Pure O, or purely obsessional OCD, is one of the most misunderstood forms of OCD. Unlike visible compulsions like hand-washing, Pure O involves hidden mental rituals—rumination, mental checking, thought analysis, and neutralizing. These mental compulsions are just as real and disruptive as physical ones. Many sufferers don't realize they have OCD because their compulsions aren't obvious. The crucial revelation: mental rituals ARE compulsions, and Pure O is highly treatable wi