The Familial Burden: Recognizing Obsessive-Compulsive Disorder Through Proxy Family Members

The study highlights six cases in which obsessive-compulsive disorder (OCD) in a primary patient was recognized through distress or behavioral changes in a family member. Common themes included compulsive behaviors that led to physical and emotional strain on relatives, leading them to seek medical attention. This underscores the indirect impact of OCD on family members, emphasizing the bio-psycho-social interplay in symptom manifestation and caregiving dynamics. Familial accommodation often perpetuates compulsions, as seen in caregivers assuming proxy roles. Genetic predisposition, cognitive distortions, and cultural influences shape OCD's expression and management. Interventions such as psychoeducation and family-based cognitive-behavioral therapy (CBT) can reduce family accommodation, fostering better outcomes. The cases underscore the importance of systemic approaches, early diagnosis, and addressing caregiver burden to mitigate OCD's ripple effects, emphasizing the need for holistic and family-inclusive care.