Hoarding >> OCD

Treatments OCD is generally treated with psychotherapy, medication, or both. Psychotherapy. A type of psychotherapy called cognitive behavior therapy is especially useful for treating OCD. It teaches a person different ways of thinking, behaving, and reacting to situations that help him or her feel less anxious or fearful without having obsessive thoughts or OCD acting compulsively. 

One type of therapy called exposure and response prevention is especially helpful in reducing compulsive behaviors in OCD. Medication. Doctors also may prescribe medication to help treat OCD. The OCD most commonly prescribed medications for OCD are anti-anxiety medications and antidepressants. 

Anti-anxiety medications are powerful and there are different types. Many types begin working right away, OCD but they generally should not be taken for long periods. Antidepressants are used to treat depression, but they are also particularly helpful for OCD, probably more so than anti-anxiety medications. They may take several weeks,10 to 12 weeks for some,to start working. 

Some of these medications may cause side effects such as headache, nausea, or difficulty sleeping. These side effects are usually not a problem for most people, OCD especially if the dose starts off low and is increased slowly over time. Talk to your doctor about any side effects you may have. 

It's important to know that although antidepressants can be safe and effective for many people, they may be risky for some, OCD especially children, teens, and young adults. A "black box", the most serious type of warning that a prescription drug can have, has been added to the labels of antidepressant medications. 

These labels warn people that antidepressants may cause some people to have suicidal thoughts or make suicide attempts. Anyone taking antidepressants should be monitored closely, OCD especially when they first start treatment with medications. Some people with OCD do better with cognitive behavior therapy, especially exposure and response prevention. 

Others do better with medication. Still others do best with a combination of the two. Talk with your doctor about the best treatment for you. OCD usually responds well to treatment with certain medications OCD and/or exposure-based psychotherapy, in which people face situations that cause fear or anxiety and become less sensitive (desensitized) to them. 

NIMH is supporting research into new treatment approaches for people whose OCD does not respond well to the usual therapies. These approaches include combination and augmentation (add-on) treatments, OCD as well as modern techniques such as deep brain stimulation. Living With "I couldn't do anything without rituals. They invaded every aspect of my life. 

Counting really bogged me down. I would wash my hair three times as opposed to once because three was a good luck number and OCD one wasn't. It took me longer to read because I'd count the lines in a paragraph. When I set my alarm at night, I had to set it to a number that wouldn't add up to a 'bad' number." 

"Getting dressed in the morning was tough, because I had a routine, and if I didn't follow the routine, I'd get anxious and OCD would have to get dressed again. I always worried that if I didn't do something, my parents were going to die. I'd have these terrible thoughts of harming my parents. I knew that was completely irrational, but the thoughts triggered more anxiety and more senseless behavior. 

Because of the time I spent on rituals, I was unable to do a lot of things that were important to me." "I knew the rituals didn't make sense, and I was deeply ashamed of them, OCD but I couldn't seem to overcome them until I got treatment." (from Obsessive-Compulsive Disorder: When Unwanted Thoughts Take Over: What is it like having OCD? )


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