Yes, she has OCD and you asked about negative affects...I took her to see a phychologist a couple of times when she was in high school, not for alphabetizing, but for..I know this sounds strange...but when she was in school taking exams, concentrating really hard, she would hear the answers "screamed" to her. The first time it happened, she jumped out of her seat & looked at the back of the room thinking someone was screaming. Everyone else was just sitting there taking their test and she realized that she was the only one who heard it. Freaked her out. Me too! But at least it was scream