@uncle
Perhaps you should read this:
http://www.ocfoundation.org/EO_TS.aspx
To highlight the relevant bit about Tourettic OCD:
Quote:
Distinguishing Features of TOCD
Because it is closely akin to T/TS, symptoms of TOCD, like those of many tics are preceded by prodromal sensations characterized by somatic discomfort, not anxiety. Unlike true OCD, in which cognitions (obsessions) lead to an emotional (affective) state and typically, fear of the content of the obsession, TOCD sufferers report discomforting sensory experiences such as physical discomfort in body parts including hands, eyes, stomach, etc., or a diffuse psychological distress or tension, for example, “in my head” or “in my mind.” These localized or general discomforts in the TOCD sufferer tend to be relieved by varieties of motor responses including “evening things up,” doing things to certain numbers, positioning items, touching and retouching things, doing things symmetrically and so on, typically with the requirement that these actions are performed “just so” or “just right” in order to alleviate the somatic/ psychological discomfort. Unlike reports of subjective experiences associated with classic forms of OCD, individuals describe a relative absence of fear or concerns about catastrophic consequences occurring should the required actions not be performed. Instead there are likely to be concerns that the discomfort might be intolerable or unending if the actions were left undone or done poorly. Some TOCD sufferers may report a vague sense that “something bad might happen” if required actions are not performed but they typically lack the more elaborate obsessional features of the typical OCD sufferer. Also, the required actions do not function in the modulation of anxiety and/or prevention of catastrophic consequences typical of compulsions in OCD. TOCD characteristic symptoms can appear alone or can exist in combination with classic OCD symptoms. Other writers have noted such clusters of symptoms in clinical populations and have variously referred to them as “cognitive tics,” “sensory-based rituals,” “sensory fulfillment,” and “Factor II OCD.”
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Severe Tourette's With OCD Features.
Reconsidering ASD, I might just be NVLD.