Obsessive Compulsive Disorder (OCD)

Obsessive Compulsive Disorder or OCD is a psychological disorder that involves obsessions and compulsions. The disorder entails compulsions that are ego-dystonic which causes a conflict between a patient’s values, desires and beliefs.

1–2%

Global population affected by Obsessive Compulsive Disorder (OCD) (WHO estimate)

1 in 40

ndians currently living with Obsessive Compulsive Disorder (OCD)

70–80%

Patients improve significantly with structured treatment

50–60%

Treatment Gap in India: Patients do not receive consistent or adequate care

Introduction

Patients suffering OCD  feel distressed by intrusive thoughts and perform compulsive actions reluctantly, wishing they could stop despite the brief relief these behaviours provide. Read on to learn more about the disorder, its effects on a patient’s life, and various treatments available to heal a person completely.

Understanding Obsessive Compulsive Disorder

Obsessive Compulsive Disorder is a chronic ailment with fluctuating symptoms that impair the daily functioning of a person. The disorder is considered to be a neuropsychiatric disorder. Therefore, the ailment has neurological and psychological aspects. OCD severely affects the quality of life and is also linked to the mortality of a person. 

Obsessive Compulsive Disorder is strongly linked to suicidal tendencies, influenced by co-existing anxiety, depression and past attempts. This association persists even after a patient controls depressive symptoms and mood instability.

Obsessive Compulsive Disorder vs Obsessive Compulsive Personality Disorder

Obsessive Compulsive Disorder involves intrusive and distressing obsessions that are recognised as excessive. Obsessive Compulsive Personality Disorder instead reflects rigid perfectionism and control without true obsessions. Patients often mistake this rigid perfectionism as reasonable, appropriate and beneficial rather than problematic.

Obsessive Compulsive Disorder vs Other Disorders

  • Hoarding Disorders involve persistent difficulty regarding discarding items. Even if the items are no longer in use, patients are not able to gather the courage to dispose of them.
  • Body Dysmorphic Disorder is marked by excessive worry about perceived or minor flaws in appearance. Patients are obsessed with every body part and over-analyse every detail of themselves.
  • Body-Focused Repetitive Behaviour includes performing grooming actions repeatedly. Patients pare their nails every day without letting them grow or continue causing harm to themselves despite the side effects they have to suffer.

Causes of Obsessive Compulsive Disorder

  • Obsessive Compulsive Disorder arises from intertwined genetic and environmental factors. Chemical imbalances in the brain and inherited genes, to some extent, can make a person susceptible to obsessive-compulsive disorder.

  • Obsessive Compulsive Disorder may also develop due to brain differences. Overactive regions and low serotonin levels are some of the most common reasons for a person to develop Compulsive Disorder.

  • People who have experienced difficult life events like abuse, bullying, childbirth, or loss of a loved one can fall prey to this disorder. 

  • Additionally, highly meticulous and anxious patients with strict personal standards can suffer from Compulsive Disorder because of their habits. Their strong responsibility tendencies make patients more vulnerable to the disorder.

Call our 24-hour free confidential helpline.

OR fill out an admissions form, and a team member will contact you shortly.

Signs and Symptoms of Obsessive Compulsive Disorder

Here are the 9 most prominent signs and symptoms exhibited by patients suffering from Obsessive Compulsive Disorder:

  • Physical Appearance

Patients suffering from Obsessive obsessive-compulsive disorder usually look well-groomed but are visibly anxious. They exhibit compulsive actions like washing their hands religiously, checking their surroundings nervously, and arranging and rearranging objects during evaluation.

  • Repetitive Actions

Psychomotor activity includes distress-driven behaviour. Patients persistently follow a habit or action, such as tapping their feet, washing clean clothes or utensils regularly, or rechecking every action performed. Patients are unable to stop themselves despite discomfort. 

  • Speech Pattern

The speech of patients suffering from Obsessive Compulsive Disorder is generally normal and clear. However, their fast-paced intrusive thoughts may occasionally interrupt or momentarily disrupt the normal flow of conversation.

  • Emotional State

Patients suffering from obsessive-compulsive disorder commonly experience significant levels of anxiety and distress. Their conversations and repetitive actions will clearly reflect the stress associated with obsessive thoughts.

  • Obsessive Themes

Patients suffering from obsessive-compulsive disorder suffer from obsessive thoughts, ideas, and themes. For instance, they are obsessed with fear of contamination, self-harm, and asymmetry. The habit of hoarding is the most common symptom among patients suffering from Compulsive Disorder. These habits often accompany compulsive responses.

  • Perception Status

Patients suffering from obsessive-compulsive disorder rarely suffer from hallucinations or perceptual distortions. This is the main distinguishing factor from other disorders. In such cases, sensory abnormalities are often observed before other symptoms.

  • Flow of Thoughts

When it comes to Obsessive Compulsive Disorder, thinking remains logical and coherent. However, unwanted intrusive thoughts periodically intrude. This prompts compulsive actions despite patients recognising the irrationality of their thoughts and behaviour. 

  • Cognitive Functioning

Cognition of patients suffering from Obsessive Compulsive Disorder remains normal and intact. Patients are alert, even though obsessive thoughts may cloud their decision-making power or daily mental functioning.

  • Decision-Making Capabilities

Most patients with obsessive-compulsive disorder understand that their obsessions are irrational. However, they struggle to resist compulsions, which causes impaired judgement specifically around compulsive urges.

 

Effects of Obsessive Compulsive Disorder

  • Obsessive Compulsive Disorder involves the presence of intrusive or unwanted thoughts. Patients are obsessed with certain ideas and struggle with repeated behavioural habits.
  • Adults typically recognise their obsessions as unreasonable, whereas children struggle to word their intrusive thoughts.
  • When the treatment starts, occupational therapists evaluate how Obsessive Compulsive Disorder affects the routine of a patient.
  • Patients suffer from intrusive thoughts that hamper their concentration skills and lose their sense of symmetry in the process. 
  • Patients have a strong need to know, verify or even remember information repeatedly. They are always under pressure to perform every task perfectly at all times.
  • An overwhelming obsession with death or existence is also found. Patients are obsessed with false memories or real-life events.
  • In severe cases, patients also suffer from an obsession with emotional contamination. They fear absorbing other people’s traits or personalities frequently.
 

When Is Rehab Recommended?

Rehab is recommended when the obsessions become intrusive and patients suffer from extreme irrational thoughts. Some fears create intense anxiety in a person. Patients struggle to control these thoughts despite knowing that these thoughts are unreal.

  • Common obsessions include fear of germs, having repeated doubts and fixation on order or symmetry. Patients must consult a professional when they experience an obsession with violent and sexual thoughts. Such situations create a conflict between personal morals and religious beliefs.
  • Compulsions are repetitive actions. For instance, patients who are into excessive washing of hands, constant checking or following rigid routines must consult a doctor. Patients become paranoid which disrupts their routine and exhausts them.
 

Obsessive Compulsive Disorder Treatment

For the best treatment, patients must opt for early recognition. Therapists at Calida Rehab Centre diagnose a patient after a thorough, structured evaluation. Medical health professionals and mental health experts work together to accurately differentiate Obsessive-Compulsive Disorder from other similar disorders.


Treatment:

  • An interprofessional team works towards patient-centred care. Primary care physicians identify early symptoms and guide patients towards specialists.
  • Experts at Calida Rehab Centre also involve social workers. They connect patients with community services, support systems, and practical resources. 
  • Most patients benefit from a combination of medication and the following types of psychotherapy:
  • Cognitive Behavioural Therapy and Exposure and Response Prevention are two of the most successful psychotherapeutic interventions.
  • Patients who do not respond to standard treatment can opt for other treatments like neuromodulation techniques. For instance, neuromodulation techniques like deep-brain stimulation and transcranial magnetic stimulation are other types of promising treatments.
  • Understanding a patient’s needs is primary. Ethical practices followed at Calida Rehab Centre ensure respect for autonomy and harm prevention. Shared decision-making ensures that the treatment aligns with the preferences of the patient. 


Managing Obsessive Compulsive Disorder Independently:

Therapists at Calida Rehab Centre enable a patient to manage his or her disorder independently. Here are certain techniques suggested by therapists for their patients to lead a normal life:

  • Patients must accept that they experience more intrusive thoughts than usual. This reduces their impact over time as patients accept the presence of unwanted thoughts rather than pushing them away.
  • Patients must learn that everyone suffers from upsetting, confusing and shameful thoughts occasionally. Therefore, remembering that intrusive thoughts are a normal human experience can reduce the sense of isolation.
  • Techniques like finding relief by exaggerating intrusive thoughts help reduce the severity of these thoughts. Patients can try to humorously reframe their thoughts to reduce their emotional intensity.
  • Grounding techniques are exceptionally helpful. Patients suffering from Obsessive Compulsive Disorder can keep objects like a fidget toy or a piece of fabric handy to anchor the intrusive thoughts. Focusing on the texture or weight of the object can shift the patient’s attention away from the emotional intensity of the moment.
  • Patients must avoid reflecting on every aspect of their lives. Not every feeling or action needs justification. Thoughts must be allowed to flow in the mind of a person as it is a completely natural phenomenon.

Got Questions About Our Treatment Programs?

Find answers to common questions about our treatment programs, admission process, and what to expect during your recovery journey

Diagnosing Obsessive Compulsive Disorder can be difficult as there are no blood tests or scans. Therefore, patients are interviewed extensively about their habits and their past. They are asked if they are suffering from any other mental or physical health disorders as they could also be mimicking the symptoms of Obsessive Compulsive Disorder.

A combination of therapies and medication helps treat Obsessive Compulsive Disorder. Behavioural therapies like Cognitive Behavioural Therapy, counselling sessions for families and self-care techniques help a person lead a normal life. Patients can also opt for residential and outpatient treatment programs depending on the severity of the problem.

Symptoms and signs of Obsessive Compulsive Disorder include a need for order and fear of making mistakes. Patients suffer from obsessive cleaning habits, hoarding and like to stay well-groomed while exhibiting anxious behaviour. Keeping things arranged in a particular manner or rearranging them repeatedly further worsens the situation.

The 4 R’s of Obsessive Compulsive Disorder are Relabel, Reattribute, Refocus and Revalue. The aim is to relabel negative thoughts, redirect attention towards healthier actions and reduce the emotional intensity of these thoughts that control a person’s daily life.

Patients suffering from an OCD meltdown feel multiple intense emotions at the same time. Physically, a patient might feel an intense urge to clean, start shaking or even sweating. They are flooded with obsessive and intrusive thoughts which force them to engage in compulsions.

Experts Who Will Guide Your Recovery