Might mean (unverified): Obsessive need for exact symmetry.
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We found one dictionary that defines the word symmetrical OCD:

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  1. symmetrical OCD: Wiktionary

Definitions from Wiktionary (symmetrical OCD)

noun:  (medicine, psychology) A form of obsessive-compulsive disorder (OCD) in which the sufferer's compulsions are demonstrated by an irrational desire for symmetry in their life.

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