Types of Thoughts in OCD Ego syntonic thoughts align with an individuals self image and values making them less likely to cause distress However in OCD they can lead to obsessive thoughts and compulsive actions that interfere with daily life Ego dystonic thoughts on the other hand clash with an individuals self perception and values causing significant anxiety and discomfort Recognizing these thoughts as a symptom of OCD rather than a reflection of individuals desires is key to understanding and treating the disorder