How Do I Know If I Have Obsessive-Compulsive Disorder?
A person with obsessive-compulsive disorder (or OCD) may experience:
Excessive and irrational concern about contamination or serious illness
Too much concern with keeping everything arranged in an exact way
Intrusive thoughts or horrible mental images
Sexual or religious thoughts felt to be unacceptable
Excessive fear of your house burning or flooding, of causing a car wreck, of spreading an illness, of losing something, of being responsible for another person getting hurt or killed
Fear of harming another person or a member of one's family
Doing things over and over again (checking)
Avoiding colors or numbers associated with bad thoughts or dreaded events
Frequently feeling the need to confess something you did or to ask to be reassured that you did something the right way
If you experience these symptoms, and they cause distress or interfere with your normal activities -- or if you find you have trouble controlling them -- you can seek help from a mental health professional.
Alison Zollars Arthur knows better. As the owner of a skin and body wellness center, the 44-year-old Houston resident regularly counsels her clients about the importance of a healthy diet. But too often, she pigs out on fast food, salty snacks, and wine.
"If I have one glass of wine, I will have more," she says. "The voice saying, 'You really shouldn't,' shuts down, and I can do anything I want to."
That "voice" is the dorsolateral prefrontal cortex, an area of the brain that handles planning,...
There are rating scales, such as the as the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), that not only can quantify the initial degree and severity of OCD, but also demonstrate progress of treatment by repeating the scoring after several months of treatment.
What Are the Treatments for OCD?
Not every person with OCD responds to the same treatment. Treatment options include medications as well as behavioral treatments. People with OCD should discuss treatment strategies with their therapists. For most people, a combination of these treatments works best.
Medicine for OCD
Since the 1970s, it has been known that drugs that affect a specific brain chemical -- serotonin -- are particularly helpful in OCD. These include a particular tricyclic antidepressant called clomipramine (Anafranil) and also the class of antidepressant drugs called selective serotonin reuptake inhibitors, or SSRIs. SSRIs approved by the FDA for treatment of OCD include Prozac, Zoloft, Luvox, and Paxil. Other SSRIs may also be used.
While these drugs can offer substantial help for many people with OCD, they aren't a cure. When a person stops taking them, OCD symptoms often come back. Other medications, particularly atypical antipsychotics such as Risperdal, Abilify or Seroquel, may be used to supplement the SSRIs to help control symptoms.