Treatment FAQ

what is commonly used treatment for ocd is

by Dr. Alexane Renner V Published 2 years ago Updated 2 years ago
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The two main treatments for OCD are psychotherapy and medications. Often, treatment is most effective with a combination of these.
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In treatment-resistant cases, other options may be offered:
  • Intensive outpatient and residential treatment programs. ...
  • Deep brain stimulation (DBS). ...
  • Transcranial magnetic stimulation (TMS).
Mar 11, 2020

Medication

Types of OCD Therapy

  • Family OCD Therapy. Family therapy sessions help teach the OCD patient and family members how to function as a normal family; helps the family members focus less on the OCD ...
  • Exposure Response Prevention (ERP) Therapy. ...
  • CBT for OCD (Cognitive Behavioral Therapy) Like ERP, cognitive therapy (CT) is a type of cognitive behavioral therapy (CBT) for OCD. ...

Therapy

Obsessive compulsive disorder problems may arise if the condition is left untreated. This article lists several of the physical and mental complications of OCD, including depression, eating disorders, Tourette's syndrome, and difficulty maintaining relationships.

Self-care

fluoxetine (Prozac) is an SSRI used to treat OCD and other mental health conditions including depression, certain eating disorders, panic disorder, and bipolar disorder. The medication comes as a capsule or tablet that is taken once daily, usually in the morning. It is approved for adults and children 7 years and older for OCD.

Nutrition

Natural remedies for OCD

  • Acupuncture
  • Homeopathy
  • Hypnotherapy
  • Herbal Medicine
  • Counseling

What kind of therapy is used to treat OCD?

What happens if OCD is not treated?

What is the best medicine for OCD?

What are some natural remedies for OCD?

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What is the most commonly used treatment for OCD?

The most effective treatments for OCD are Cognitive Behavior Therapy (CBT) and/or medication.

What are 3 treatments for OCD?

Treatments for OCDExposure Therapy. The psychotherapy of choice for the treatment of OCD is exposure and response prevention (ERP), which is a form of CBT. ... Imaginal Exposure. ... Habit Reversal Training. ... Cognitive Therapy.

Which medications are commonly used to treat OCD?

Four SSRIs that have been shown to be effective in treating OCD and are FDA-approved to treat adults with OCD in the United States are:Sertraline (brand name Zoloft)Fluoxetine (brand name Prozac)Fluvoxamine (brand name Luvox)Paroxetine (brand name Paxil)

What is the first line of treatment for OCD?

Serotonergic antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and clomipramine, are the established pharmacologic first-line treatment of OCD. Medium to large dosages and acute treatment for at least 3 months are recommended until efficacy is assessed.

How is CBT used to treat OCD?

CBT for OCD also consists of exposure and response prevention techniques. This involves gradually introducing an individual with OCD to objects or situations which trigger their obsessions and compulsions, until they learn to cope with their anxiety and distress.

What is best SSRI for OCD?

Action Points. Explain to interested patients that antidepressants, such as fluoxetine (Prozac) and sertraline (Zoloft), were modestly effective for controlling the symptoms of obsessive compulsive disorder, according to a study review.

Can OCD be treated?

Obsessive compulsive disorder (OCD) can be treated. The treatment recommended will depend on how much it's affecting your life. The 2 main treatments are: psychological therapy – usually a type of therapy that helps you face your fears and obsessive thoughts without "putting them right" with compulsions.

Why are SSRIs used for OCD?

“Selective serotonin re-uptake inhibitors” (SSRIs) and the drug clomipramine are the most commonly used medications for OCD. These medications increase the concentration of serotonin, a neurotransmitter, in the brain.

What is the best treatment for OCD?

Psychotherapy. Cognitive behavioral therapy (CBT), a type of psychotherapy, is effective for many people with OCD. Exposure and response prevention (ERP), a component of CBT therapy, involves gradually exposing you to a feared object or obsession, such as dirt, and having you learn ways to resist the urge to do your compulsive rituals.

How to diagnose obsessive compulsive disorder?

Steps to help diagnose obsessive-compulsive disorder may include: Psychological evaluation. This includes discussing your thoughts, feelings, symptoms and behavior patterns to determine if you have obsessions or compulsive behaviors that interfere with your quality of life. With your permission, this may include talking to your family or friends. ...

How to deal with stress and anxiety?

In addition to professional treatment, stress management techniques such as meditation, visualization, muscle relaxation, massage, deep breathing, yoga or tai chi may help ease stress and anxiety. Stick with your regular activities. Try not to avoid meaningful activities. Go to work or school as you usually would.

What is the DSM-5?

Your doctor may use criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association. Physical exam. This may be done to help rule out other problems that could be causing your symptoms and to check for any related complications.

Can you stop taking OCD medication?

Don't stop taking your medication without talking to your doctor, even if you're feeling better — you may have a relapse of OCD symptoms. Work with your doctor to gradually and safely decrease your dose. Talk to your doctor about the risks and benefits of using specific medications.

Can you have OCD and schizophrenia?

It's sometimes difficult to diagnose OCD because symptoms can be similar to those of obsessive-compulsive personality disorder, anxiety disorders, depression, schizophrenia or other mental health disorders. And it's possible to have both OCD and another mental health disorder. Work with your doctor so that you can get the appropriate diagnosis ...

Can you skip medication if you have OCD?

Even if you're feeling well , resist any temptation to skip your medications. If you stop, OCD symptoms are likely to return. Pay attention to warning signs. You and your doctor may have identified issues that can trigger your OCD symptoms.

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.

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.

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.

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.

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, ...

What is OCD?

OCD is a long-lasting mental health condition characterized by frequent thoughts or urges (obsessions) and repetitive behaviors or actions (compulsions) that people feel like they have to continue doing over and over again.

What medications are used to treat OCD?

Different medications have been researched to treat OCD. These medications work by affecting different chemical messengers to help brain cells communicate better. Similar to medications used to treat anxiety and depression, these medications may take up to 12 weeks before people experience any improvements in OCD symptoms.

Medication-free treatments for OCD

As mentioned above, OCD treatment is usually more effective when medication is combined with CBT. This treatment aims to help people recognize harmful or negative feelings and find ways to help manage and control them.

What happens if OCD is left untreated?

OCD can be very dangerous if left untreated. Since OCD negatively impacts your thoughts and feelings, it can make it difficult to focus on important activities in your life. Untreated OCD can lead to other mental health conditions, such as depression and anxiety. In severe cases, these feelings can result in thoughts of suicide.

The bottom line

OCD is a chronic mental health condition that can greatly interfere with people’s lives. Managing OCD involves CBT to change behaviors and taking medications to improve chemical signals within the brain.

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 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.

Why do people start with CBT?

Some people prefer to start with medication to avoid the time and trouble associated with CBT ; others prefer to begin with CBT to avoid medication side effects. The need for medication depends on the severity of the OCD and the age of the person.

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.

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.

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.

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.

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.

Drugs used to treat Obsessive Compulsive Disorder

The following list of medications are in some way related to, or used in the treatment of this condition.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Coping and Support

Medically reviewed by
Dr. Abhimanyu Chandak
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatments aim at reducing symptoms. It may include psychotherapy or medications.
Medication

Antidepressants: To reduce symptoms.

Clomipramine . Fluoxetine . Sertraline

Therapy

Psychotherapy:Cognitive behavioral therapy helps a patient to control the symptoms. Exposure and response prevention exposes patient to the feared object.

Self-care

Always talk to your provider before starting anything.

  • Eat nutritious food
  • Take adequate rest
  • Always consult a doctor before taking any medication
  • Exercise regularly to manage stress

Nutrition

Foods to eat:

  • Dairy products with low fat content such as milk and yogurt
  • Foods rich in antioxidants such as cherries, citrus fruits, tomatoes and green leafy vegetables
  • Foods rich in omega -3 fatty acids such as walnuts, fish and flaxseeds

Foods to avoid:

  • Foods with high sugar content like sodas, candies and sweets
  • Foods with caffeine like coffee, green tea and chocolate
  • Alcoholic drinks
  • Processed Foods like soups, frozen dinner and fast food

Specialist to consult

Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.
Psychologist
Specializes in diagnosing and treating diseases of the brain, emotional disturbance, and behaviour problems.

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