
Medication
Medications can only be prescribed by a licensed medical professionals (such as your physician or a psychiatrist), who would ideally work together with your therapist to develop a treatment plan. Click here to learn more about medications for OCD. Taken together, ERP and medication are considered the “first-line” treatments for OCD.
Therapy
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.
Self-care
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.
Nutrition
Although any licensed physician can legally prescribe these drugs, it is probably best to deal directly with a board-certified psychiatrist who understands OCD. It is important to find a psychiatrist who has special knowledge about the use of drugs to treat mental health disorders. Click here to find a psychiatrist in your area.
What is the best treatment for OCD?
How do medications treat anxiety disorders such as OCD?
What are the different types of psychological therapy for OCD?
Can a psychiatrist prescribe medication for OCD?

What treatment is best for OCD?
The two most commonly prescribed and effective treatments for OCD are medications and cognitive-behavioral therapy (CBT). A combination of the two sometimes creates the best results.
What is most commonly prescribed 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 is the preferred first line of treatment for those with OCD or anxiety?
SORT: KEY RECOMMENDATIONS FOR PRACTICEClinical recommendationEvidence ratingSSRIs are an effective treatment for OCD and are recommended as first-line pharmacologic therapy.AA trial of SSRI therapy should continue for eight to 12 weeks, with at least four to six weeks at the maximal tolerable dosage.C4 more rows•Aug 1, 2009
What is CBT therapy for OCD?
Cognitive-behavior therapy is a type of treatment that helps individuals cope with and change problematic thoughts, behaviors, and emotions. The treatment you are beginning is a specialized type of cognitive-behavior therapy for obsessive-compulsive disorder (OCD) called Exposure and Ritual Prevention.
What SSRI is best for OCD?
Medications known as serotonin reuptake inhibitors (SRIs) have been used for many years to treat OCD. An SRI known as Anafranil has been available the longest and is the best-studied medicine for OCD. Anafranil has been approved by the FDA to treat OCD in adults and children 10 years of age and above.
What is the gold standard for treatment of OCD?
The gold standard treatment for OCD (obsessive-compulsive disorder) is a kind of CBT (cognitive behavioral therapy) called “exposure with response prevention.”
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.
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.
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 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 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.
Exposure response prevention
One of the most scientifically proven treatment methods is a type of cognitive behavioral therapy (CBT) that’s meant to help you recognize and reframe negative or destructive thought patterns. The primary CBT method for treating OCD is known as ERP.
Selective serotonin reuptake inhibitors
An alternative to in-person therapy is medication that can help you manage your OCD symptoms. One popular medication for OCD is selective serotonin reuptake inhibitors (SSRIs). This medication is an antidepressant that works to improve communication within your brain.
Combination treatment
As the name suggests, a combination treatment is when therapy and medication treatments are combined, and 70% of people find that a combination of cognitive behavioral therapy and medication works best for them.
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.
How does treatment help with OCD?
Having poor insight about OCD may make treatment especially important. With treatment, OCD symptoms often improve. Getting treatment can help improve day-to-day function and quality of life. Treatment isn’t always easy at times. Therapy in particular can often bring up feelings of anxiety and distress.
How to help someone with OCD?
If you struggle with daily responsibilities and personal relationships because of OCD symptoms, talk to your primary care provider or a therapist. They can help you find the right treatment to help you learn to cope with OCD. Last medically reviewed on September 5, 2019.
How does OCD affect you?
OCD symptoms get in the way of the things you need or want to do. OCD symptoms negatively affect your life and relationships.
What is pure O?
People are currently describing a “type” of OCD they call “ pure O ,” which is described as involving obsessions and intrusive thoughts of a sexual or religious nature with no outwardly visible compulsions. While this has recently become a popular term, it’s not a clinical or diagnostic term.
What are the symptoms of OCD?
These symptoms involve things you feel you have to do in a specific way in response to the obsessions. OCD can present in different ways. While there are no official classification or subtypes of OCD, research. hoarding, when the need to collect or keep certain items relates to obsessions or compulsions.
How much time do you need to consume for OCD?
Diagnosis of OCD generally requires that symptoms affect your daily function and consume at least an hour of your day.
What does it mean when you have OCD?
With OCD, you have thoughts or compulsions that upset you and cause distress. You might try to ignore them or push them out of your mind, but this is generally difficult or impossible. Even if you do stop thinking about them for a while, they usually keep coming back.

Diagnosis
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Preparing For Your Appointment
- Cognitive-behavioral therapy is a treatment for OCD that uses two scientifically based techniques to change a persons 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. Most CBT treatment is conducted at a therapists offi...