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Obsessive Compulsive Disorder

Obsessive Compulsive Disorder (OCD) is a clinical condition that is closely

related to anxiety disorders. It is characterized by obsessions and/or compulsions that

affect your daily life. Obsessions are defined as recurrent or persistent thoughts,

urges, or images that are unwanted and intrusive in nature. Compulsions are

repetitive behaviors or mental acts that the person performs in response to the

obsession. The obsessions and compulsions are time consuming and affect the persons

quality of life. Here are some examples of obsessions and compulsions, though both

can express themselves in ways not specifically listed:


- Fear of germs or contamination

- Fear of harming self or others

- Intrusive thoughts that are “forbidden” such as thoughts of losing control,

religious content, sex, or harming others

- Obsessions with orderliness/patterns/symmetry


- Excessive cleaning or handwashing

- Counting

- Ordering or rearranging things

- Excessive praying/mental acts

- Repetitive checking on things

Who can be affected?

OCD can affect both men and women. Studies have shown that men are more

likely to exhibit symptoms in childhood and women may develop symptoms more

commonly in young adulthood. There are no socioeconomic differences in those

whom are affected. Those who have first degree relatives with OCD are at higher risk

for developing this condition. The environment in which a child is raised in can also

affect OCD progression. Studies have shown that children who experience trauma are

at higher risk of developing OCD. In some cases, children who have had a streptococcal infection may develop OCD symptoms. This condition is called Pediatric Autoimmune Neuropsychiatric Disorder (PANDAS).

What does it look like?

The person with OCD may have very ridged routines. They may spend an excessive amount of time (greater than 1 hour per day) on these thoughts and behaviors. People with this condition are unable to control these thoughts and behaviors even though they may recognize that they are excessive. T he typical OCD

cycle starts with an obsessive thought which causes the person severe anxiety. To

decrease anxiety, the person will them perform a compulsive behavior which can illicit

some temporary relief from the anxious thoughts. This cycle will continue to repeat

itself causing the individual problems in their social, occupational, and personal lives.

The person with OCD may also have a Tic Disorder. Motor Tics are characterized by

sudden, repetitive movements of the eyes, face, shoulders, neck, or vocal cords.

Common tics include clearing of the throat, repetitive blinking, shrugging of the

shoulders, and more.

How is it treated?

The most effective treatment for obsessive compulsive disorder is therapy,

medication, or a combination of the two. The two types of therapy that have the most

evidence to support effective treatment include Cognitive Behavioral Therapy (CBT)

and a subtype of CBT called Exposure and Response Prevention (ERP) therapy. ERP

therapy is a modality that is specific to OCD. The medications that are most commonly

used for OCD are a class of medications called Selective Serotonin Reuptake Inhibitors

(SSRI). These medications are prescribed at much higher doses than they would be if

they were treating other conditions, such as anxiety or depression. As with any mental

health condition, treatment should be tailored to your specific needs while using

evidence-based research to guide decision making.

How can we help?

At Endurance Mental Health, we have a passion for helping individuals who

suffer with symptoms of obsessive-compulsive disorder. We are continually staying up

to date on new and emerging evidence to treat this condition. We are also intentional

about finding other providers and therapists in our area who treat this condition

effectively to promote collaboration and improve patient outcomes. At Endurance

Mental Health, we provide the initial psychiatric assessment and clarify your mental

health diagnosis. From there, we find the right type of therapy for your condition and

prescribe and continuously monitor your medications to promote the most effective


For more information, call (317)- 669- 9774 or visit today.


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