The beginning of obsessions and compulsions in OCD can often be traced to a stressful event or life change that led to greater responsibilities, such as a new job, the birth of a child, or even puberty. These events can inflate the person’s sense of responsibility, generating anxiety and a desire to ensure that they don’t let themselves and others down by allowing bad things to happen. Case studies show that compulsions sometimes disappear in a hospital or lab setting, as the patient feels the burden of responsibility has been transferred to others.