OCD Treatment

OCD Treatment

What to keep in mind when seeking OCD Treatment

When seeking OCD treatment, many become obsessive in reseaching the topic. Those armed with knowledge usually have the upper hand, yet excessive reseach stops people from taking action. Reading the same material over and over again becomes a safety net. When the obsessions become too intense, the mind looks for the simpliest answer it can find, typically what’s been advertised the most. So it’s not surprising medication has become the first form of intervention.

Yet it doesn’t mean OCD treatment should begin with medication. Numerous studies find SRI’s and antidepressants to be inadequate solutions for long term change. For the vast majority of people with OCD, some other form of OCD treatment is needed for any effective change to take place.

When they work, SRI’s and antidepressants can be wonderful, especially if side effects are minimal.  Yet SRI’s and antidepressants only address the symptoms of OCD. When the medication wears off, the symptoms return. The suffering may be minimized, but the core issues still persist and so do the unwanted thoughts.

Making Valued Choices

Antidepressants can buffer stress and change surface reactions, but are not meant to be long term answers for coping with life situations. They distance internal conflicts and sensitivities, but don’t help the person work through setbacks, concerns and discomforts. SRI’s don’t release emotional attachments or limiting beliefs. They may temporarily disrupt certain brain patterns, but it won’t be the answer for needed changes.

Effective therapy on the other hand focuses on changing patterns, behaviors and how someone processes thoughts and emotions. It is well know that stress must be minumized, yet minimizing stress is a life style, not just implementing simple techniques.

Since everyone does OCD a little differently, no one type of therapy works for everyone. This can be a problematic for those wanting certainty. They already have enough uncertainty dealing with their obsessions. Thus many will avoid seeking any form of OCD treatment, because it feels safer than stepping into the unknown.

What feels safe?

Getting OCD Treatment

Those suffering from anxiety disorders have a high need to feel safe, meaning they don’t venture into the unknown. But change requires one to step beyond ones comfort zone, outside preset patterns.

It’s been estimated that one third of all OCD patients will refuse ERP (exposure and response prevention), even though it is one of the most common treatments for OCD. The intensity of facing their fears head on is too overwhelming for those who already feel like they are at their wits end.

Many who attempt ERP become adept at delaying obsessions till after the therapy or transform their compulsions into mental processes they can control during therapy. They are not trying o decieve the therapist, it is just an unconscious mechanism of resisting change, one many therapist recognize. (1) Clients finish their treatment and still have the obsessions. Theyend up feeling like failures, believing nothing will help them change

So what will make effective OCD treatment?

Therapist must be able to show the clients how their thoughts processes can create choice and not be trapped by dead end loops of stagnant thinking and negative emotions. Those with OCD do not trust themselves, they have be at odds with their thoughts and emotions. This lack of self trust must be addressed. This is especially important for those who have done years of OCD treatment and are still stuck. They often have given up believing anything will work. 

Any OCD treatment needs to break the change process down into doable steps. Those with OCD already tend to be overwhelmed, so the process must be within the grasp of the individual client.

While OCD is often thought of as a thinking problem, when it is actually emotionally driven. If the emotional aspects are overlooked and the treatment becomes of exercise of mental processes trying to control emotional reactions. The person will still be battling themselves

Look for a therapist who can help

  • Regain a balance in emotional and mental processes
  • Resolve core issues or sensitivities supporting the OCD? (there are usually quite a few)
  • Support the clients needs while helping them make the needed changes to diminish obsessions
  • Break down persistent habits or obsessions
  • Recognize subconscious deceptions the client has been feeding themselves
  • Build trust 

Many with OCD want immediate results and who can blame them. Overwhelming unwanted thought patterns can be unbearable to live with. All or nothing thinking patterns set in. But sometimes you have to start by realizing small steps are needed to achieve a healthy mindset. Ineffective therapist tell their clients to think about something different, to control their thoughts, just to try harder. That is not how someone will stop OCD.

There will always be those for whom economic considerations will hinder recovery. Treatments must be affordable. For those who are anxious or depressed, the additional stress of spending money they don’t have can be counterproductive. Unfortunately, avoiding treatment only ensures the OCD will continue on its current course.

Anyone seeking OCD treatment should recognize some personal changes in how they perceive life must be made. Sure it can seem scary and to make improvements in oneself isn’t always easy. While change means stepping into the unknown and it can feel risky,  staying in stuck patterns that are only getting worse, will be down right debilitating

For over a dozen years Designed Thinking has helped clients make changes in anxious and disruptive thought patterns. OCD treatment is just a phone call away. 866-718-9995

For more information on the differences between choosing medication or therapy, click here.

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 (1) Cordioli AV, Heldt E, Bochi DB, Margis R, Sousa MB, Tonello JF, Teruchkin B, Kapczinski F. Cognitive-behavioral group therapy in obsessive-compulsive disorder: a clinical trial. Rev Bras Psiquiatr. 2002;24(3):113-

12 Comments

  1. Hi there,
    I have had OCD for years. I went for counselling for a few months and it helped to some degree…but I still have it quite badly.
    My biggest problem are germs and dirt and a messy kitchen. I won’t let my husband clean or do any cooking. I do all the cooking and cleaning because I feel he will make too much of a mess in the kitchen and he won’t clean it up to my standards. So I do it all.
    When he comes in from working on the yard…he has to strip in entrance way and go directly to the shower. Then I wash down the floors and entrance way until I am satisfied that it is all clean.
    The only way for me to not be so obsessed with these things is to just let him walk into the house after he works outside? Let him cook?? I think my anxiety level will go through the ceiling!!!!!

    • Contaimination obsessions can be one of the more challenging obsessions to overcome.. A few months of therapy probably was not enough for you. Helping your obsessions somewhat is not enough. I suggest you either pick up where you left off or try another therapist. Doing nothing will not help you better your situation

  2. I am confused, in your post on finding treatment for OCD, you said one must go back and deal with past issues to over come OCD. I can pin point some of my obsessions to events in my childhood. However, I read on another site that it is not necessary to go back and find the causes. What is you take on this? I must though that you seem to understand a lot of the ins and outs of the OCD mind.

    • Genevieve
      You ask an important question. OCD is a complex challenge, it can have many faces and many ideas have been attributed to its cause and like many things, experts can disagree
      One of the first questions to ask when talking aboutOCD treatment is “How are you going to define a cure?” Not long ago, the answer for most in the medical profession was a 30% reduction in symptoms. Well if you have ever talked to someone with OCD, a 30% reduction of symptoms is not at all satisfying, it’s just not enough. Mind you the 30% reduction was treatment that included the use of medication.
      Classifying OCD as an illness in the same way we classify a cold or cancer may make sense for insurance companies, but it does leave holes as an approach giving people a real chance to change their approach towards stresses, anxieties and other mental and emotional processes.
      Being able to retrain thought processes or more importantly, how we allow emotions to flow more effectively in stressful situations is the approach taken here. Not everyone has to agree, but we feel comfortable in the format and clients do find they can process life in a way where they mind does not get locked down in disruptive patterns.
      I hope this answers your question

  3. Hello, I have done probably way too much research on OCD and all the types one can get. I’ve had OCD since I was younger. It started with germs. It went away for a while and now it has been back full throttle for 1 1/2 years. I suffer mainly with compulsions (locking doors, shutting off lights, etc.) I fear that it I don’t do the compulsions something bad will happen to someone I love. The other types of OCD I deal with are HOCD and relationship OCD. I am in a relationship with a man I love very much. I get fears that he could cheat on me. I also had a fear that I cheated on him and I just don’t remember it. I know I would never cheat on him and I know I didn’t but my OCD mind won’t listen. I get so frustrated with this disorder. I’m on Zoloft but it doesn’t really help at all. I just want advice on how to Cope and deal with this stupid disorder.

    • Alisa
      When some one wants to learn how to cope and deal with a long term major issue, either they don’t believe they can change or they don’t want to. So first, your OCD can change, if you learn to change how you process aspects of your emotions and thoughts.
      You just want advice, some magical technique or idea that will make everything better. I wish I had it, but it doesn’t exist. What will work is therapy and you will need to find someone you area comfortable with, who is within your price range and that can help you make important differences in your life.
      Research will not help. More knowledge will not help. OCD is driven by your emotions, not your mind. It is a complex challenge and there are no easy answers, but everyone can improve, everyone can alter how their subconscious processes life expereinces and what we tend to hold on to. You have OCD, you want it to stop. Put in the effort you deserve to change yourself. Make a commitment to yourself to get out of your own ideas of how things should happen so you can get better and work with someone

  4. Please, please help me. I have OCD in the area of spiritual issues. I fear I have not done what my church teaches to become born-again, a Christian. I sink into depression and cannot function in daily life. Whenever I get under extreme stress the OCD takes over my life. I have been treated with antidepressants for the last 27 years , but no therapy. Please
    offer me some kind of hope. where can I go for help? I live in Augusta, GA.
    I have been diagnosed with anxiety disorder with components of OCD. If I were not afraid of going to hell, I would kill myself. I am in psychic pain.
    Carol

    • Carol
      Medication is not the long term answer to complex challenges such as OCD.It most certainly is not the cure. There is no easy answer and you are going to have to do some work. Why haven’t you seen a therapist? Is it against your Christain beliefs?
      See you really want to work with a therapist. Religious based obsessions can be aweful and overwhelming and they will not go away on their own. They will not disappear if you pray harder or try to be a better Christain. That is not the problem, Work with someone and expect it to take some time. You can change, you can regain a grasp of sanity to put your life in order and still be a good Christain, but you have to do things differently than you have. Are you willing to do that or are you waiting for a miracle. God helps those who help themselves and you have to help yourself in working with someone who can help you

  5. Why is it every site refers seeking treatment to a therapist if it isn’t a real illness. If therapist just tell you what to do, why isn’t there a site just outlining the things to do so we can avoid costly consultations

    • Tracy
      There are plenty of people (trained and otherwise) who will tell you what to do. That is cheap therapy when applied to OCD. You want to work with someone who will help you uncover the real sticking areas behind the obsessions, find better outcomes, release emotional discomfort and help you make needed changed. With OCD you need to change your relationship with yourself. One side of you pushing the rest of you around isn’t ever going to create a healthy life. Reading about something and working with someone who can guide you through difficulties can be very different expereinces. It’s like reading about parenting and being a parent, they don’t always match up.
      You can keep reading about OCD treatment or you can have the experience of making changes. Those are personal choices you will have to make

  6. When I was a child, I had symptoms of the disorder. They were unbeknown to me. I lived at home and I thought I was just like everybody else. Becoming an adult, wife and mother, I can see that I’m not. The biggest wake up was entering the workforce. There the difference really shined. I live in a small town, doing things weirdly shows. I have often felt alone because I do not know how to explain my actions or the feeling that overcomes my being. When I do not have routine or know what to expect then I get this feeling that starts in my stomach and rises to my chest. It literally feels like my heart is trying to come out of my rib cage. My whole body feels like it is pulsing. I begin holding my breathe trying to combat the overwhelming feeling consuming my body. I was told that as a child I did that. Now as an adult I still do. I have learned to combat this feeling by holding my breath and taking calming breathes or walking away because I feel like if I feed into the feeling I would really hurt not a person but just hurt. However describing it sounds honestly a little insane. My thought patterns are also extreme as this disorder is. Either happy and calm or depressive and manic. I can understand why antidepressants are prescribed as treatment options but can also see why they do not work. Is OCD a chemical imbalance in the brain as depression or is it a mental disorder that one must learn to live with? Learning to control thoughts has proven to be the most difficult task as well as going with the flow. That is why focusing is so hard at times. I have also developed habits and rituals due to childhood experiences and traumatic events.I can not change them or I feel wrong or incomplete or like I missed something. I do not feel at ease until they are completed. This disorder is both a blessing and a curse. I choose to believe that it is a blessing. Curses will have no control over me because with God leading me I can control this not it control me. While I have chosen faith and belief in an almighty God that can help you overcome any obstacle set before you there are those that do not see it that way. So to them I say you can control it. It would be easier with God’s help, but you can change the unwilling. To all living with the disorder you are not alone. You can beat it. You can control it. Believe. Peace.

    • Jessica
      Thanks for your comments and insights. It is always interesting that people want to control their thoughts. Sure we can exert some influence on our thinking, but none of actually control our thoughts. However, many people have a better relationship with their thoughts and feelings than others. These people have integrated their thoughts and emotions instead of them being odds with each other.
      You can view you faith in the same way. God doesn’t control you, he gives you choice to have a relationship with him in some form or another. If that relationship works for you, you have a degree of harmony. If it doesn’t work, you are conflicted with this.
      As you continue your quest to better yourself, make sure you give some focus on how you relate to the things you like and dislike, to the things that stress you and those that don’t, for within this lies some of your answers to improvement.

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