The obsession in tic-related OCD is almost always related to:

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The obsession in tic-related OCD is usually related to symmetry, such as the need to perform tics in a specific order or number, or to have bodily sensations feel symmetrical on both sides. While self-harm and unacceptable behavior can be obsessions in OCD, they are typically not specific to tic-related OCD. Cleaning may be an obsession in OCD, but it is not usually associated with tic-related OCD.

The Obsession in Tic-Related OCD Is Almost Always Related To