The evolution of treatment for obsessive compulsive disorder (OCD) began with traditional strategies for managing mental illness; before the practice of psychotherapy was really developed, disorders like OCD were viewed as spiritual or moral issues, with the problem being the thoughts themselves, rather than the sufferer’s relationship to them. Then, following the emergence of the psychoanalytic model, talk therapy became the new standard of treatment for coping with obsessions and compulsions: in it, they were treated as symbolic manifestations of subconscious problems.