It is a little different that that. He goes to the kitchen sink, turns on the water, puts his left hand (just fingers) under the stream for a split second, then turns off the water. No soap involved. He does this multiple times throughout the day, and it must be the last thing he does before going to bed, or he will not be able to sleep. His Primary Care made a referral back in April to see a psychologist. We have called many time over the past few months, and the secretary answers, takes our number, and says they will call back. But we never get a call back.