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Luke Combs Details 'Pure O' OCD in Armchair Expert Interview

His account spotlights a largely invisible presentation of OCD, which he works to manage through therapy alongside dietary shifts.

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Overview

  • Combs used his Aug. 18 appearance on Dax Shepard’s Armchair Expert to describe primarily obsessional OCD driven by intrusive thoughts and mental rituals rather than visible compulsions.
  • He said the condition can dominate daily life, estimating it can occupy over 90% of a day, and he rejected the idea that it provides any professional advantage.
  • Combs was diagnosed at 21 after starting therapy in high school, where he was initially told he had generalized anxiety.
  • He said ongoing therapy remains central to his care and that preventive steps, including removing gluten and leaning on parenting routines, have helped reduce symptoms over time.
  • A YouTube clip of the conversation drew praise from fans for his openness, drawing attention to a less visible OCD presentation that is not classified as a separate diagnosis in the DSM-5.