Coexisting Axis I diagnoses in primary OCD are major depressive disorder (67%) (3,14), simple phobia (22%), social phobia (18%) and eating disorder (17%) . Major depressive disorder, which as we have noted, is the most prevalent coexisting Axis I diagnosis with primary OCD, can clearly develop as a secondary disorder among individuals who find themselves wasting long hours each day washing or checking or obsessing on a persistently recurring thought, which prevents them from leading fully productive lives.

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