Neural Explanations: Brain Circuits Gone Wrong
The orbitofrontal cortex (OFC) acts like your brain's alarm system, detecting threats and sending worry signals to get you moving. Normally, the caudate nucleus steps in like a sensible friend, suppressing unnecessary alarms once you've dealt with the problem.
But in OCD brains, this system breaks down catastrophically. The caudate nucleus becomes underactive or faulty, failing to switch off those worry signals. It's like having a fire alarm that won't stop ringing even when there's no fire.
This creates a vicious cycle where the OFC keeps screaming about threats, driving you to perform compulsions that never actually silence the alarm. Your brain literally can't feel that the threat has passed, explaining why people with OCD know their behaviour is irrational but can't stop it.
💡 Think of it: Like a broken thermostat that can't tell when the house is warm enough, so the heating never switches off.