This is a subtype of OCD (obsessive-compulsive disorder) characterized by recurrent, distressing thoughts or images of having hit someone with a vehicle and not stopping to help. These thoughts or images may be accompanied by intense feelings of guilt, shame, and anxiety.

Individuals with hit-and-run OCD may experience a variety of compulsions in response to their obsessions. Some common compulsions include checking the news for reports of hit-and-runs, repeatedly retracing one's steps to ensure that no one was hit, and confessing to friends or family members about the imagined hit-and-run.