It may be connected to an imbalance in a brain chemical called serotonin. Serotonin is involved in sending impulses from one nerve cell to the next and in regulating repetitive behavior. Family history of the disorder. There are no medical tests to diagnose the disorder. Often the patient's description of the behavior offers the best clues to diagnosis.
Family therapy is important to help educate relatives.
Anxiety and panic-like episodes. See Resources for Additional Information. Complete benefits may not be seen for 10-12 weeks. Antianxiety or tranquilizer drugs may be prescribed. The doctor will advise you if this is necessary.