Obsessive-compulsive disorder can be a disruptive condition to live with, but there are steps that you can take to cope with it. In this Spotlight, we take you through them.
Obsessive-compulsive disorder (OCD) occurs when a person has recurring thoughts and behaviors that they cannot control.
Individuals with OCD feel that they must repeat these thoughts and behaviors again and again.
Around 1 percentTrusted Source of people in the United States have experienced OCD in the past year.
The symptoms of OCD can encroach on all aspects of a person’s life — including work, education, and relationships. OCD symptoms are generally broken down into two types: obsessions and compulsions.
People with OCD usually spend at least 1 hour every day contending with their obsessions and compulsions.
Obsessions are defined as thoughts or urges that cause anxiety (such as fear of germs), thoughts about hurting yourself or other people, or a craving to have objects in a perfectly symmetrical order. Obsessions might also take the form of persistent and unwanted mental images.
Compulsions are specific behaviors that people with OCD feel that they have to do when they have an obsessive thought. These may include washing excessively, ordering things in a certain way, or counting compulsively.
Though a person with OCD may feel instant relief from performing the rituals associated with their obsessive thoughts, they do not experience pleasure from this. Rather, such thoughts and actions contribute to a rising sense of anxietyTrusted Source.
OCD symptoms can either improve or worsen over time. But, if a person who has OCD is able to recognize that they are experiencing excessive unwanted thoughts or unable to control their behavior, they may be able to take steps to help themselves.
If you think that you might have OCD, you should speak to your doctor. OCD is usually treatedTrusted Source with medication such as selective serotonin reuptake inhibitors, psychotherapy such as cognitive behavioural therapy (CBT), or a combination of the two.
Some people with OCD find CBT helpful because this type of therapy teaches the person how to think differently about their obsessions and compulsions, helping them to overcome these unwanted thoughts and behaviors.
Last year, Medical News Today reported on a studyTrusted Source that used functional MRI to examine how the brains of people with OCD responded to a type of CBT known as exposure and response prevention (ERP).
ERP involves exposing people who have OCD to things that trigger their symptoms and works on encouraging the person to resist following their usual urges in these situations.
The team behind that study found that the brains of people with OCD who had ERP displayed a significant increase in connectivity between eight brain networks.
The authors of that study suggest that these brain changes could represent how the participants are activating different thought patterns and learning new behaviors not based on compulsions.
Around 30–60 percentTrusted Source of people who receive treatment for OCD find that it does not help, however. So, finding other strategies to help manage symptoms of OCD is important.
Many individuals who live with OCD find that an important first step in self-help is to be open about their condition with friends and family. If you have OCD, being able to talk about it with the people that are close to you can help you to feel more comfortable about the condition, as well as less isolated.
Spending time with other people who have OCD can also be beneficial. Joining a support group or engaging with other people who have OCD online can help people to feel accepted.
It may also empower them to talk about their experiences in an environment without worrying that they may be judged.
The International OCD Foundation’s website can help you to find an OCD support group near you. They even give advice to anyone interested in starting their own support group.
Meanwhile, The Mighty is just one example of an online OCD community — based, in this instance, around real-life stories from people with OCD.
People with OCD often find that their symptoms get worse when they are stressed, so managing stress is a really important coping strategy. We tend to feel stressed when we are in situations wherein a lot of pressure is placed upon us and we do not feel as though we are in control.
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