Obsessive-Compulsive Disorder: NWHIC
Article title: Obsessive-Compulsive Disorder: NWHIC
Conditions: Obsessive-Compulsive Disorder
Obsessive-compulsive disorder is characterized by anxious thoughts or rituals you feel you canít control. If you have OCD, as itís called, you may be plagued by persistent, unwelcome thoughts or images, or by the urgent need to engage in certain rituals.
You may feel obsessed with germs or dirt, so you wash your hands over and over. You may be filled with doubt and feel the need to check things repeatedly. You might be preoccupied by thoughts of violence and fear that you will harm people close to you. You may spend long periods of time touching things or counting; you may be preoccupied by order or symmetry; you may have persistent thoughts of performing sexual acts that are repugnant to you; or you may be troubled by thoughts that are against your religious beliefs.
The disturbing thoughts or images are called obsessions, and the rituals that are performed to try to prevent or dispel them are called compulsions. There is no pleasure in carrying out the rituals you are drawn to, only temporary relief from the discomfort caused by the obsession.
A lot of healthy people can identify with having some of the symptoms of OCD, such as checking the stove several times before leaving the house. But the disorder is diagnosed only when such activities consume at least an hour a day, are very distressing, and interfere with daily life.
Most adults with this condition recognize that what theyíre doing is senseless, but they canít stop it. Some people, though, particularly children with OCD, may not realize that their behavior is out of the ordinary.
OCD strikes men and women in approximately equal numbers and afflicts roughly 1 in 50 people. It can appear in childhood, adolescence, or adulthood, but on the average, it first shows up in the teens or early adulthood. A third of adults with OCD experience their first symptoms as children. The course of the disease is variable -- symptoms may come and go, they may ease over time, or they can grow progressively worse. Evidence suggests that OCD might run in families.
Depression or other anxiety disorders may accompany OCD. And some people with OCD have eating disorders. In addition, they may avoid situations in which they might have to confront their obsessions. Or they may try unsuccessfully to use alcohol or drugs to calm themselves. If OCD grows severe enough, it can keep someone from holding a job or from carrying out normal responsibilities at home, but more often, it doesnít develop to these extremes.
There are several medications and behavioral treatments that can benefit people with OCD. A combination of the two treatments is often helpful for most patients. Some individuals respond best to one therapy, some to another. Two medications that have been found effective in treating OCD are clomipramine and fluoxetine. A number of others are showing promise however, and may soon be available.
Behavioral therapy, specifically a type called exposure and response prevention, has also proven useful for treating OCD. It involves exposing the person to whatever triggers the problem and then helping him or her forego the usual ritual -- for instance, having the person touch something dirty and then not wash her hands. This therapy is often successful in patients who have completed a behavioral therapy program, though results have been less favorable in some people who have both OCD and depression.
For more information...
You can find out more about anxiety disorders and their treatments by contacting the following organizations:
Association for the Advancement of Behavior Therapy
305 7th Avenue
New York, NY 10001
Freedom from Fear
308 Seaview Avenue
Staten Island, NY 10305
National Mental Health Consumersí Self-Help Clearinghouse 1-800-553-4539
National Mental Health Association 1-800-969-6642
National Alliance for the Mentally Ill 1-800-950-6264
This information was abstracted from Anxiety Disorders, National Institute of Mental Health.
All material contained in the FAQs is free of copyright restrictions, and may be copied, reproduced, or duplicated without permission of the Office on Women's Health in the Department of Health and Human Services; citation of the sources is appreciated.
Publication date: 1998
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