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H3: Common Obsessions and Compulsions Common obsessions may include: Fear of germs or contamination Fear of harming yourself or others Fear of making mistakes Need for certainty or perfection Unwanted aggressive, sexual, or disturbing thoughts Fear of losing control Excessive concern about safety Common compulsions may include: Repeated hand washing or cleaning Checking locks, doors, or appliances multiple times Repeating words, prayers, or mental rituals Counting objects or actions Arranging items in a specific order Seeking constant reassurance from others Repeating tasks until they feel "just right" These behaviors may provide temporary relief, but they often strengthen the cycle of OCD over time

of this final rule with comment period for a discussion of the conversion of APC costs to scaled payment weights