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Obsessive-compulsive disorder is an anxiety disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations (obsessions), or behaviors that make them feel driven to do something (compulsions).Often the person carries out the behaviors to get rid of the obsessive thoughts, but this only provides temporary relief. What is obsessive-compulsive disorder (OCD)?Obsessive-compulsive disorder (OCD) is an anxiety disorder characterized by uncontrollable, unwanted thoughts and repetitive, ritualized behaviors you feel compelled to perform. Not performing the obsessive rituals can cause great anxiety.Causes, incidence, and risk factorsObsessive-compulsive disorder (OCD) is more common than was once thought. If you have OCD, you probably recognize that your obsessive thoughts and compulsive behaviors are irrational – but even so, you feel unable to resist them and break free.Like a needle getting stuck on an old record, obsessive-compulsive disorder (OCD) causes the brain to get stuck on a particular thought or urge. Most people who develop it show symptoms by age 30.There are several theories about the cause of OCD, but none have been confirmed. For example, you may check the stove twenty times to make sure it’s really turned off, you’re your hands until they’re scrubbed raw, or drive around for hours to make sure that the bump you heard while driving wasn’t a person you ran over.Understanding obsessions and compulsionsObsessions are involuntary, seemingly uncontrollable thoughts, images, or impulses that occur over and over again in your mind. Several studies have shown that there are brain abnormalities in patients with OCD, but more research is needed.About 20% of people with OCD have tics, which suggests the condition may be related to Tourette syndrome.
For example, if you’re afraid of contamination, you might develop elaborate cleaning rituals.

Other medications, such as low-dose atypical antipsychotics (includingrisperidone, quetiapine, olanzapine, or ziprasidone) have been shown to be helpful.
Benzodiazepines may offer some relief from anxiety, but they are generally used only with the more reliable treatments.Cognitive behavioral therapy (CBT) has been shown to be the most effective type of psychotherapy for this disorder.
The patient is exposed many times to a situation that triggers the obsesive thoughts, and learns gradually to tolerate the anxiety and resist the urge to perform the compulsion. They may have superstitions about certain numbers, colors, or arrangements.Hoarders fear that something bad will happen if they throw anything away. But with obsessive-compulsive disorder, these thoughts and behaviors cause tremendous distress, take up a lot of time, and interfere with your daily routine, job, or relationships.Signs and symptoms of obsessive-compulsive disorder (OCD)Most people with obsessive-compulsive disorder (OCD) have both obsessions and compulsions, but some people experience just one or the other.
However, the symptoms of other disorders, such as ADD, autism, and Tourette’s syndrome can also look like obsessive-compulsive disorder, so a thorough medical and psychological exam is essential before any diagnosis is made. It’s also important to note that OCD is an anxiety disorder, and in children, the symptoms of anxiety usually change over time. What’s most important is to make environmental and behavioral changes to reduce your child’s anxiety.Therapy for obsessive-compulsive disorder (OCD)There are many effective treatments for obsessive-compulsive disorder (OCD), ranging from therapy to self-help and medication.

Then you are asked to refrain from the compulsive behavior you’d usually perform to reduce your anxiety.For example, if you are a compulsive hand washer, you might be asked to touch the door handle in a public restroom and then be prevented from washing up. As you sit with the anxiety, the urge to wash your hands will gradually begin to go away on its own.
In this way, you learn that you don’t need the ritual to get rid of your anxiety – that you have some control over your obsessive thoughts and compulsive behaviors.Studies show that exposure and response prevention can actually “retrain” the brain, permanently reducing the occurrence of obsessive-compulsive disorder symptoms.
This type of OCD therapy can even extinguish compulsive behaviors entirely. Cognitive therapy for OCDThe cognitive therapy component for obsessive-compulsive disorder (OCD) focuses on the catastrophic thoughts and exaggerated sense of responsibility you feel.

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