The symptoms typically associated with obsessive compulsive disorder (OCD) include obsessions that are intrusive and unwanted and that cause marked anxiety or distress as well as compulsions that are aimed at preventing or suppressing the distress related to the obsessive thoughts. Compulsions can be repetitive behaviors (e.g., hand washing, checking) or mental acts (e.g., praying, counting).

Violence is categorized as psychotic, impulsive, or psychopathic. The most common form is impulsive and the least common is psychopathic. Approximately 20% of violent acts are of the psychotic variety.

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