym sessions, or even aggressive housecleaning. Others benefit from less active approaches, such as journaling, reading, or using sensory techniques like ice packs to calm physiological arousal.

The key is to identify what works for your unique situation and implement it before anger intensifies. Don’t wait until you’re already in the red zone.

5. Practice Emotional Acceptance (Not Emotional Approval)

Acceptance doesn’t mean liking your angry feelings or giving in to them. It means acknowledging their reality without judgment. Research shows that fighting emotions often strengthens them through what psychologists call “paradoxical effects.”

Can you imagine accepting that many things cannot always be exactly how you want them? That’s the mindset shift that lets you release unwinnable struggles to control obsessions through compulsions. Focus on living in the present moment rather than dwelling on past mistakes or future “what-ifs.”

Simple, right? Well, simple but definitely not easy. But these tools work when you commit to using them consistently.

How To Support Someone With OCD and Anger

Here’s something I hear all the time in my clinic. Family members say, “I want to help, but I don’t know what I’m doing wrong. Sometimes they explode at me for things that seem so small.”

Sound familiar? Supporting someone with OCD and anger feels like walking through a minefield sometimes. You want to help, but every step might trigger an explosion. The good news is, there are specific ways you can support their recovery whilst protecting your own wellbeing.

Understanding What’s Really Happening

First thing to remember: their anger usually isn’t about you. Those frustrations typically stem from an overwhelming internal dialogue, not from your actions. People with OCD often experience anger attacks—sudden spells of rage, accompanied by physical symptoms like rapid heartbeat, sweating, and feeling completely out of control. These episodes might seem directed at you, but they’re actually reflecting their battle against distressing thoughts.

Think of it like this. Imagine having a bully in your head constantly telling you terrible things. After hours of fighting that voice, wouldn’t you feel exhausted and irritable? That’s what’s happening when they snap over seemingly minor things.

Setting Boundaries That Actually Help

Here’s the tricky part. Clear boundaries are essential for both your well-being and their recovery. Family accommodation—participating in rituals or providing excessive reassurance—actually makes OCD stronger in the long run.

But how do you say no without making them feel abandoned? I teach families to say something like: “I’m not teaming up with the bully in your brain—I’m supporting your health”. This approach acknowledges their struggle whilst refusing to feed the OCD.

You’re not being mean. You’re being helpful in the way that actually works.

Practical Ways To Support Their Recovery

Here’s what works in my experience. Help them develop strategies for managing difficult moments. Consider creating code words that signal when OCD is taking over. Some families establish contracts where everyone agrees to certain changes, like “We’re not going to avoid driving in the rain anymore”.

Education makes a massive difference, too. Understanding OCD’s illogical nature helps you respond effectively when anger surfaces. The more you understand that OCD is the problem—not them—the easier it becomes to stay calm during difficult moments.

Don’t Forget About Yourself

Here’s something that might surprise you. Taking care of yourself isn’t selfish—it’s essential for their recovery too. Set healthy limits. Take breaks when you need them. As counterintuitive as it seems, maintaining your own well-being actually demonstrates the deepest kind of care.

You can’t pour from an empty cup. And honestly, watching someone model healthy boundaries often teaches them more about recovery than any advice ever could.

Final Thoughts

Well, I hope this has given you a clearer picture of something that’s been hiding in plain sight. The connection between anger and OCD runs much deeper than most people—including many therapists—ever realise.

Here’s the truth. We’ve uncovered how anger silently drives obsessive thinking patterns while staying hidden beneath those more obvious anxiety symptoms. This overlooked emotional component? It’s actually one of the key drivers keeping the OCD cycle spinning.

I’ve seen it manifest differently across every client I work with—from explosive reactions when rituals get interrupted to that self-directed rage that just reinforces shame. Understanding these patterns helps us distinguish between genuine aggression and those distressing intrusive thoughts that define OCD. Remember, 50% of people with this condition experience anger attacks, but these episodes stem from an overwhelmed nervous system, not violent tendencies.

What strikes me most is how recognising anger’s role changes everything. Rather than suppressing these powerful emotions—which often leads straight back to relapse—we can actually turn them into valuable information. Those five practical tools we explored? They give you concrete ways to break this cycle.

And if you’re supporting someone with OCD-related anger, remember this. Family accommodation might feel like you’re helping, but it actually strengthens OCD long-term. Setting healthy boundaries while acknowledging their internal struggle? That’s genuine care.

I won’t pretend that addressing the anger-OCD relationship is easy. But understanding this connection opens up entirely new pathways for recovery. OCD can feel overwhelming, but recognising anger as a potential ally rather than an enemy creates real space for growth.

This isn’t just about managing symptoms—it’s about reclaiming your life from obsessive thinking patterns that have held you back.

You don’t have to let anger fuel your obsessions anymore. You can choose to let it fuel your recovery instead.

What do you think—are you ready to start seeing your anger differently?

Key Takeaways on Anger-Driven OCD

Understanding the hidden connection between anger and OCD can transform your approach to managing obsessive thoughts and breaking destructive cycles.

• Anger affects 50% of OCD sufferers through sudden rage attacks, yet remains overlooked as a core symptom requiring targeted treatment strategies.

• Suppressed anger fuels compulsions through “permissive thinking” – internal justifications like “I deserve this ritual after such a difficult day.”

• Intrusive angry thoughts differ completely from genuine aggression; OCD sufferers are actually less violent than the general population.

• Transform anger from enemy to ally by labelling intrusive thoughts, using non-engagement techniques, and channelling frustration toward recovery efforts.

• Supporting someone with OCD requires setting firm boundaries without shame – family accommodation strengthens the disorder long-term despite good intentions.

The key insight is that anger isn’t something to suppress or fear, but rather valuable information that can guide your recovery when properly understood and channelled.

FAQs

Q1. How does anger relate to OCD symptoms? Anger is closely linked to OCD, with research showing that people with OCD often experience higher levels of trait anger and anger suppression. This emotional connection can intensify obsessive thoughts and fuel compulsive behaviours, creating a cycle that reinforces OCD symptoms.

Q2. Can OCD cause sudden outbursts of anger? Yes, about 50% of people with OCD experience what are known as ‘anger attacks’. These are sudden surges of rage accompanied by physical symptoms like rapid heartbeat and sweating. These outbursts are often a response to interrupted compulsions or overwhelming anxiety rather than genuine aggression.

Q3. How can I manage anger-driven OCD? There are several effective strategies for managing anger-driven OCD. These include recognising and labelling intrusive thoughts, using non-engagement techniques, reframing anger as a signal rather than a threat, channelling anger into healthy outlets, and practising emotional acceptance.

Q4. Are people with OCD more likely to be violent due to anger? No, research consistently shows that people with OCD, particularly those with harm-related obsessions, are actually less likely to be violent than the general population. The anger and intrusive thoughts experienced in OCD cause distress precisely because they contradict the person’s true values and character.

Q5. How can I support someone with OCD who struggles with anger? Supporting someone with OCD and anger involves understanding their internal struggle, setting clear boundaries without shame, and encouraging the use of coping tools. It’s important to avoid family accommodation (participating in rituals or providing excessive reassurance) as this can strengthen OCD in the long term. Instead, focus on validating their struggle while promoting healthy coping strategies.

References:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Cludius, B., Mannsfeld, A. K., Schmidt, A. F., & Jelinek, L. (2021). Anger and aggressiveness in obsessive-compulsive disorder (OCD) and the mediating role of responsibility, non-acceptance of emotions, and social desirability. European Archives of Psychiatry and Clinical Neuroscience, 271(6), 1179–1191.
Freud, S. (1909). Notes upon a case of obsessional neurosis. In J. Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud. Hogarth Press.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford Press.
Lebowitz, E. R., & Bloch, M. H. (2012). Family accommodation in obsessive-compulsive and anxiety disorders: A five-year update. Expert Review of Neurotherapeutics, 12(2), 229–238.
National Institute for Health and Care Excellence. (2005). Obsessive-compulsive disorder and body dysmorphic disorder: Treatment (Clinical guideline CG31). National Institute for Health and Care Excellence.
Painuly, N. P., Grover, S., Mattoo, S. K., Gupta, N., & Lakdawala, B. (2011). Anger attacks in obsessive compulsive disorder. Industrial Psychiatry Journal, 20(2), 115–118.
Penzel, F. (n.d.). How I treat OCD killer thoughts: Treating violent obsessions. International OCD Foundation.
Rachman, S. (1993). Obsessions, responsibility and guilt. Behaviour Research and Therapy, 31(2), 149–154.
Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35(9), 793–802.
Rodrigue, M. P. (2023, July 27). Harm OCD vs. being dangerous. Anxiety and Depression Association of America.
Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., Larson, M. J., Fernandez, M., & Grabill, K. (2007). Family accommodation in pediatric obsessive-compulsive disorder. Journal of Clinical Child & Adolescent Psychology, 36(2), 207–216.
Wegner, D. M. (1994). Ironic processes of mental control. Psychological Review, 101(1), 34–52.
Wegner, D. M., Schneider, D. J., Carter, S. R., III, & White, T. L. (1987). Paradoxical effects of thought suppression. Journal of Personality and Social Psychology, 53(1), 5–13.
Whiteside, S. P., & Abramowitz, J. S. (2004). Obsessive-compulsive symptoms and the expression of anger. Cognitive Therapy and Research, 28(2), 259–268.
Whiteside, S. P., & Abramowitz, J. S. (2005). The expression of anger and its relationship to symptoms and cognitions in obsessive-compulsive disorder. Depression and Anxiety, 21(3), 106–111.
Zhang, Y., Gong, H., Zhang, X., Liu, W., Jin, H., Fang, F., Schneider, S., McIngvale, E., Zhang, C., Goodman, W. K., Sun, X., & Storch, E. A. (2019). Incidence and clinical correlates of anger attacks in Chinese patients with obsessive-compulsive disorder. Journal of Zhejiang University-SCIENCE B, 20(4), 363–370.