The phrase "I have OCD and cannot keep calm" defines the core of this disorder: restlessness due to anxieties, which trigger obsession thoughts/compulsive actions. The idea of dividing the text inside the lines conveys one of the common OCD symptoms: everything has to be in order and exactly inside the lines. Anything outside them creates distress. The black and white backgrounds represent the dihcotomic perception, and the text laid in circles conveys the repetitive thoughts that are usually occur in loops.