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Phytochemistry (2001) 56:551.10.1016/S0031-9422(00)00316-2 2 AgerbirkNOlsenCE

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Now, while OCD does not inherently impact social communication or learning, she explains that the rituals and obsessions can impact access to learning and working. These rituals and obsessions can also affect basic Activities of Daily Living, or ADLs (such as eating, sleeping, going to the bathroom, commuting, etc) due to the time needed to engage in them. In addition, OCD can have a significant impact on ones social life since the rituals and obsessions can preclude spontaneity, as well as trigger anxiety around potential germs or contamination

However, there is no restriction on the availability of materials and data from the corresponding author on reasonable request