Handwashing - how much is too much?

Many people with OCD I have worked with have described compulsively washing their hands. This habit can become excessive, at times resulting in raw and broken skin. There are two ways that handwashing can get out of control: 1) time spent washing, and 2) frequency of washing.

Excessive handwashing may be the single most common observable symptom of OCD, and is probably the behavior most commonly associated with OCD. But how much is too much? Many people with OCD become quite comfortable washing their hands several times per day. However, the frequency of handwashing can sometimes escalate, becoming a real impediment to living a "normal" life. By the time someone with compulsive handwashing seeks help, they often say that they have forgotten how often a "normal" person will wash their hands.

A good guideline for typical handwashing situations is as follows: after using the restroom, before inserting contact lenses, and before eating. A good guideline for the typical length of time it takes to wash one's hands is fifteen seconds, including time to wet hands and apply soap. If you or someone you know is washing your hands in excess of this, it may be helpful to get a consultation with a professional. This is especially true if handwashing is getting in the way of leading your (or their) life.