Annette is very afraid of germs and disease, so much so that she washes her hands over 100 times a day to make sure that she avoids infection. Usually she doesn't show much anxiety, but if she is in a place where she is unable to clean her hands, such as the wilderness, she can become very distressed and upset. Annette would most likely be diagnosed as having

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Annette's behavior of excessively washing her hands over 100 times a day due to a fear of germs and disease, along with significant distress when unable to perform this ritual, aligns with the symptoms of Obsessive-Compulsive Disorder (OCD). OCD is characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.

Annette Is Very Afraid of Germs and Disease, So Much