“…An overview explanation for the pathogenesis of OCD is that genetic susceptibility, in the face of anxiety or stress, promotes the release of opioid precursors and ACTH, activating a cascade of neurophysiological events that prime dopaminergic, noradrenergic, and/or glutamatergic excitatory pathways (Van Wimersma Greidanus, et al, 1985). The compulsion ultimately arising will be governed by the brain region and neurotransmitter system activated.…”