Treatment FAQ

what is one of the best combination of treatment for ocd?

by Vicky Muller Published 3 years ago Updated 2 years ago
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Cognitive behavioral therapy (CBT), a type of psychotherapy, is effective for many people with OCD .Mar 11, 2020

Medication

The success rate in treating OCD is generally very good. Particularly if the patient has not had symptoms very long or it's not extremely severe that we're talking about more than 50% of patients enjoy a significant reduction in their symptoms.

Therapy

  • Citalopram (Celexa, Cipramil)
  • Escitalopram (Cipralex, Lexapro)
  • Fluoxetine (Prozac)
  • Fluvaxamine (Faverin, Luvox)
  • Paroxetine (Paxil, Seroxat)
  • Sertraline (Lustral, Zoloft)

Self-care

The most common types of OCD include contamination and cleaning, forbidden thoughts, symmetry, harm-focused, and hoarding. People with OCD characterized by forbidden thoughts may feel shame around persistent, intrusive thoughts that are often violent or sexual in nature.

Nutrition

Vitamins for OCD

  • Serotonin Boosting B Vitamins. The B vitamins are important for increasing your serotonin level, which aids in managing OCD symptoms.
  • Vitamin C. Vitamin C in high dosage provides a sedative effect to decrease anxiety. ...
  • Additional Supplements. Vitamins and minerals are important for maintaining mental health. ...
  • Vitamin Rich Foods. ...

What is the success rate in treating OCD?

What is OCD medication effective for treating OCD?

What can be the worst form of OCD?

What supplements help OCD?

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What is the most effective treatment for OCD?

More specifically, the most effective treatments are a type of CBT called Exposure and Response Prevention (ERP), which has the strongest evidence supporting its use in the treatment of OCD, and/or a class of medications called serotonin reuptake inhibitors, or SRIs.

What is the number one medication for OCD?

By far the most commonly prescribed type of medication for OCD is the SRIs, or serotonin reuptake inhibitors; these are also one of the most commonly prescribed medications for depression. These drugs are usually given in much higher doses for OCD than for depression.

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.

Is fluoxetine or Sertraline better for anxiety?

Out of 108 randomized patients, 9.6% of the group treated with sertraline discontinued the drug compared to 19.6% of the group treated with fluoxetine due to ineffectiveness. In a study from the Journal of Affective Disorders, Zoloft and Prozac showed similar effectiveness in patients with depression and anxiety.

How effective is Zoloft for OCD?

Sertraline has been found to be very effective in treating OCD symptoms in both adults and children. Medications like sertraline have been found to reduce OCD symptoms by about half. In fact, SSRIs like sertraline have been found to be equally effective as Anafranil, but with less side effects.

What therapy is best for intrusive thoughts?

Cognitive behavioral therapy is one strategy that is often successful in helping people manage intrusive thoughts. The process may help you to shift some of your general thought patterns, which can enable you to better manage these thoughts when they do occur and might lessen their frequency.

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.

Does therapy work for OCD?

Until the 1960s, OCD was considered untreatable. Thankfully, we now know that’s not the case. According to the International OCD Foundation (IOCDF), roughly 7 in 10 people benefit from OCD treatments. Treatment typically includes a combination of psychotherapy and medication.

Cognitive behavioral therapy (CBT) for OCD

CBT is a kind of talk therapy. It helps you identify and change thinking patterns and behaviors that negatively impact your emotions. CBT for OCD typically has two parts: cognitive therapy and exposure and response prevention (ERP).

Exposure and response prevention (ERP) therapy for OCD

ERP, a type of CBT, is the gold-standard treatment for OCD. Up to 60% of people who complete ERP treatment have less OCD symptoms over the long-term.

Acceptance and commitment therapy (ACT) for OCD

ACT is a different type of therapy that can be helpful for OCD. ACT emphasizes that thoughts are temporary — you don’t need to control, change, or avoid them. It can also help you remember that you are not your intrusive thoughts.

What happens if OCD is left untreated?

The severity and type of OCD varies from person to person. Because of this, untreated OCD can look different for everyone who experiences it. In general though, the longer OCD remains untreated, the more distressing it becomes.

Finding a therapist for OCD

Once you’ve decided to seek OCD treatment, finding a therapist might feel like a daunting task. A great place to start is IOCDF’s provider database. There, you can type in your zip code to find OCD specialists in your area.

The bottom line

OCD is a mental illness that causes anxiety-inducing intrusive thoughts. This leads people to use compulsions to temporarily lessen the anxiety they feel. Therapies like CBT, ERP, and ACT are all effective treatments for people with OCD. They can also be combined with medication.

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 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.

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).

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 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 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.

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.

Is OCD a mental illness?

Although obsessive-compulsive disorder (OCD) is a serious mental illness associated with high levels of disability, there are a number of OCD treatments that will significantly reduce OCD symptoms in approximately two-thirds of affected people. For the remaining one-third of people not helped by standard OCD treatments, ...

What is the best therapy for OCD?

Therapy will focus on behavior changing therapies, such as cognitive behavioral therapy (CBT), habit reversal training, and exposure and response prevention (EX/RP). Cognitive behavioral therapy (CBT) is an evidence-based therapy that has been shown to be effective in treating the individual with OCD. In addition to the CBT as the foundational ...

What is the treatment for OCD?

In addition to the CBT as the foundational therapy, treatment for OCD may also include: Exposure and Response Prevention. ERP is a type of cognitive behavioral therapy that helps relieve fear-based symptoms by incrementally exposing the individual to their fears.

What is OCD disorder?

OCD is an anxiety-related disorder that features alternating obsessive thoughts and compulsive behaviors repeated throughout the day. OCD can become so disruptive that it can impair one’s ability to function at school, work, or to maintain healthy personal relationships.

How does cognitive therapy help with OCD?

By helping the patient change the way his or her thoughts are interpreted from negative to neutral, cognitive therapy can alter the disordered response to them . In most cases, a program for OCD will be integrative, meaning several treatment elements can be accessed to help treat all aspects of the person.

What are the two disorders of OCD?

OCD involves two disordered psychological functions—disruptive obsessive thoughts and the resulting compulsive actions. Obsessive thoughts, which are rooted in doubt, fear, or guilt, hold the individual captive in a pattern of repetitive compulsive behaviors. The behaviors act as a means of stress management, like a pressure release valve, ...

What is OCD mental health?

Obsessive-compulsive disorder (OCD) is a chronic mental health disorder that shares many features with anxiety disorder. Depending on the severity of the OCD, this disorder has the capability of causing serious impairment in daily functioning. OCD is a chronic mental health disorder, so the treatment goals should focus on improving daily management ...

How does TMS affect OCD?

By changing the circuits , TMS can potentially change the malfunctioning thought-behavior patterns associated with OCD.

What is the best treatment for OCD?

The best type of therapy to treat OCD is exposure and response prevention (ERP) therapy. Other types of therapy can be very helpful for improving different aspects of your mental health, but won’t treat OCD symptoms as effectively. The most commonly prescribed type of medication for OCD are SSRIs, or selective serotonin reuptake inhibitors.

What is the best medication for OCD?

Common medications used to treat OCD. By far the most commonly prescribed type of medication for OCD is the SRIs, or serotonin reuptake inhibitors; these are also one of the most commonly prescribed medications for depression. These drugs are usually given in much higher doses for OCD than for depression.

What does a therapist say to a patient with OCD?

Alternatively, the therapist might say, “People are in doctor’s offices all the time and they don’t get sick. I think you’ll be just fine.”. In this case, the therapist has filled the patient’s compulsive need for reassurance. In either case, the OCD symptoms are not going to improve.

Can OCD make medication clearer?

It’s also worth mentioning that the presence of other conditions in addition to OCD — what we call comorbid disorders — can make the need for medication clearer. This is true in part because that other condition needs to be treated (and sometimes even more urgently than the OCD), and medication might be a good fit.

Can ERP therapy cause OCD?

Changes in life circumstances, added stressors, or big life transitions, even when they are positive — like buying a new home or getting married — can lead to increased OCD symptoms. ERP therapy is an intensive form of treatment and requires people to be actively engaged in the process.

Does Xanax cause OCD?

One thing to know is that the class of medications known as benzodiazepines (Xanax, Klonopin, etc.) interferes with exposure and response prevention therapy, the gold standard for treating OCD. Many people see medication as a more direct response to the underlying cause of their OCD.

Is therapy good for OCD?

Sometimes meds for other conditions require a different dosage for them to also impact OCD. And so therapy might be a better first option for these people (in addition to any medication that helps the comorbid disorder but not the OCD). Therapy can be hard to understand until you’ve tried it.

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.

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.

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.

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.

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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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