When Nathan was in high school, his obsessive compulsive disorder derailed his education. He suffered from a version called pure obsessional, or pure O. Along with typical OCD rituals, like handwashing or hoarding, people with pure O are also plagued with unwanted mental imagery, much of it violent or grotesque.
Nathan found the strength to handle different stresses-OCD, academic pressures-simultaneously. When he started getting the A grades that had eluded him in high school, he felt deeply proud.
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