Almost two decades ago, impulse control disorders (ICD) was a part of the obsessive compulsive spectrum (Grant et al 2006). How clinicians conceptualize OCD and impulsive control disorders are quite different now. Impulse issues have long been a source of frustration for some individuals with OCD. Many people who have OCD (not all) often struggle, not knowing if their urges will eventually turn into behaviour that will implicate them in the future. For instance, a person with Harm OCD may struggle with the urge to grab a knife and hurt a family member or a person with Incest OCD may become anxious with sexual urges around their siblings. What we are aware of now is that there isn’t a significant overrepresentation of impulse control disorder symptoms in OCD patients. Despite OCD patients reporting urges and impulses, there are clear distinctions that are made that separate OCD patients from those with impulse control issues.