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Repetitive behavior in folks with ASD is often self-soothing and regulatory, she says, such as hand flapping or lining up objects. But for people with OCD, repetitive behaviors are often related to compulsions that are ego-dystonic [ i.e., thoughts, impulses, and behaviors that are inconsistent with who we are] in nature. Therefore, continues Delventhal, folks with OCD do not find the compulsion inherently soothing, but necessary to reduce the anxiety they are experiencing. Still, people with both autism and OCD can have heightened awareness and discomfort with sensory input, fueling repetitive behaviors, she says