She was just diagnosed a few months ago, and its severe as far as hand washing and the like, shes paranoid about leaving the house and going places without checking her bear to be sure shes ready, double checking her meds, and her oxygen, and she is so severely detail oriented that she has to detail every minute thing or she doesn't know how to function in a conversation. Its startling how small details often cross our vision without notice, but she sees them and hears them.