Obsessive Compulsive Disorder

Obsessive compulsive disorder (OCD) is a common mental health condition in whicha person has obsessive thoughts and compulsive behaviours.

It affects men, women and children and can develop at any age. Some people develop the condition early, often around puberty, but it typically develops during early adulthood.

OCD can be distressing and significantly interfere with your life, but treatment canhelp you keep it under control.

This page covers:

Symptoms

Getting help

Treatments

Causes

Support groups

Symptomsof OCD

If you have OCD, you'll usually experience frequent obsessive thoughts and compulsive behaviours.

• An obsession is an unwanted and unpleasant thought, image or urge that repeatedly enters your mind, causing feelings of anxiety, disgust or unease.
• A compulsion is a repetitive behaviour or mental act thatyou feel you need to carry out to try to temporarily relieve the unpleasant feelings brought on by the obsessive thought.

For example, someone with an obsessivefear of their house being burgled may feel they need to check all the windows and doors are locked several times before they can leave the house.

It's a health condition likeany other it doesn't mean you're "mad" andit's not your fault you have it.

There are two main ways to get help:

• visit your GP your GP will ask about your symptoms and can refer you to a local psychological therapy service if necessary
• refer yourself directly to a psychological therapy service search for psychological therapy services near you to see if your local services accept self-referrals

If you think a friend or family member may have OCD, try talking to them about your concerns and suggest they seek help.

OCD is unlikely to get better without propertreatment and support.

Treatmentsfor OCD

There are some effective treatments for OCD that can help reduce the impact the condition has on your life.

The main treatments are:

• psychological therapy usually a special type ofcognitive behavioural therapy (CBT)thathelps you face your fears and obsessive thoughts without "putting them right" with compulsions
• medication usually a type of antidepressantmedication called selective serotonin reuptake inhibitors (SSRIs)that can help byaltering the balance of chemicals in your brain

CBT will usually have an effect quite quickly. It can take several months before you notice the effects of treatment with SSRIs, but most people will eventually benefit.

If these treatments don't help, you may be offered an alternative SSRI or given a combination of an SSRI and CBT. Some people may be referred to a specialist mental health service for further treatment.

A number of different factors may play a role in the condition.

These include:

• family historyyou're more likely to develop OCD if a family member has it, possibly because ofyour genes
• differencesin the brainsome people with OCD have areas of unusually high activity in their brain or low levels of a chemical called serotonin
• life events OCD may be more common in people who've experienced bullying, abuse or neglectand it sometimesstarts after an important life event, such as childbirth or a bereavement
• personalityneat, meticulous, methodical people with high personal standards may be more likely to develop OCD, as may those who are generally quite anxious or have a very strong sense of responsibility for themselves and others

Supportgroups

Living with OCD can be difficult. In addition to getting medical help, you might find ithelps to contact a support group or other peoplewith OCD for information and advice.

The following sites may beuseful sources of support:

• OCD Action
• OCD-UK
• TOP UK
• HealthUnlocked OCD forum

OCD Action, OCD-UK and TOP UK can also let you know about any local support groups in your area.