Obsessive Compulsive Disorder

Obsessive-Compulsive Disorder (OCD) is characterized by intrusive thoughts, known as obsessions, and repetitive behaviors, or compulsions, which can significantly impact daily life.

Obsessions are unwelcome and distressing ideas, thoughts, images or impulses that repeatedly enter your mind. They may seem to occur against your will. 

Compulsions are behaviors or mental acts that you feel driven to perform, although you may recognize them as senseless or excessive. At times, you may try to resist doing them, but this may prove difficult. You may experience anxiety that does not diminish until the behavior or mental act is completed. Sometimes compulsions are also referred to as rituals. Compulsions can also include avoiding people, places, and situations that trigger intrusive thoughts.

Common OCD Themes:

  • Contamination

  • Relationship: doubts about attraction, compatibility, your partner, and yourself

  • Harm: worries about causing harm to yourself or others

  • Sexual & Taboo Obsessions

  • Symmetry and Orderliness

  • Scrupulosity: obsessions with morality, religion, right and wrong

Common Compulsions & Rituals:

  • Checking & googling

  • Cleaning & washing rituals

  • Repetition

  • Confessing & asking for reassurance

  • Mental rituals such as cancelling out “bad” thoughts

  • Avoiding things that trigger obsessions

Colorful letter tiles spelling out 'OCD' on a white background, with scattered black, gray, and brown letter tiles around.

Treating OCD

Effective treatments for OCD are Exposure and Response Prevention (ERP), Cognitive-Behavioral Therapy (CBT), and medication. ERP therapy is considered to be the “gold standard” of OCD treatment and can help to manage obsessions, reduce compulsive behaviors, and regain control.

ERP is a structured approach that consists of gradual exposures to anxiety-inducing events without engaging in usual rituals to reduce anxiety. Through ERP, you will learn to tolerate the discomfort of intrusive thoughts, disprove irrational fears and live a fulfilling life. ERP therapy can be completed in person or online.

What to Expect

Effective OCD treatment often requires confronting the fears caused by obsessions and reducing ritualistic behaviours that only fuel the fears.

Read more about the process of exposure and response prevention here.

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