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Does the main character in Turtles All the Way Down have OCD?

Published in Literary Character Analysis 4 mins read

Yes, the main character in John Green's novel Turtles All the Way Down, Aza Holmes, lives with anxiety and obsessive compulsive disorder (OCD).

Aza's internal struggles with her mental health are a central theme of the book, offering a poignant and detailed portrayal of living with OCD.

Understanding Aza's Experience with OCD

Throughout Turtles All the Way Down, Aza Holmes grapples with the intense and often debilitating symptoms of obsessive-compulsive disorder. Her condition is characterized by an ongoing cycle of intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) performed to alleviate the distress caused by these thoughts.

Aza's specific manifestations of OCD primarily revolve around a profound fear of infection and contamination, as well as an overwhelming internal monologue about her own existence and the concept of "self." These obsessions frequently pull her into spiraling thought patterns, making it difficult for her to engage with the external world and form connections.

Key ways Aza's OCD manifests include:

  • Fear of Contamination: A pervasive dread of germs, bacteria, and illness, leading to avoidance of physical touch, sharing food, or being in certain environments.
  • Compulsive Rituals: She frequently engages in a ritual of opening and cleaning a callus on her finger, sometimes to the point of pain, as a way to "drain" perceived infections or internal contaminants. This often involves cleaning it with hand sanitizer, a temporary attempt at control.
  • Intrusive Thought Spirals: Aza's mind is often consumed by philosophical and existential questions, particularly about the nature of her own consciousness and the idea of being trapped inside herself. These thoughts are involuntary and intensely distressing.
  • Anxiety and Panic Attacks: The constant battle with her obsessions and compulsions leads to significant anxiety and, at times, debilitating panic attacks, especially when her control over rituals is disrupted.
  • Difficulty with Intimacy: Her fear of contamination and internal struggles often create barriers in her relationships, making it challenging to experience physical and emotional closeness with others.

These symptoms illustrate a realistic depiction of how Obsessive-Compulsive Disorder (OCD) can profoundly impact an individual's daily life and perceptions.

How OCD Shapes Aza's World

Aza's OCD doesn't just affect her internal state; it significantly alters her interactions, decisions, and overall experience of life. The constant battle against her own mind influences her friendships, her burgeoning romantic relationship with Davis, and her ability to participate in everyday activities.

Aspect of OCD Aza Holmes' Experience in the Novel
Obsessions Intense fear of infection, internal spirals about self, the "self as a bacteria," fear of losing control, existential dread.
Compulsions Repeatedly opening and cleaning a callus on her finger, internal thought loops and mental rituals to gain control, resistance to eating certain foods due to germ fears.
Anxiety & Panic Persistent worry, heightened stress responses, social avoidance, and panic attacks triggered by overwhelming thoughts or perceived threats.
Impact on Relationships Difficulty with physical touch, challenges in forming deep emotional connections due to her internal focus, and perceived isolation.

Her condition is not merely a character quirk but a fundamental aspect of her being, shaping her narrative and driving much of the plot's emotional depth.

The Author's Portrayal of Mental Health

John Green, having openly spoken about his own experiences with OCD, deliberately crafted Aza's character to offer an authentic and sensitive portrayal of mental illness. The novel does not romanticize or simplify OCD but presents it with its full complexity, showcasing the constant vigilance and internal suffering it entails. This dedication to realism has made Turtles All the Way Down a significant work in young adult literature for its honest depiction of mental health challenges.

By experiencing the world through Aza's perspective, readers gain insight into the overwhelming nature of obsessive thoughts and the difficulty of finding solace when your own mind feels like an enemy.