Shannon L. Alder once said,  Sensitive people usually love deeply & hate deeply. They don't know any other way to live than by extremes because their emotional thermostat is broken. 

Sometimes certain thoughts & habits become so addictive at times that even while being aware of its futility the person fails to resist from indulging in it. Obsessive Compulsive Disorders can be extremely debilitating & can easily thwart subjective well-being. The main features of this illness are obsessions and compulsions.

Obsessions are certain thoughts, doubts, images or urges that occur in one's mind. These are unwanted, repetitive by nature. Most people with OCD realize that obsessions are senseless, irrational, or excessive, but they are unable to ignore or suppress them. They would attempt to resist and control them, but would not succeed. Obsessions cause significant distress and anxiety to the sufferers and as a result cause interference in their day to day functioning.

Compulsions are repetitive acts that the person is driven to carry out in spite of knowing that they are meaningless, unnecessary or excessive. Compulsions are usually in response to obsessions. For example, a person with an obsessive fear of contamination washes hands repeatedly in order to ensure that his or her hands are clean. The person attempts to resist repeated hand-washing, but gives in to the urge so as to relieve him or herself of the anxiety or discomfort. Persons with OCD often perform certain acts repeatedly to avoid some dreaded event or to prevent or undo some harm to themselves or others. For instance, touching the floor even number of times to prevent an accident.

They are aware most of the time that the activity is not connected in a logical or realistic way with what was intended to be achieved, or that it may be clearly excessive (as in the case of hand-washing compulsions), but cannot control them as they reduce anxiety, at least transiently.

Common Symptoms in OCD:

Some common obsessions-

- Fear of getting dirty, contaminated or infected by persons or things in the environment.

- Blasphemous thoughts.

- Thoughts of harming or killing others or oneself.

- Doubts that a task or assignment has been done poorly or incorrectly.

- Recurring thoughts or images of sexual nature.

- Fear of blurting out obscenities.

- Fear of developing a serious life-threatening illness.

- Preoccupation to have objects arranged in a certain order or position.

Some common compulsions:

- Repeated hand-washing, taking unusually long time to bathe, or cleaning items in the house.

- Ordering or rearranging things in a certain manner.

- Checking locks, electrical outlets, gas knobs, light switches etc. repeatedly.

- Repeatedly putting clothes on, and then taking them off.

- Counting over and over to a certain number.

- Touching certain objects in a specific way.

- Repeating certain actions, such as going through a doorway.

- Constantly seeking approval (especially children)

What are not obsessions?

The common usage of the word obsession as in,  he is obsessed with music  is not an obsession as used in the context of OCD. Here the person indulges in the activity with complete will, has control over them and derives pleasure out of the activity.

When one is fired from a job or loses someone close to them, it is natural to brood over the event. However, these thoughts are not considered as senseless or irrational, though they may cause some discomfort. Similarly, a person appearing for an examination may feel anxious and worry about the results, which could occupy considerable amount of his time. These thoughts, though unwelcome, are under his control and not experienced as senseless. The above experiences are obviously not obsessions. The common usage of the word obsession as in,  he is obsessed with music  is not obsession as used in the context of OCD. Here the person indulges in the activity with complete will, has control over them and derives pleasure out of the activity.

Treatment:

Your clinical psychologist might subject you to anyone from a variety of treatment strategy available based on the severity of the condition and course of illness. Client specific psychological treatment is recommended according to unique triggers and patterns of obsessions/compulsions.

Cognitive Behavioral therapy comprises of a variety of techniques used to modify or replace maladaptive thoughts, emotions and behaviors with more adaptive forms of the same. Obsessions and compulsions seen in OCD are examples of maladaptive behaviors as they cause significant distress and interfere with normal functioning of an individual. Behavior therapy helps to remove obsessions and compulsions and thereby ameliorate the distress.

In treating OCD several CBT techniques are used. One of them,  Exposure and Response Prevention (ERP) , is the most effective and widely used technique.

Obsessive Compulsive Disorder (OCD) - All You Should Know!

Being a perfectionist is not wrong until it does not stop you from working according to your priorities. However, when you struggle to go on with your regular routine and seem to concentrate on one particular thing, again and again, it is time you seek expert advice.

Obsessive-compulsive disorder or OCD is a medical term that refers to obsessions or excessive thoughts leading to compulsions of repetitive behaviours. A person suffering from OCD usually has recurring thoughts that he or she has no control over, which leads to developing uncountable urge of repeating behaviours over and over.

The condition is long-lasting and chronic, and when not attended to as early as possible, usually brings in difficulties to the patient in leading a normal life. Continue reading to know about its symptoms and how it can be diagnosed.

Symptoms
The symptoms of OCD can be divided into two types, symptoms of obsession and the other is symptoms of compulsion.

Obsession Symptoms:

Spending more than normal time on one s obsessions, which results in disrupting one s social, professional, and personal activities.
Having the same images, urges, and thoughts again and again which the patient has no control over.
Losing the control over his/her anxiety and anger and acting on the urge of harming others or one s self.
Having unwanted and inappropriate sexual thoughts, especially developing obsessions with incest and homosexuality.
Being extremely obsessive and concerned about the fear of contamination that includes threats from the germs, dirt and even body fluid.
Compulsion Symptoms:

Constant cleaning and washing, especially washing one's own hands again and again.
In cases of mental compulsions, tendency to repetitively review events mentally, repetitive praying for harm prevention, etc.
Repetitively checking of the body parts or things around to be sure that nothing has happened to them.
Repeating routines such as reading the same page over and over.
Diagnosis
Diagnosis of obsessive-compulsive behaviour may consist one or various medical examinations that include,

Physical examination: Physical examination is performed in order to eliminate the probability of the presence of any other complications or illnesses.
Psychological evaluation: Psychological evaluation is all about discussing the feelings, thoughts, symptoms, and behaviour of the patients.
Laboratory-based tests: Usually, a complete blood count or CDC is included in the lab tests where the presence of drug or alcohol and the function of the thyroid is analysed.
Reference to the OCD diagnostic criteria: This step includes referring to the standard OCD diagnostic criteria to determine whether the patient is suffering from OCD or not.
Affecting people of all ages, OCD traps its victims in a cycle of compulsions and obsessions. Though a complete cure to this illness has not yet been discovered, still, with right treatment at the right time can be very effective in controlling of the symptoms while helping the patient to lead a normal life.

Depending upon the condition of the patient, the severity, and type of OCD, a psychiatrist can offer the best treatment in the form of therapies or talk sessions, or medications or a combination of both.

A Brief Overview Of Obsessive-Compulsive Disorder, Its Symptoms, And Diagnosis!

Obsessive Compulsive Disorder is also known as OCD. It is a mental ailment that causes specific changes in the brain as well as the behaviour of the patient. It can also cause severe anxiety and lead the patient to consume a lot of time for completing even the most normal tasks. These obsessions are like thoughts, images and even videos playing where the cause of a certain action becomes more profound with the number of imagined risks if it is not done in a specific way, as per the mind of the patient. These turn into repetitive actions undertaken by the patient, where these actions are known as compulsions.

Hence the term: obsessive compulsive disorder. Washing, cleaning, losing control, contamination fears and more are only a few of the thoughts that plague patients suffering from this disorder. While this disorder may not have a specific cure, there are various ways in which it can be managed. Let us look at some of these methods.

What Causes OCD-

The exact cause of OCD is unknown. It is generally considered unlikely that OCD develops purely psychologically as a consequence of the way we are brought up.

Genetics and Physiology: It is generally accepted that OCD arises from differences in the physiology of the brain in people with the condition.
Serotonin: Lack of serotonin activity appears to be involved in causing OCD. Serotonin is a calming and inhibitory neurotransmitter, one of its main actions is to control and put the brakes on painful, worrying or anxious thoughts.
Traumatic Life Events: Traumatic emotional events such as bereavement may trigger or worsen OCD in people who already have a tendency to have the condition.
Treatment of OCD-

For best results in treating this troublesome anxiety disorder combine brain-chemistry balancing approaches with psychotherapy techniques.

Nutritional Therapy: Try tryptophan and St John's Wort to increase serotonin. Rhodiola has been shown to help generalised anxiety disorder however Rhodiola has the ability to raise 'brain energy' and therefore hypothetically may exa-sperate OCD symptoms.
L-theanine or just theanine for short is an amino acid found in tea that has a calming and anti-anxiety effect. Theanine increases GABA activity in the brain and is well worth a try.
The Inositol Treatment of OCD: Inositol, one of the B vitamins, has been found effective in treating OCD. Inositol is used in biochemical processes that affect serotonin receptors.
Psychotherapy: This is also known as discussion or talk therapy where the patient is allowed to engage with a therapist who is usually a psychiatrist or a clinical psychologist. The doctor will help the patient in first of all, becoming aware of the problem by helping the patient carry out various tasks in a controlled environment. These tasks will be timed and then relayed to the patient before the exposure therapy begins, where the patient will be taught to build a better quality of life. This a long term and time taking process which can also involve group sessions and sessions with the family members. Also, this method takes a lot of practice so that the patient learns how to regulate the obsessions and stop the compulsive behaviour gradually.
Exercise: Numerous studies have shown the benefits of exercise upon mental health. So, a minimum of 20mins of daily exercise can help you a lot.
Relaxation Training & Meditation: Learning meditation and relaxation techniques may enhance one's ability to control anxiety and one's thoughts in general.
Medication: There are various kinds of medicines that can be prescribed for these patients. Anti-depressants can help the patient in overcoming the fears and anxiety that a person feels when the wheels of one's imagination begin to turn towards obsessive thoughts. This will also help in tackling the hopelessness that the person feels when faced with the so called depressing outcome of not bowing to the compulsive habits.
Putting It All Together-

Follow the diet for serotonin deficient depression, and GABA deficient anxiety.
Consult with a qualified therapist using behavioural rather than analytical techniques.
Do some repetitive mind-occupying/filling as opposed to mind-emptying meditations everyday.

How to Deal with OCD

OCD (Obsessive Compulsive Disorder) is a psychological disorder where you feel compelled to perform irrational tasks in continuous patterns almost ritualistically. These compulsive thoughts may seem, upon examination that they are without any particular reason or rhyme. Naturally, a psychological disorder is not voluntary and people who suffer under this disorder don t voluntarily like to make their lives difficult contrary to some who would say  if you don t like it don t do it. 

It is not a simple matter, OCD can have a lot of underlying reasons which makes life even more difficult and wears you out. You still can t get over a particular thought until you have performed it a given number of times even if it harms your health and the relief is also short lived. For the naysayers who don t realise, how difficult life can be for people suffering from OCD here are a few reasons that you should consider:

Depression: People with OCD are also prone to suffering from depression. A sense of feeling like you are not like others, you see the world a little differently and obsessively repeat such compulsive lines of thought until it wears you out mentally. It is a side effect of OCD and deeply affects their lifestyle negatively.
Anxiety: When you have OCD you suffer from constant anxiety about things you may not have done that you must do or vice versa, or very intrusive thoughts that make you anxious wondering about the kind of person you are or becoming. It is a constant battle everyday trying not to repeatedly perform all the compulsive behaviours that may strike you and makes daily life immensely difficult.
Eating disorders: Suffering from OCD also affects your diet and food habits. You either start over eating or not eating enough resulting in huge amounts of weight gain or noticeable weight loss or just a fluctuation in weight.
Skin rashes: The outer manifestations of OCD are numerous. If you suffer from obsessive, washing of hands or clothes or any activity that requires constantly irritating your skin then you will develop rashes which will cause more anxiety in you. It s just a facet of OCD wherein you become obsessed with cleanliness and can t go without feeling anxious about the number of toxins surrounding you so you go about trying to almost sterilise yourself and end up damaging your skin.
Sleep disturbances: Your sleeping pattern gets affected if you can t build up a routine and then you can t sleep until it s a certain hour at a certain time of the day. Or if you suffer from paranoia then you are unable to sleep because you are actively worried about something or the other. Anxiety also contributes to restlessness.

5 Reasons Why OCD Makes Life Difficult!

One of the researches that have come out a few years back suggested that almost every individual has an obsessive compulsive disorder (OCD) to an extent. The trouble starts when this anxiety disorder breaches out of control and damages his/her social well-being. What is obsessive compulsive disorder (OCD)? Let us have a look at it in detail.

What is obsessive Compulsive Disorder?
Obsessive-compulsive disorder (OCD) is a type anxiety disorder, where people have a recurring feeling to do an activity with unwanted thoughts, ideas or sensations (obsessions). The recurring feeling can drive them to do the activity repetitively (compulsions). The repetitive behaviors can include simple tasks like hand washing, checking and rechecking things, Cleanliness and hygiene. They have a potential to interfere with a person s social interactions and his general well being. Our human mindset is made up of thoughts for which an equal action occurs. 

For people with Obsessive-Compulsive Disorder (OCD), these ideas continue to dominate them to do the same thing again repeatedly and not doing them causes great distress and agony to them. Most of the people with OCD can recognize that they have the condition, but the imbalances make them unable to stop the occurrences. They usually start at an early stage and continue into adulthood where the condition dominates at its peak. For most of them, an OCD can exist as just a random thought - often disturbing, and they would be helpless in most cases to have a control over it. Some of the examples of the compositions include cleaning, hygiene, Checking and re-checking, arranging and mental compulsions.

Treatment for OCD:
So now since it is established that it is an imbalance of the brain let us look at the treatment possibilities. One of the treatments is the Cognitive Behavioral Therapy under the Psychiatry Branch. The therapy is an exposure type of treatment where the patients are exposed to the situations where they have basically no control of. Through this exposure and in medically contained environments, patients can identify that they can control and monitor their anxiety and depression levels without having to do the repetitive behavior. It can be a bit challenging for the cases that involve mental illusions as they cannot be recreated, but they can be effectively curbed when channeled through alternative means. Also, medications and anxiety reducing drugs along with the psychiatric therapy can help to a great extent in the treatment. Relaxation techniques such as meditation, yoga, and massages also help in having greater control of the disease.

Having a healthy lifestyle and having a general awareness of the warning signs and what do to when the indications occur can go a long way in the betterment of the life. It is a slow treatment process and requires a lot of patience for the therapy to be successful. Having patience in a way contributes towards the well-being of the person indirectly.

Obsessive Compulsive Disorder - How to Get It Treated?

Obsessive compulsive disorder is a condition, which is characterized by a constant occurrence of compulsive behavior and obsessive thoughts. People across all ages are affected by this condition; in some cases, it might start early whereas, in others, it develops around the early years of childhood. This is a very distressing condition as it can cause significant interference in your daily life. It is recommended to get it treated at the earliest to manage its symptoms effectively.

Symptoms

Obsessive compulsive disorder causes an obsession about an unwanted (forbidden or unfounded) thought, urge or an image. This obsession may result in disgust, unease and feelings of anxiety. A compulsion is defined as a certain behavior that is usually repetitive, something that you tend to do over and over again to get rid of the constant anxiety. An example would be to constantly check the windows of the house resulting from an uncorroborated fear that the house may be burgled.

The causes of obsessive compulsive disorder are:

Chemical imbalances in the brain marked by low serotonin levels
Family history of OCD
People who are meticulous, neat and methodical might develop OCD
Certain traumatic events such as having been bullied or abused can also cause OCD
Treatment

There are multiple treatment options. The aim of the treatments is to manage the symptoms and improve the quality of life. The treatments are:

Medications: Certain antidepressants that alter the chemical imbalance in the brain can treat OCD.
Psychological therapy: Counselling or cognitive behavioral therapy is very effective in treating OCD. Cognitive behavioral therapy aims to modify one s thinking pattern and get rid of unnecessary fears and thoughts.

Fear of Dirt or Contamination - Can it be a Sign of OCD?

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