What causes magical thinking OCD? The exact cause of OCD is not known, but researchers believe factors may include: Genetics Brain structure and functioning Environment OCD symptoms can also develop in some children after a streptococcal infection. This condition is known as PANDAS syndrome (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections). How prevalent is magical thinking OCD? OCD affects about 2.2 million adults in the United States (about 1% of the population). Magical thinking OCD is not a clinical diagnosis in the DSM-5, but it is a very common way OCD manifests.
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