Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Obsessive Compulsive Disorder Treatment Health Feed

Obsessive-Compulsive Behaviour - How To Tackle It?

Mumbai Psychiatry Clinics 88% (20 ratings)
Psychiatrist, Mumbai
Obsessive-Compulsive Behaviour - How To Tackle It?

Obsessive-Compulsive behaviour is a form of anxiety disorder in which unreasonable thoughts and fears which are obsessions that lead one to do repetitive compulsive behaviour. Root causes of obsessive-compulsiveness are complex and often deep-seated. The underlying emotional states may include the fear of the unknown, not being in control, negative outcomes, failure, rejection, shame, annihilation or embarrassment

One can eliminate mild obsessive compulsion easily, whereas severe obsessive-compulsiveness, require the support of medical and mental health professionals.

When one finds himself pondering or obsessing over an activity, one must try to stop the negative pattern, and provide control and security. A good anchor code stops an obsessive thought pattern and provides fact-based security for new action. One can get it under control and recover from it, however, at the present, there is no cure. It is a potential that will always be there in the background, even when one's life is no longer affected by it.

The treatment for obsessive-compulsive behaviour depends on how much the condition is affecting one's daily life. There are two main treatments, firstly cognitive behavioural therapy which involves graded exposure and response prevention and the second being medication. The cognitive behaviour therapy emboldens one to face one's fear and let the obsessive thoughts occur without neutralising them with compulsions. In the second case, treatment is by medication to control one's symptoms by altering the balance of chemicals in the brain.

Obsessive-compulsive behaviour that has a relatively minor impact on one's daily life is usually treated with a short course of cognitive behavioural therapy. Cognitive behavioural therapy involves exposure and response prevention that is used to help people with all severities. People with mild to moderate behaviour usually need about 10 hours of therapist treatment, combined with exercises to be done at home between sessions. Those with moderate to severe symptoms may need a more intensive course of therapy that lasts longer than 10 hours.

During the sessions, one works with a therapist to break down the problems into their separate parts like physical feelings, thoughts and actions. The therapist encourages you to face your fear and let the obsessive thoughts occur without putting them right. It requires motivation and one should start with situations that cause the least anxiety first. These exposure exercises need to take place many times a day and need to be done for one to two hours without engaging in compulsions to undo them. People with Obsessive-compulsive behaviour find that when they confront their anxiety without carrying the compulsion, the anxiety goes away. Each time, the chances of anxiety reduction and last for a shorter period of time. 

Once one has conquered one exposure task, one can move on to a more difficult task, until one has overcome all of the situations that make one anxious.  It's important to remember it can take several months before treatment has a noticeable effect. It is extremely vital to remember that no one is perfect, nor can anyone recover perfectly.  Even in well-maintained recoveries, people can occasionally mess up and forget what they are supposed to be doing.

2 people found this helpful

Hi Sir, I have been taken anafranil 10 mg for a couple of months and now I have been changed to obsenil 10 mg, does both of them work in the same way? Thanks.

Dr. Sushil Kumar Sompur 94% (2748 ratings)
MB BS, MD - Psychiatry, MBA - Healthcare
Psychiatrist, Davanagere
Yes, anafranil and obsenil are the same medications and work in the same way. If you have further questions you are welcome to consult us online. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, an appointment for a confidential and private consultation you may do so by contacting the help desk of Lybrate.
Submit FeedbackFeedback

Obsessive Compulsive Disorder - Facts You Must Know!

Dr. Yash Velankar 90% (493 ratings)
M.S.Psychotherapy and counseling, M.A-Philosophy, B.A.M.S, Meditation Therapist, Cerificate in REBT
Psychologist, Mumbai
Obsessive Compulsive Disorder - Facts You Must Know!
Exercising and relaxation techniques can help in relieving OCD. True or false. Take this quiz to know more.
Start Quiz
361 people took this quiz

Obsessive Compulsive Disorder - How Can It Be Managed In Everyday Life?

Mrs. Swapna M Nadgauda 90% (13 ratings)
M A Psychology, Integrated Clinical Hypnotherapy, Post Graduate Diploma in Child Guidance
Psychologist, Navi Mumbai
Obsessive Compulsive Disorder - How Can It Be Managed In Everyday Life?
The turning off of oven rechecking habit can become a serious disorder? True or false? Take this quiz to find out.
Start Quiz
925 people took this quiz

Obsessive Compulsive Disorder - All You Should Know!

Dr. Anil Yadav, Md (A.I.I.M.S) 91% (155 ratings)
MBBS, MD Psychiatry
Psychiatrist, Gurgaon
Obsessive Compulsive Disorder - All You Should Know!
Cognitive behavioral therapy is not effective in treating Obsessive-Compulsive Disorder. True or False? Take the quiz to know now!
Start Quiz
121 people took this quiz

Ten Things You Need To Know To Overcome OCD!

Ms. Pallavee Walia 92% (220 ratings)
PGDRP Rehabilitation Psychology , M.A Clinical Psychology, Certificate in Guidance and Counselling (CGC)
Psychologist, Agra
Ten Things You Need To Know To Overcome OCD!

Ten Things You Need To Know To Overcome OCD

1. OCD is chronic- 

This means it is like having asthma or diabetes. You can get it under control and become recovered but, at the present time, there is no cure. It is a potential that will always be there in the background, even if it is no longer affecting your life.  The current thinking is that it is probably genetic in origin, and not within our current reach to treat at that level. The things you will have to do to treat it really control, and if you don’t learn to effectively make use of them throughout your life, you will run the risk of relapse. This means that if you don’t use the tools provided in cognitive/behavioral therapy or if you stop taking your medication (in most cases) you will soon find yourself hemmed in by symptoms once again.

2. Two of the main features of OCD are doubt and guilt-

While it is not understood why this is so, these are considered hallmarks of the disorder.  Unless you understand these, you cannot understand OCD. In the 19th century, OCD was known as the “doubting disease.”  OCD can make a sufferer doubt even the most basic things about themselves, others, or the world they live in.  I have seen patients doubt their sexuality, their sanity, their perceptions, whether or not they are responsible for the safety of total strangers, the likelihood that they will become murderers, etc.  I have even seen patients have doubts about whether they were actually alive or not.  Doubt is one of the more maddening qualities of OCD.  It can override even the keenest intelligence.  It is a doubt that cannot be quenched.  It is doubt raised to the highest power. It is what causes sufferers to check things hundreds of times, or to ask endless questions of themselves or others.  Even when an answer is found, it may only stick for several minutes, only to slip away as if it was never there.  Only when sufferers recognize the futility of trying to resolve this doubt, can they begin to make progress.

The guilt is another excruciating part of the disorder. It is rather easy to make people with OCD feel guilty about most anything, as many of them already have a surplus of it.  They often feel responsible for things that no one would ever take upon themselves

3. Although you can resist performing a compulsion, you cannot refuse to think an obsessive thought-

Obsessions are biochemically generated mental events that seem to resemble one’s own real thoughts but aren’t.  One of my patients used to refer to them as “My synthetic thoughts.”  They are as counterfeit bills are to real ones, or as wax fruit is to real fruit.  As biochemical events, they cannot simply be shut off at will.  Studies in thought suppression have shown that the more you try to not think about something, the more you will end up thinking about it paradoxically. The real trick to dealing with obsessions I like to tell my patients is, “If you want to think about it less, think about it more.”  Neither can you run from or avoid the fears resulting from your obsessions.  Fear, too, originates in the mind, and in order to recover, it is important to accept that there is no escape.  Fears must be confronted.  People with OCD do not stay with the things they fear long enough to learn the truth–that is, that their fears are unjustified and that the anxiety would have gone away anyway on its own, without compulsion or neutralizing activity.

4. Cognitive/Behavioral Therapy is the best form of treatment for OCD-

Cognitive/Behavioral Therapy (CBT) is considered to be the best form of treatment for OCD.  OCD is believed to be a genetically-based problem with behavioral components, and not psychological in origin.  Ordinary talk therapy will, therefore, not be of much help. Reviewing past events in your life, or trying to figure out where your parents went wrong in raising you have never been shown to relieve the symptoms of OCD.  Other forms of behavioral treatment, such as relaxation training or thought-stopping (snapping a rubber band against your wrist and saying the word “Stop” to yourself when you get an obsessive thought) are likewise unhelpful.  The type of behavioral therapy shown to be most effective for OCD is known as Exposure and Response Prevention (E&RP).

E&RP consists of gradually confronting your fearful thoughts and situations while resisting the performing of compulsions.  The goal is to stay with whatever makes you anxious so that you will develop a tolerance for the thought or the situation, and learn that, if you take no protective measures, nothing at all will happen. People with OCD do not stay long enough in feared situations to learn the truth.  I try to get my patients to stay with fearful things to the point where a kind of fatigue with the subject sets in.  Our goal is to wear the thought out.  I tell them, “You can't be bored and scared at the same time.” Compulsions, too, are part of the system and must be eliminated for the recovery process to occur.  There are two things that tend to sustain compulsions.  One is that by doing them, the sufferer is only further convinced of the reality of their obsessions, and is then driven to do more compulsions.  The other is that habit also keeps some people doing compulsions, sometimes long after the point of doing them is forgotten. The cognitive component of CBT teaches you to question the probability of your fears actually coming true (always very low or practically nil), and to challenge their underlying logic (always irrational and sometimes even bizarre).

5. While medication is a help, it is not complete treatment in itself-

It is human nature to always want quick, easy, and simple solutions to life’s problems.  While everyone with OCD would like there to be a magical medicinal bullet to take away their symptoms, there really is no such thing at this time.  Meds are not the “perfect” treatment; however, they are a “pretty good” treatment.  Generally speaking, if you can get a reduction in your symptoms of from 60 to 70 percent, it is considered a good result.  Of course, there are always those few who can say that their symptoms were completely relieved by a particular drug.  They are the exception rather than the rule.  People are always asking me, “What is the best drug for OCD?”  My answer is, “The one that works best for you.”  I have a saying about meds:  “Everything works for somebody, but nothing works for everybody.”  Just because a particular drug worked for someone you know, does not mean that it will work for you.

Relying solely on meds most likely means that all your symptoms will not be relieved and that you will always be vulnerable to a substantial relapse if you discontinue them.  Discontinuation studies (where those who have only had meds agreed to give them up) have demonstrated extremely high rates of relapse.  This is because drugs are not a cure, but are rather a control.  Even where they are working well, when you stop taking them, your chemistry will soon revert (usually within a few weeks) to its former unhealthy state.  Meds are extremely useful as part of a comprehensive treatment together with CBT. They should, in fact, be regarded as a tool to help you to do therapy. They give you an edge by reducing levels of obsession and anxiety.  While those with mild OCD can frequently recover without the use of meds, the majority of sufferers will need them in order to be successful.  One unfortunate problem with meds is the stigma attached to them.  Having to use them does not mean that you are weaker than others, only that this is what your particular chemistry requires for you to be successful. You can't always fight your own brain chemistry unaided.  Using psychiatric drugs also does not mean that you are “crazy.” People with OCD are not crazy, delusional, or disoriented. When relieved of their symptoms, they are just as functional as anyone.

6. You cannot and should not depend upon the help of others to manage your anxiety or to get well-

To begin with, and most obviously, you are always with you. If you come to depend upon others to manage your anxiety by reassuring you, answering your questions, touching things for you, or taking part in your rituals, what will you do when they are not around?  My guess is that you will likely be immobilized and helpless. The same is true if you only work on your therapy homework when others are nagging or reminding you. No one can want you to recover more than you do. If your motivation is so poor that you cannot get going on your own (assuming that you are not also suffering from an untreated case of depression), then you will have learned nothing about what it takes to recover from OCD.  As mentioned at the beginning, since OCD is chronic, you will have to learn to manage it throughout your life.  Since you can find yourself on your own at any point, unpredictably, you will always need to be fully independent in managing it.

7. The goal of any good treatment is to teach you to become your own therapist-

In line with the last point, good Cognitive/Behavioral treatment should aim to give you the tools necessary to manage your symptoms effectively.  As therapy progresses, the responsibility for directing your treatment should gradually shift from your therapist to you.  Whereas the therapist may start out by giving you assignments designed to help you face and overcome your fears, you should eventually learn to spot difficult situations on your own and give yourself challenging homework to do.  This will then be a model for how you will need to handle things throughout your life.

8. You cannot rely upon your own intuition in deciding how to deal with OCD-

In using your intuition to deal with what obsessions may be telling you, there is one thing you can always count on: it will always lead you in the wrong direction.  It is only natural to want to escape or avoid that which makes you fearful. It’s instinctive. It really amazes me how common this is. This may be fine when faced by a vicious dog or an angry mugger but, since the fear in OCD results from recurring thoughts inside your head, it cannot be escaped from. The momentary escape from fear that compulsions give fools people into relying upon them.  While compulsions start out as a solution, they soon become the main problem itself as they begin taking over your life. People with OCD never stay with what they fear long enough to find out that what they fear isn’t true. Only by doing the opposite of what instinct tells you will you be able to find this out.

9. Getting recovered takes time-

How long does it take?  As long as is necessary for a given individual. Speaking from experience, I would say that the average uncomplicated case of OCD takes from about six to twelve months to be successfully completed. If symptoms are severe, if the person works at a slow pace, or if other problems are also present, it can take longer.  Also, some people need to work on the rehabilitation of their lives after the OCD is brought under control.  Long-term OCD can take a heavy toll on a persons ability to live.  It may have been a long time since they have socialized, held a job, or doing everyday household chores, etc. Some people have never done these things. Returning to these activities may add to the time it takes to finish treatment.

However long it takes, it is crucial to see the process through to the finish. There is no such thing as being “partially recovered.”  Those who believe they can take on only those symptoms they feel comfortable facing soon find themselves back at square one. Untreated symptoms have a way of expanding to fill the space left by those that have been relieved.  When explaining this to my patients, I liken it to getting surgery for cancer.  I ask them, “Would you want the surgeon to remove it all, or leave some of it behind?”  Or, put another way, it is not a game you can simply drop out of midway with your winnings and expect to keep them.

10. Relapse is a potential risk that must be guarded against-

It has always been a favorite saying of mine that, “Getting well is 50 percent of the job, and staying well is the other 50 percent.”  We have actually come full-circle back to Point #1, which tells us that OCD is chronic. This tells us that although there is no cure, you can successfully recover and live a life no different from other people.  Once a person gets to the point of recovery, there are several things that must be observed if they are to stay that way.  As mentioned in Point #7, the goal of proper therapy is to teach people to become their own therapists.  It gives them the tools to accomplish this.  One of these tools is the knowledge that feared situations can no longer be avoided. The overall operating principle is that obsessions must therefore always be confronted immediately, and all compulsions must be resisted.  When people are seen to relapse, it is usually because they avoided an obsessive fear which then got out of hand because they went on to perform compulsions.  Another cause can be an individual believing that they were cured and stopping their medication without telling anyone.  Unfortunately, the brain doesn’t repair itself while on medications, and so when drugs are withdrawn, the chemistry reverts to its former dysfunctional state.  Finally, some people may have fully completed their treatment, but have neglected to tell their therapist about all of their symptoms, or else they did not go as far as they needed to in confronting and overcoming the things they did work on.  In pursuing treatment for OCD, it is vital to go the distance in tackling all of your symptoms, so as to be prepared for whatever you may encounter in the future.

It is vital to remember that no one is perfect, nor can anyone recover perfectly.  Even in well-maintained recoveries, people can occasionally slip up and forget what they are supposed to be doing.  Luckily, there is always another chance to re-expose yourself and so, rather than a person beating themselves up and putting themselves down, they can soon regain their balance if they immediately get back on track by turning again and facing that which is feared, and then not doing compulsions.

Finally, because health is the result of living in a state of balance, it is extremely important, post-therapy, to live a balanced life, with enough sleep, proper diet and exercise, social relationships, and productive work of some type.
 

Obsessive Compulsive Disorder - How Can You Handle It Well?

Dr. Aravinda Jawali 91% (1523 ratings)
Psychiatrist, Bangalore
Obsessive Compulsive Disorder - How Can You Handle It Well?

Obsessive Compulsive Disorder (OCD) is a disorder that causes anxiety. It is also called as anxiety disorder. The main characteristics of this disorder are uncontrollable, unpleasant thoughts, which are continuing. OCD causes the mind to get stuck on a specific thought or inclination. For instance, you may repeat a task forty times to ensure that it has been done properly. You will not be able to get it out of your mind. OCD is characterized by obsessive thoughts and compulsive behavior patterns.

Some obsessive thoughts include:

  1. The fear of being defiled by germs or soil and also of contaminating others.
  2. The fear of losing control and hurting yourself or others.
  3. Having sexual or brutal thoughts on the mind.
  4. Extreme focus and devotion to religion and religious activities.
  5. A sense of fear of losing or not having things you need.
  6. Having the assumption that everything would go fine.
  7. The person will become very superstitious.

Some compulsive behavior patterns include:

  1. Inordinate double checking on things like locks, apparatuses and switches.
  2. Over and over monitoring of friends and family to ensure they're safe.
  3. Counting in the head, mumbling nonsense words without meaning.
  4. Devoting a lot of time for washing and cleaning.
  5. Praying without reason and taking part in religious ceremonies.
  6. Accumulating junk material.

Here are some common ways to deal with OCD:

  1. Regular exercise: Exercise is the best natural remedy to prevent anxiety, which leads to OCD. Exercise checks your OCD  symptoms. It makes your nerves stronger and hence you can focus your mind out of obsessive thoughts by yourself, when they arrive. Get at least thirty minutes of exercise regularly.
  2. Connect with friends and family: Social isolation is one of the common early symptoms of OCD. Social isolation can lead to OCD as well. Therefore, you must always stay connected to your friends and family so that you never get lonely and anti-social. Share everything with family.
  3. Sleep sufficiently: Lack of sleep or troubled sleep may lead to anxiety disorders. You need to sleep enough to be away from obsessive thoughts.
  4. Perform relaxation techniques: Simple practices like yogameditation, pranayama  help you grow spiritually, relax your mind and keeps OCD away from you.
  5. Tackle your fears: Instead of avoiding fearful thoughts, let them flow and tackle them face to face. This will help you overcome the fear. Adopt measures so that you can focus on other things and ignore the obsessive thoughts. Distract yourself away from the obsession.

OCD is a harmful disorder, and you should take all measures possible to keep away from it.

3685 people found this helpful

Obsessive Compulsive Disorder - What Should You Know?

Dr. Neeraj Raj B 89% (24 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Psychiatry
Psychiatrist, Bangalore
Obsessive Compulsive Disorder - What Should You Know?
Cognitive behavioural therapy is not effective in treating the Obsessive-Compulsive Disorder. True or False? Take the quiz to know now!
Start Quiz
1689 people took this quiz

Obsessive Compulsive Disorder - Ways To Deal With It!

Dr. Vikas Moun 92% (67 ratings)
MD - Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Obsessive Compulsive Disorder - Ways To Deal With It!

Obsessive Compulsive Disorder (OCD) is a disorder that causes anxiety. It is also called anxiety disorder. The main characteristics of this disorder are uncontrollable, unpleasant thoughts, which are continuing. OCD causes the mind to get stuck on a specific thought or inclination. For instance, you may repeat a task forty times to ensure that it has been done properly. You will not be able to get it out of your mind. OCD is characterized by obsessive thoughts and compulsive behavior patterns.

Some obsessive thoughts include:

  1. The fear of being defiled by germs or soil and also of contaminating others.
  2. The fear of losing control and hurting yourself or others.
  3. Having sexual or brutal thoughts on the mind.
  4. Extreme focus and devotion to religion and religious activities.
  5. A sense of fear of losing or not having things you need.
  6. Having the assumption that everything would go fine.
  7. The person will become very superstitious.

Some compulsive behavior patterns include:

  1. Inordinate double checking on things like locks, apparatuses and switches.
  2. Over and over monitoring of friends and family to ensure they're safe.
  3. Counting in the head, mumbling nonsense words without meaning.
  4. Devoting a lot of time for washing and cleaning.
  5. Praying without reason and taking part in religious ceremonies.
  6. Accumulating junk material.

Here are some common ways to deal with OCD:

  1. Regular exercise: Exercise is the best natural remedy to prevent anxiety, which leads to OCD. Exercise checks your OCD  symptoms. It makes your nerves stronger, and hence you can focus your mind out of obsessive thoughts by yourself, when they arrive. Get at least thirty minutes of exercise regularly.
  2. Connect with friends and family: Social isolation is one of the common early symptoms of OCD. Social isolation can lead to OCD as well. Therefore, you must always stay connected to your friends and family so that you never get lonely and anti-social. Share everything with family.
  3. Sleep sufficiently: Lack of sleep or troubled sleep may lead to anxiety disorders. You need to sleep enough to be away from obsessive thoughts.
  4. Perform relaxation techniques: Simple practices like yoga, meditation, pranayama  help you grow spiritually, relax your mind and keeps OCD away from you.
  5. Tackle your fears: Instead of avoiding fearful thoughts, let them flow and tackle them face to face. This will help you overcome the fear. Adopt measures so that you can focus on other things and ignore the obsessive thoughts. Distract yourself away from the obsession.
  6. Medications: Certain psychiatric medications can help control the obsessions and compulsions of OCD. Most commonly, antidepressants are tried first.

OCD is a harmful disorder, and you should take all measures possible to keep away from it.
 

3130 people found this helpful

Obsessive Compulsive Disorder - 5 Things About It!

Dr. Pratibha Sharma 87% (10 ratings)
Diploma In Clinical Psychology
Psychologist, Dehradun
Obsessive Compulsive Disorder - 5 Things About It!
People suffering from OCD have a tendency to protect and hoard things which are of no value. True or false. Take this quiz to know more.
Start Quiz
101 people took this quiz
Icon

Book appointment with top doctors for Obsessive Compulsive Disorder Treatment treatment

View fees, clinic timings and reviews