Obsessive Compulsive Disorder (OCD) frequently presents a diagnostic challenge in primary healthcare (PHC). Patients often endure a diagnostic delay of over a decade, with many presenting first in high volume clinics with vague anxiety or somatic complaints. In thepressure of busy primary care setting, OCD is often masked by generalized anxiety, leading to misdiagnosis and suboptimal treatment outcomes. This presentation aims to analyze the clinical masks of OCD and identify the systemic barriers in high volume clinics that hinder early detection. We will explore the paradox of reassurance seeking a common PHC interaction that can inadvertently reinforce OCD cycles. The session provides a practical framework for family physicians to differentiate between functional worry and pathological obsessions within a brief consultation model. Participants will be introduced to a rapid screening approach designed to unmask OCD during routine visits without disrupting clinic workflow. By refining the diagnostic lens of the family physician, we can shift from symptomatic management to life changing clinical interventions, significantly reducing the long term burden of this hidden disorder.