Delusional drive, but not delusion?

I have almost a compulsive drive for something, feels a bit delusion although there aren’t any beliefs involved. I’m looking for a word for it?

I have a NEED to donate blood or organs. I’m terrified of dying in a way that renders my organs useless for others, and the bloodbank’s rejection ofe due to my meds made me really sad.

I feel like I have s compulsion I can’t fulfill. The drive almost feels delusional due to the intensity.

What’s the word for thid?

Obsession? Sevrre ruminatiin?

Look under Content-though disorder.
Preoccupation is a symptom of this kind of thought disorder.

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