American nation music sensation Luke Combs received actual about his battle with obsessive-compulsive dysfunction and anxiousness, in addition to the challenges of being on the street, in a current interview with 60 Minutes Australia.
“Mine is extra of an obscure type of OCD,” the 35-year-old singer mentioned, describing the dysfunction typically known as “purely obsessional” or “pure O.” Nonetheless, there may be some scientific disagreement over the usage of the time period and subtype, with some calling it slang.
Combs described the situation as “significantly depraved as a result of there is no such thing as a outward manifestation of it.” He mentioned he can expertise every part from intrusively violent ideas to ideas about faith, and concentrate on questions that do not have a solution.
“It is actually questions on who you might be as an individual that you simply actually cannot ever get a solution to … and that is what fuels the anxiousness,” he mentioned.
Pure O is a kind of subtypes of OCD by which individuals expertise disturbing, undesirable ideas that can trigger anxiousness, mentioned Sarah Innes, a psychotherapist on the Canadian on-line remedy observe Shift Collab.
“However as an alternative of performing these apparent bodily rituals that we see with different subtypes, reminiscent of checking or symmetry, they’re going to be participating in psychological rituals — so over-analyzing their ideas, looking for reassurance or avoiding psychological triggers,” she mentioned.

Innes mentioned the pure O type of OCD shouldn’t be unusual and is not much less extreme than different varieties, however it’s more durable to diagnose because the signs are extra inner and the compulsions might not be as apparent.
Combs described the debilitating method the dysfunction features, explaining {that a} actually dangerous flare-up might have him fixating on ideas for 45 seconds of each minute for weeks.
“It is ideas that you simply basically do not need to have that you simply’re having, after which they trigger you stress,” he mentioned, explaining the vicious cycle. “And then you definately’re confused up and the stress causes you to have extra ideas. You do not perceive why you are having them and also you’re attempting to eliminate them, however attempting to eliminate them makes you have got extra of them.
“It’s totally tedious to tug your self out of it…. I am fortunate to be an professional in the way to get out of it now, however I really feel for those who battle with this.”
Rise to fame
The eight-time Grammy nominee — who shot to fame in 2017 together with his debut single Hurricane, which bought 10,000 copies in simply the primary week — described his dash to the highest of nation music as “a loopy 10 years.”
His viral cowl of the 1988 Tracy Chapman track Quick Automotive topped charts in 2023, and he went on to carry out the track with Chapman throughout the 2024 Grammys. Amongst his a number of wins are 9 Nation Music Affiliation awards and three Academy of Nation Music awards.
WATCH | Tune that shot Combs to fame:
Combs, a local of North Carolina, mentioned his light-bulb second got here the summer time after he turned 21, when he moved on from being within the choir to choosing up his guitar and singing.
A flare-up might hit whereas on stage, and “when it hits, it may be all consuming,” mentioned Combs, who’s at the moment on tour.
He described the way it held him again so many instances when he was attempting to perform one thing and doing rather well, “however then you have got a flare-up and it simply ruins your entire life for six months, and then you definately’re again to the place you began.”
Is pure O legit?
Relating to this specific sort of OCD, there appears to be an absence of readability and a few dissension within the skilled group, with some saying pure O shouldn’t be an precise time period however slang.
“Pure O shouldn’t be one thing that lots of people have an understanding of,” Innes, with on-line remedy observe Shift Collab, mentioned.
“Relating to OCD, it’s typically misunderstood, and lots of people do not even understand that there is a number of subtypes that go together with that prognosis.”

Pure O can also be not a time period utilized by many psychological well being organizations or the Diagnostic and Statistical Guide of Psychological Issues (DSM).
“It isn’t an official diagnostic time period that OCD consultants use, however it’s a time period that is getting used colloquially,” Martin Antony, a psychology professor at Toronto Metropolitan College, mentioned.
“To get a prognosis of OCD, one must have obsessions or compulsions. So you do not want each, though most individuals with OCD have each obsessions and compulsions,” he mentioned.
Pure O might typically be deceptive, because it’s only a type of OCD with out bodily compulsions, Innes mentioned. However individuals with the subtype nonetheless expertise psychological compulsions.
WATCH | Combs talks about stardom and the struggles:
“This psychological battle is simply as distressing for the purchasers as a bodily compulsion. However as a result of it isn’t essentially seen, it is simply ignored or might be invalidated,” she mentioned.
“Therapy for pure O sometimes entails cognitive behavioural remedy, which is known as CBT, and one thing referred to as publicity and response prevention, which we discuss with as ERP,” Innes mentioned, including that individuals typically take treatment when wanted.
Having struggled with the situation for years, Combs mentioned he now is aware of the way to deal with it and never be afraid.
“The message is that if there’s somebody on the market that is battling it, it is doable to proceed to stay your life and be actually profitable and have a fantastic household and obtain your goals, whereas additionally coping with issues that you do not need to be coping with.”
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