Treatment FAQ

how long ocd treatment

by Marianne Kulas Published 3 years ago Updated 2 years ago
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You may need to take an SSRI for 12 weeks before you notice any benefit. Most people need treatment for at least a year. You may be able to stop if you have few or no troublesome symptoms after this time, although some people need to take an SSRI for many years.

Full Answer

How many therapy sessions does it take to cure OCD?

That said, generally speaking, most people with OCD can expect to have completed between 12 and 20 therapy sessions before they see a clinically significant decrease in their OCD symptoms.

How long do OCD patients need to take medication?

It does appear that over half of OCD patients (and maybe many more) will need to be on at least a low dose of medication for years, perhaps even for life. It seems likely that the risk of relapse is lower if patients learn to use behavior therapy techniques while they are doing well on medications.

What is OCD and how is it treated?

OCD is chronic, which means that it is an illness that you will potentially be dealing with (on some level) for the rest of your life. 1  There is no cure, unfortunately, but many people with OCD are able to get substantial control over their symptoms with proper treatment.

How long does it take for OCD symptoms to return?

After medications are stopped, symptoms do not return immediately; they may start to return within a few weeks to a few months. If OCD symptoms return after a medication is stopped, most patients will have a good response if the medication is restarted.

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How long does therapy for OCD take?

Generally speaking, most people with OCD can expect to complete between 12 and 20 therapy sessions before they see a clinically significant decrease in OCD symptoms.

Can OCD be fully cured?

Some people with OCD can be completely cured after treatment. Others may still have OCD, but they can enjoy significant relief from their symptoms. Treatments typically employ both medication and lifestyle changes including behavior modification therapy.

How long does it take OCD medication to work?

Some may begin to work after a few weeks, but it may take 10 to 12 weeks at therapeutic doses to be effective. Many patients feel no positive effects for the first few weeks of treatment. In fact, they may only experience side effects. But after a period of time, they may see a big improvement in their symptoms.

How long does OCD CBT last?

A highly effective psychotherapy called cognitive behavioral therapy (CBT) focuses on how our thoughts, beliefs, and attitudes can affect our feelings and behavior. Traditional CBT treatment usually requires weekly 30- to 60-minute sessions over 12 to 20 weeks.

Does OCD last a lifetime?

Obsessive-compulsive symptoms generally wax and wane over time. Because of this, many individuals diagnosed with OCD may suspect that their OCD comes and goes or even goes away—only to return. However, as mentioned above, obsessive-compulsive traits never truly go away. Instead, they require ongoing management.

Is OCD a life long illness?

The types of obsessions and compulsions you experience can also change over time. Symptoms generally worsen when you experience greater stress. OCD , usually considered a lifelong disorder, can have mild to moderate symptoms or be so severe and time-consuming that it becomes disabling.

Can antidepressants take 3 months to work?

Keep in mind that you may need to try several different antidepressants to find the right option for you, and even then, it can take 2 or 3 weeks to see an initial improvement. After that, it can take 3 to 6 months for symptoms to improve to the point that you are no longer depressed.

Can medication alone cure OCD?

After further study, it is now possible to treat 40 to 60 percent of OCD patients using medication alone, and new information emerges as treatments progress, according to the National Center for Biotechnology Information (NCBI).

What is the best treatment for OCD?

Psychological Therapy. Psychological therapy for obsessive-compulsive disorder is effective for reducing the frequency and intensity of OCD symptoms. The two main types of psychological therapy for OCD are cognitive-behavioral therapy (CBT) and a type of behavioral treatment called exposure and response prevention (ERP) therapy.

How many people with OCD are in remission?

Long-term studies suggest that 32—70% of people with OCD experience symptom remission which suggests that recovery is a realistic, achievable goal for some people with the condition. 1  There are a number of different approaches used in the treatment of OCD including:

How many people do not respond to OCD treatment?

It has been estimated that between 25 and 40% of people will not respond to treatment options described above. There are also other potential treatment options for OCD that are less common. Some of these options include electroconvulsive therapy (ECT), deep brain stimulation, and repetitive transcranial magnetic stimulation.

How do antidepressants help with OCD?

Although these medications are called antidepressants, they are effective in treating anxiety disorders such as OCD too. These drugs are thought to work by increasing the amount of serotonin that is available within the brain. Problems with serotonin may be a significant cause of OCD.

What is the class of medication for OCD?

Most of these drugs belong to a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs); however, one of these drugs, Anafranil, belongs to a class of drugs called the tricyclic antidepressants (TCAs).

What is act therapy?

ACT is a relatively new psychological therapy for obsessive-compulsive disorder that has shown promise in the treatment of anxiety disorders, including OCD. The central philosophy of ACT is that anxiety is part of life and so it is our reaction to the experience of anxiety that can be the real problem. The 9 Best Online Therapy Programs We've ...

Is deep brain stimulation good for OCD?

Repetitive transcranial magnetic stimulation, or rTMS, has also received considerable attention as a possible alternative treatment to reduce OCD symptoms. However, to date, the evidence has been mixed with respect to whether rTMS is an effective treatment.

What to expect from OCD treatment?

Overview. What to Expect From Treatment. When OCD Is Severe. Medications Can Help. Your Recovery. If you or a loved one has recently been diagnosed with obsessive-compulsive disorder (OCD), you may want to know how long it might take for treatment to help get the symptoms under control. OCD is chronic, which means that it is an illness ...

What is the best treatment for OCD?

The combination of ERP and medication management is often used to treat OCD, an combining the two is often regarded as more effective than either on its own. According to the International OCD Foundation, the combination of ERP and medication is considered the first-line treatment for obsessive-compulsive disorder.

Can OCD symptoms return?

It's important to remember that even if your OCD is under control, symptoms can return, particularly if you don 't actively employ the coping strategies that you may have learned in psychotherapy and/or if you stop taking any prescribed OCD medications. 2 

Is OCD a chronic illness?

OCD is chronic, which means that it is an illness that you will potentially be dealing with (on some level) for the rest of your life. 1 . There is no cure, unfortunately, but many people with OCD are able to get substantial control over their symptoms with proper treatment.

Can CBT cause anxiety?

When undertaking cognitive-behavioral therapy (CBT), it's not unusual to initially experience greater anxiety than you did before you started therapy. 4  This is natural and is a result of finally confronting many of the feared thoughts, objects, or behaviors that you previously avoided.

Can OCD be treated?

There are many barriers to OCD treatment, and many people with OCD do not get the therapy that they need to feel their best. 3 . So, make sure that you advocate for yourself, take your symptoms seriously, and ask for help if you are having trouble finding the right doctor or the resources that you need.

What is the treatment for OCD?

Treatment for most OCD patients should involve Exposure and Response Prevention (ERP) and/or medication. The majority of people with OCD (about 7 out of 10) will benefit from either medication or ERP.

How long does it take to stabilize a patient?

The goals of inpatient treatment are to stabilize the patient, which generally takes several days to a week, and then transition the patient to a lower level of care. YouTube.

Is OCD a family affair?

OCD can be a family affair. Read more here about the impact on families and what family members can do. When severe OCD proves resistant to standard forms of treatment, there are other options available. However, it should be noted that all of the following procedures are still currently being researched.

Can gamma knives help with OCD?

While there is evidence to suggest that they could potentially be helpful in reducing OCD symptoms, they are not concretely proven to do so. These should be utilized as a last resort when all of the evidence-based treatment methods for OCD (outlined above) have already been accessed: Brain Surgery. Gamma Knife.

Is acceptance and commitment therapy good for OCD?

Also, there is some promising new research showing that Acceptance and Commitment Therapy may be helpful for OCD. You can search for any of these treatment types in the Resource Directory. OCD treatment can be difficult, and requires a lot of courage and determination.

Can you get outpatient therapy for OCD?

Yes. If you or a loved one has tried traditional outpatient therapy and would like to try a more intensive level of care, there are options. The IOCDF keeps a Resource Directory of intensive treatment centers, specialty outpatient clinics, and therapist who provide these various levels of services for OCD.

How long does it take to get OCD treatment?

People with fairly mild OCD usually need about 10 hours of therapist treatment, with exercises done at home between sessions.

What is the best treatment for OCD?

psychological therapy – usually a type of therapy that helps you face your fears and obsessive thoughts without "putting them right" with compulsions. medicine – usually a type of antidepressant medicine that can help by altering the balance of chemicals in your brain. A short course of therapy is usually recommended for relatively mild OCD.

How to help someone with OCD?

Many people with OCD find support groups helpful, as they can: provide reassurance and coping advice. reduce feelings of isolation. offer a chance to socialise with others. provide information and advice for family members and friends.

How long do you have to take SSRI?

You may need to take an SSRI for 12 weeks before you notice any benefit. Most people need treatment for at least a year. You may be able to stop if you have few or no troublesome symptoms after this time, although some people need to take an SSRI for many years.

What is the treatment for OCD?

Treatments for OCD. Cognitive-behavioral therapy is a treatment for OCD that uses two scientifically based techniques to change a person’s behavior and thoughts: exposure and response prevention (ERP) and cognitive therapy. CBT is conducted by a cognitive-behavioral therapist who has special training in treating OCD.

What is the goal of OCD therapy?

The ultimate goal of therapy is to translate exposure to the real world, where you can resist your compulsions and where you can embrace uncertainty rather than fear it. The psychotherapy of choice for the treatment of OCD is exposure and response prevention (ERP), which is a form of CBT. In ERP therapy, people who have OCD are placed in situations ...

What is cognitive therapy for OCD?

Cognitive therapy for OCD focuses on the experience of negative thoughts.

How often is CBT done?

CBT is conducted by a cognitive-behavioral therapist who has special training in treating OCD. Most CBT treatment is conducted at a therapist’s office once a week with exercises to practice at home between sessions. If your OCD is very severe, you might need more frequent sessions. Not all mental health professionals are trained in ERP therapy, ...

How long does it take for OCD to return after stopping?

After medications are stopped, symptoms do not return immediately; they may start to return within a few weeks to a few months. If OCD symptoms return after a medication is stopped, most patients will have a good response if the medication is restarted.

How effective is medication for OCD?

Medication is an effective treatment for OCD. About 7 out of 10 people with OCD will benefit from either medication or Exposure and Response Prevention (ERP). For the people who benefit from medication, they usually see their OCD symptoms reduced by 40-60%. For medications to work, they must be taken regularly and as directed by their doctor.

Why do I stop taking OCD medication?

About half of OCD patients stop taking their medication due to side effects or for other reasons. If you experience side effects, you should bring this up with your doctor so they can help you address them. They may be able to change your dose or find a different type of SRI that your system better tolerates.

What kind of medication is used for OCD?

What kinds of medications may help OCD? The types of medication that research has shown to be most effective for OCD are a type of drug called a Serotonin Reuptake Inhibitor (SRI), which are traditionally used as an antidepressants, but also help to address OCD symptoms.

Does Cymbalta help with OCD?

In addition to these carefully studied drugs, there are hundreds of case reports of other drugs being helpful. For example, duloxetine (Cymbalta®) has been reported to help OCD patients who have not responded to these other medications.

Do we know how to treat patients?

The good news is that after decades of research, we know how to treat patients, even though we do not know exactly why our treatments work. We do know that each of these medications affect a chemical in the brain called serotonin. Serotonin is used by the brain as a messenger.

Can antidepressants help with OCD?

No! Some commonly used antidepressants have almost no effect whatsoever on OCD symptoms. Drugs, such as imipramine (Tofranil®) or amitriptyline (Elavil®), that are good antidepressants, rarely improve OCD symptoms.

How long does it take for OCD to go away?

Gradual medication withdrawal usually involves lowering the dose by 25% and then waiting 2 months before lowering it again, depending on how the person responds. Because OCD is a lifetime waxing and waning condition, you should always feel comfortable returning to your clinician if your OCD symptoms come back.

What is the best treatment for OCD?

Research clearly shows that the serotonin reuptake inhibitors (SRIs) are uniquely effective treatments for OCD. These medications increase and regulate the concentration of serotonin, a chemical messenger in the brain. Seven SRIs are currently available by prescription in the United States:

How many people have remission from medication?

At least 60% of people will have some improvement with medications on their first try. Most people have some improvement, although fewer than 20% of those treated with medication alone will have a complete remission of symptoms.

How long does it take for a syringe to work?

First, it is important to remember that these medications don’t work right away. Most patients notice some benefit after 3-4 weeks, while maximum benefit should occur between 12 weeks and 6 months of treatment at an adequate dose of medication.

Can OCD be relapsed?

For most people, OCD is a chronic disorder. Relapse is very common when medication is withdrawn, particularly if the person has not had the benefit of CBT. Therefore, experts recommend that most patients continue medication, particularly if they do not have access to CBT.

Can CBT be used alone?

Individuals with severe OCD or complicating conditions that may interfere with CBT (e.g., severe anxiety, panic disorder, depression) often need to start with medication, adding CBT once the medicine has provided some relief. In younger patients or patients who are pregnant, clinicians are more likely to use CBT alone.

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Diagnosis

Treatment

  • Obsessive-compulsive disorder treatment may not result in a cure, but it can help bring symptoms under control so that they don't rule your daily life. Depending on the severity of OCD, some people may need long-term, ongoing or more intensive treatment. The two main treatments for OCDare psychotherapy and medications. Often, treatment is most effe...
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Lifestyle and Home Remedies

  • Obsessive-compulsive disorder is a chronic condition, which means it may always be part of your life. While OCDwarrants treatment by a professional, you can do some things for yourself to build on your treatment plan: 1. Practice what you learn.Work with your mental health professional to identify techniques and skills that help manage symptoms, and practice these regularly. 2. Take …
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Coping and Support

  • Coping with obsessive-compulsive disorder can be challenging. Medications can have unwanted side effects, and you may feel embarrassed or angry about having a condition that requires long-term treatment. Here are some ways to help cope with OCD: 1. Learn about OCD.Learning about your condition can empower you and motivate you to stick to your treatment plan. 2. Stay focus…
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Preparing For Your Appointment

  • You may start by seeing your primary doctor. Because obsessive-compulsive disorder often requires specialized care, you may be referred to a mental health professional, such as a psychiatrist or psychologist, for evaluation and treatment.
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