Some patients fail to improve after taking the maximum tolerated dose of multiple SSRIs for at least two months these cases qualify as treatment-resistant and can require second-line treatment such as clomipramine or atypical antipsychotic augmentation. Commonly used SSRIs include sertraline, fluoxetine, fluvoxamine, paroxetine, citalopram, and escitalopram. SSRIs are more effective when used in excess of the recommended depression dosage however, higher doses can increase side effect intensity. Selective serotonin reuptake inhibitors (SSRIs) are a common antidepressant used to treat OCD. CBT increases exposure to obsessions and prevents compulsions, while metacognitive therapy encourages ritual behaviors to alter the relationship to one's thoughts about them. Treatment for OCD may involve psychotherapy such as cognitive behavioral therapy (CBT), pharmacotherapy such as antidepressants, or surgical procedures such as deep brain stimulation. Treatment can improve ability to function and quality of life. OCD is chronic and long-lasting with periods of severe symptoms followed by periods of improvement. The condition is also associated with a general increase in suicidality. Other disorders with similar symptoms include generalized anxiety disorder, major depressive disorder, eating disorders, tic disorders, and obsessive–compulsive personality disorder. Diagnosis is based on presented symptoms and requires ruling out other drug-related or medical causes rating scales such as the Yale–Brown Obsessive–Compulsive Scale (Y-BOCS) assess severity. Risk factors include a history of child abuse or other stress-inducing events some cases have occurred after streptococcal infections. There appear to be some genetic components, and it is more likely for both identical twins to be affected than both fraternal twins. According to Mercy, approximately 1 in 40 U.S. More than three million Americans suffer from OCD. Compulsions cause relief in the moment, but cause obsessions to grow over time. Compulsions occur often, typically taking up at least one hour per day and impairing one's quality of life. Many adults with OCD are aware that their compulsions do not make sense, but they perform them anyway to relieve the distress caused by obsessions. People with OCD may only perform mental compulsions, this is called primarily obsessional obsessive–compulsive disorder (Pure O). Common compulsions include excessive hand washing, cleaning, counting, ordering, avoiding triggers, hoarding, neutralizing, seeking assurance, praying, and checking things. Compulsions are repeated actions or routines that occur in response to obsessions to achieve a relief from anxiety. Some common obsessions include fear of contamination, obsession with symmetry, the fear of acting blasphemously, the sufferer's sexual orientation, and the fear of possibly harming others or themselves. Obsessions are persistent unwanted thoughts, mental images, or urges that generate feelings of anxiety, disgust, or discomfort. Obsessive–compulsive disorder ( OCD) is a mental and behavioral disorder in which an individual has intrusive thoughts (an obsession) and feels the need to perform certain routines ( compulsions) repeatedly to relieve the distress caused by the obsession, to the extent where it impairs general function. Medical condition Obsessive–compulsive disorderįrequent and excessive hand washing occurs in some people with OCD.įeel the need to check things repeatedly, perform certain routines repeatedly, have certain thoughts repeatedly Īnxiety disorder, major depressive disorder, eating disorders, obsessive–compulsive personality disorder Ĭounseling, selective serotonin reuptake inhibitors, clomipramine
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