Is OCD a Form of Autism? Understanding the Differences | Epic Minds Therapy

Obsessive-Compulsive Disorder (OCD) and Autism Spectrum Disorder (ASD) are sometimes confused because they share overlapping traits, such as repetitive behaviors, strict routines, and intense focus on certain thoughts or activities. However, OCD is not a form of autism.

OCD is classified in DSM-5/DSM-5-TR under Obsessive-Compulsive and Related Disorders (OCRD), a category distinct from anxiety disorders. The condition is defined by intrusive, distressing thoughts (obsessions) and repetitive behaviors (compulsions) that are performed to reduce anxiety. For example, someone with OCD may feel the need to wash their hands repeatedly to relieve fear of contamination.

In contrast, autism is a developmental condition that affects communication, social interaction, and behavior from early childhood. Repetitive behaviors in autism, such as rocking or lining up toys, are often comforting or a way to self-regulate, rather than driven by intrusive fears.

While the two conditions are separate, they can co-occur, which may complicate diagnosis. Understanding the differences is important for parents, caregivers, and clinicians, as treatment strategies vary.

At Epic Minds Therapy, we specialize in evidence-based approaches tailored to each child’s unique needs, helping families navigate both autism and related challenges.

Frequently Asked Questions

Is OCD the same as autism?
No. OCD and autism are two distinct conditions, though they can share overlapping behaviors such as repetitive actions or routines.

What category does OCD fall under?
According to DSM-5/DSM-5-TR, OCD is classified under Obsessive-Compulsive and Related Disorders (OCRD), separate from anxiety disorders.

Can a person have both autism and OCD?
Yes, some individuals may experience both conditions, and this can make diagnosis and treatment more complex.

Sources:

• https://www.mayoclinic.org/diseases-conditions/obsessive-compulsive-disorder/symptoms-causes/syc-20354432
• https://www.medicalnewstoday.com/articles/ocd-vs-autism
• https://www.mayoclinic.org/diseases-conditions/autism-spectrum-disorder/symptoms-causes/syc-20352928
• https://pubmed.ncbi.nlm.nih.gov/25581239