Obsessive compulsive disorder

Obsessive Compulsive Disorder Treatment

Obsessive compulsive disorder is a mental health issue characterized by repeated, recurrent, and intrusive thoughts that causes significant distress to the individual and leads to compulsive behaviour. According to studies, its lifetime prevalence is 1.6%. The essential features of OCD are time consumption, marked distress and significant impairing obsessions or compulsions that are recognized as unreasonable or foolish by the individual. It is equally common in men and women. Its onset is likely to be in childhood or early adult life. The person may need psychosocial rehabilitation at psychiatry hospital in India.

What are obsessions?

Obsessions and recurrent and persistent thoughts, ideas or images that comes to a person’s mind over and over again in a stereotype fashion. The suffer often has failed attempts to stop them. They are markedly distressing and are recognized as self- generated.

What are compulsions?

The obsessions cause significant anxiety to the individual and to neutralize it, the person indulges in a ritualistic behaviour that is repeated again and again called compulsions. The person feels compelled to perform these behaviours or mental actions to prevent negative consequences. They provide a temporary relief from anxiety which further reinforces the behaviour. They are not inherently enjoyable for the person and he/she may identify them as pointless.

CAUSES

Biological factors-

  1. Genetics- Genetic study has shown that relatives of person with OCD are three to five times higher risk of developing OCD. Higher concordance rate has been found in monozygotic twins than dizygotic twins.
  2. Neurotransmitters- Dysregulation of Serotonin plays an important role in symptom formation of OCD although reason has not been clear.
  3. Brain Anatomy- Many brain imaging studies have found increased activity in frontal lobe, basal ganglia and cingulum of patients with OCD.

Behavioural Factors: –

  1. Learning studies show that a relatively neutral stimulus gets associated with a fear response through the process of conditioning.
  2. Compulsions are learned through repeated actions that are carried out to neutralize the anxiety from obsessions.

Psychosocial Factors: –

  1. 15 to 35 % of people with OCD had obsessive traits such as concern for details and perfectionism prior to the onset of the illness.
  2. Psychodynamic theories suggest a regression from oedipal phase to anal psychosexual stage of development leading to ambivalence and magical thinking.

Treatment

Psychological Treatment in India

  1. Behaviour Therapy (BT): Behaviour therapy has proven to be one of the most effective treatment in OCD. Many rehab centres in Delhi NCR provide exposure therapy and uses ERP as a basis of their treatment.
  2. Cognitive Behaviour Therapy: Cognitive Restructuring along with Exposure therapy is one of the best approaches used by clinicians all over the world. Psychiatry hospital in India and other countries uses techniques of cognitive therapy to work with mental compulsions.

Pharmacological Treatment in India

Pharmacologic monotherapy usually revolves around clomipramine, a tricyclic antidepressant and SSRIs.

Top Psychiatry hospital in India like Tulasi Healthcare, a rehab centre in Gurgaon, Delhi NCR offers a combined approach of pharmacology and psychological treatment.

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Obsessive Compulsive Disorder Treatment

TREATMENT OF Obsessive Compulsive Disorder

Obsessive Compulsive Disorder (OCD) is a common, chronic and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that he or she feels the urge to repeat over and over.

People with OCD may have symptoms of obsessions, compulsions, or both. These symptoms can interfere with all aspects of life, such as work, school, and personal relationships.

Obsessions are repeated thoughts, urges, or mental images that cause anxiety.

Compulsions are repetitive behaviors that a person with OCD feels the urge to do in response to an obsessive thought.

ocd treatment

Not all rituals or habits are compulsions. Everyone double checks things sometimes. But a person with OCD generally:

  • Can’t control his or her thoughts or behaviors, even when those thoughts or behaviors are recognized as excessive
  • Spends at least 1 hour a day on these thoughts or behaviors
  • Doesn’t get pleasure when performing the behaviors or rituals, but may feel brief relief from the anxiety the thoughts cause
  • Experiences significant problems in their daily life due to these thoughts or behaviors

If you think you or someone you care for has Obsessive Compulsive Disorder, connect with professional Mental Health Care Practitioners at Tulasi’s Psychiatric Nursing Homes & Rehabilitation Centers right away. If left untreated, OCD can interfere in all aspects of life.

OCD is typically treated with medication, psychotherapy or a combination of the two. Although most patients with OCD respond to treatment, some patients continue to experience symptoms.

Sometimes people with OCD also have other mental disorders, such as anxiety, depression, and body dysmorphic disorder, a disorder in which someone mistakenly believes that a part of their body is abnormal. It is important to consider these other disorders when making decisions about treatment.

OCD Medication

Serotonin reuptake inhibitors (SRIs) and selective serotonin reuptake inhibitors (SSRIs) are used to help reduce OCD symptoms. Medications has been proven effective in both adults and children with OCD.

SRIs often require higher daily doses in the treatment of OCD than of depression, and may take 8 to 12 weeks to start working, but some patients experience more rapid improvement.

If symptoms do not improve with these types of medications, research shows that some patients may respond well to an antipsychotic medication. Although research shows that an antipsychotic medication may be helpful in managing symptoms for people who have both OCD and a tic disorder, research on the effectiveness of antipsychotics to treat OCD is mixed.

Psychotherapy

Psychotherapy can be an effective treatment for adults and children with OCD. Research shows that certain types of psychotherapy, including cognitive behavior therapy (CBT) and other related therapies (e.g., habit reversal training) can be as effective as medication for many individuals. Research also shows that a type of CBT called Exposure and Response Prevention (EX/RP) is effective in reducing compulsive behaviors in OCD, even in people who did not respond well to SRI medication. For many patients EX/RP is the add-on treatment of choice when SRIs or SSRIs medication does not effectively treat OCD symptoms.