
Navigating Obsessive Compulsive Disorder (OCD) in a Post-Pandemic World
Obsessive Compulsive Disorder (OCD) affects the brain and behavior and is actually very common. Persons with OCD can have obsessions or compulsions.
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Does Your OCD Need Treatment?
Obsessive-compulsive disorder (OCD) is an anxiety disorder marked by recurrent intrusive thoughts and fears that lead to ritualistic behaviors. At first, you might find the obsessions and compulsions are manageable, but left untreated, the patterns of OCD can impact all aspects of your life. Here at Next Step 2 Mental Health, our multidisciplinary team excels when it comes to diagnosing and treating OCD. If you spot the signs of OCD in you or your child, it’s never too early to receive professional help.
If you’re unsure if your OCD requires treatment, here are seven signs that your OCD could benefit from medical intervention.
But First… What Is OCD?
Before we dive into the signs that OCD requires treatment, let’s first cover what OCD is. OCD is short for obsessive-compulsive disorder. Watch the video below to hear what the International OCD Foundation says about the disorder.
As discussed in the short video clip, OCD is characterized by obsessions (intrusive, unwanted thoughts) and compulsions (behaviors).
Common obsessions include:
Contamination | Losing Control | Harm | Perfectionism | Scrupulosity | Unwanted Sexual Thoughts | Other |
Fear of germs | Fear of acting on an impulse to harm oneself or others
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Fear of being responsible for something terrible happening | Fear of losing or forgetting important information when throwing something out
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Concern with offending God
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Forbidden or perverse sexual thoughts or images | Superstitions |
Disease | Fear of violent or horrific images in one’s mind
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Fear of harming others because of not being careful enough | Concern with exactness | Concern about blasphemy | Forbidden or perverse sexual impulses about others
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Concern with getting a physical illness (not related to the diseases in the first column pertaining to germs) e.g., cancer
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Concern with household or environmental contaminants | Fear of stealing things | Fear of losing things | Excessive concern with right/wrong or morality
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Obsessions about aggressive sexual behavior towards others
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Concern with unlucky items, numbers, or colors | |
Dirt | Fear of blurting out insults or curse words | Concern with a need to know | Inappropriate sexual obsessions | |||
Body Fluids | Inability to decide whether to keep or to discard things
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Now that we’ve covered what OCD is and examples of common obsessions, let’s explore the signs that your OCD isn’t under control.
Signs Your OCD Requires Treatment
1. You Can’t Control Your Obsessions Or Your Behaviors
The types of obsessions or compulsions can vary from person to person. Regardless of which obsessions you struggle with, if you can no longer control them, then you might benefit from help.
2. You Spend Too Much Time Thinking about Your Obsessions
How much is “too much time” thinking about your thoughts? If intrusive thoughts interfere with your daily life or take up more than one hour (per the National Institute of Mental Health (NIMH)), consider asking for help.
3. Your Anxiety Isn’t Relieved by the Compulsions
Although OCD and anxiety are often discussed as separate conditions, OCD is a type of anxiety disorder. Other anxiety disorders include generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), social anxiety disorder, and panic disorder. Many people who complete ritualistic behaviors report that they do it because it helps to ease their anxiety. They also note that refraining from the behavior (whether that’s checking the door or retracing steps, etc.) increases their feelings of anxiety.
If you feel trapped in a cycle of anxiety and compulsions, there is hope. OCD treatment, which may include a combination of therapy, CBT, medication, and even lifestyle changes, can help you learn to manage your thoughts and behaviors to free you from the control of anxiety.
4. Your Career Is Suffering
Intrusive thoughts and ritualistic behaviors can suck up a lot of your time at work. For example, ruminating on obsessions can take up hours of your time and prevent you from getting your work done. Getting the right OCD treatment can help you manage your anxiety, which can lead to a more productive work day.
5. Your Personal Relationships Are Suffering
OCD doesn’t just impact your work performance. Unmanaged OCD can start to affect your relationships with your spouse, family members, and friends. You might consider OCD treatment if:
- Your thoughts take up the time you’d normally spend with your family
- Your compulsions limit your ability to enjoy time with friends or family
- Your OCD is getting in between you and your spouse
6. Your Child Continually Asks If He’ll Be Okay
Children can also be diagnosed with OCD. Children may struggle with many of the same intrusive thoughts as adults, including fear of contamination and fear of harm. You might suspect your child struggling if he continually asks if “he’ll be okay”. According to the International OCD Foundation, this can be a sign of pediatric OCD.
Other signs of OCD in children include:
- Excessive checking (re-checking that homework is done, lights are off, the door is locked, etc.)
- Excessive washing, tidying up, and/or cleaning
- Repeating ritualistic behaviors until they are “just right” … or starting over again until they are right
- Obsessing with rearranging things
- Mental compulsions which may include excessive praying or mental reviewing
- Frequent apologizing
- Reciting lucky words or numbers or phrases; using lucky items, etc.
If you notice any signs of OCD in your child, seeking professional treatment can help restore the quality of your child’s life.
7. You Used to Have OCD Managed, But Not Anymore
Even if you previously had control over your OCD — either with therapy and lifestyle changes — you might benefit from additional treatment, especially if your symptoms are regressing. If your current treatment plan is no longer working for you, we can help you get the relief you need. Many people find that a combination of therapy and medication is beneficial.
How Is OCD Treated?
At Next Step, we know how profoundly OCD can impact all aspects of your life, and if you’re struggling now, you don’t have to wait until it gets worse before reaching out for help. Our compassionate, non-judgmental team offers a variety of OCD treatments, including medication and therapy.
To reclaim control over your OCD, call our Louisville, Kentucky office at 502-339-2442. You can also request an appointment online.
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OCD During the Pandemic: What You Need to Know
Mental health experts from the Centers for Disease Control and Prevention are noting “historic rises” in anxiety and depression cases, but anxiety and depression aren’t the only two mental health conditions impacted by the pandemic. Individuals with OCD may be particularly triggered. One of the more prominent obsessions associated with obsessive-compulsive disorder (OCD) is the fear of germs and contamination, and with the increased talk and demands for increased hygiene, it’s no surprise. If you find that your symptoms of OCD are worsening, you’re not alone. Research published in a June 2020 study noted that the intensity of OCD symptoms grew during (and after) the quarantine, and relapse symptoms also intensified.
If you have OCD, now is a good time to check in with yourself to ensure your symptoms are fully managed. In the meantime, this is what you need to know about the pandemic and OCD.
Debunking the OCD Myth
OCD is one of the anxiety disorders. OCD is characterized by recurring, unwanted thoughts, ideas, or sensations (obsessions) that make them feel driven to do something repetitively (compulsions). Unfortunately, there are a lot of myths about OCD, including the idea that OCD is just about washing your hands, but the reality is that OCD is a real disorder that can profoundly impact your life if it’s left untreated. Washing hands is just one example of a compulsion. Other examples of compulsions include frequently checking on things, ruminations, or other ritual behaviors.
OCD can affect anyone, including children, teens, and adults. According to the International OCD Foundation, 2-3 million adults and about 500,000 children currently have OCD.
Warning Signs that Your OCD Is Spiraling Out of Control
How do you know if your OCD is being affected by the pandemic? Dr. Briscoe shares four signs that should be aware of:
Are you:
- Obsessing or ruminating over thoughts or images that pop into your mind and feel unable to let go?
- Spending excessive amounts of time engaged in OCD rituals (repetitive behaviors) or checking behaviors?
- Feeling like you are losing control of your thoughts, feelings, or behaviors?
- Feeling like OCD is interfering with your life or things you have previously enjoyed?
5 Ways to Support Your Partner with OCD
If you’re spouse or partner is struggling with OCD during the pandemic, you might wonder how you can best support him or her. Below are five tips to support and encourage your partner.
1. Offer encouragement.
Offer encouragement and support, but learn about the right kind of encouragement to offer that neither accommodates (i.e., enables) the rituals nor criticizes the partner for their irrational thinking or behaviors. You may benefit from support groups or from talking to your spouse’s therapist — we’ll cover this more in the next tip.
2. Encourage professional support.
“Ensure that your partner is receiving the right kind of professional support. Standard “talk therapy” is typically insufficient and ineffective in treating OCD. Evidence-based approaches generally support a combination of medication and a very specialized form of Cognitive Behavioral Therapy,” Dr. Briscoe reminds us.
Consider this: Setup an appointment to visit with your partner’s specialized OCD therapist to discuss how you can support the work that your partner and therapist are engaged in. Therapists providing CBT with persons with OCD are generally very happy to involve loved ones in their clients’ care, and provide some very helpful recommendations for you to assist and support the process of healing.
A board-certified psychiatrist should be able to recommend and direct you to a therapist or psychologist in your local community with experience and expertise in treating OCD, and provide medication to help alleviate symptoms if necessary.
3. Seek out a support group for yourself.
You might also consider finding a support group dedicated to spouses of individuals with OCD. You can find support groups for spouses of individuals with OCD on the International OCD Foundation website.
4. Seek to learn everything you possibly can about OCD.
Here are a few reputable resources:
- National Alliance on Mental Health – Provides some excellent recommendations for family members/partners of persons struggling with OCD. You can also learn what to do and what not to do.
- Harvard Health Publishing – General information/education on OCD.
- National Alliance on Mental Health (support) – Source of support for family members/partners of persons struggling with OCD and other mental illness. Potential resource for support groups for family members/partners.
What to Do If You Notice the Symptoms of OCD
The signs and symptoms of OCD vary depending on what your specific obsessions/compulsions are. For example, if a person has recurring thoughts about germs, compulsions could include frequent hand-washing, frequent cleaning and recleaning, and drive to keep everything orderly. For example, recurrent thoughts about injury could lead to frequent checking that the oven is off.
In general, symptoms include:
- Having unwanted, recurring thoughts
- Having disturbing thoughts
- Being unable to ignore repetitive compulsions
Note that the recurring thoughts don’t always have to be about germs. According to Mayo Clinic, OCD obsessions can have themes, like fear of contamination, unwanted sexual thoughts, or the need for symmetry.
If you notice any of these signs and are struggling to manage intrusive thoughts, it may be a good time to seek professional help.
Treatment Options for OCD During the Pandemic
Medications, such as SSRI’s (Lexapro, Zoloft, etc.) prescribed by a psychiatrist can help to alleviate many of the symptoms of OCD. Dr. Briscoe shares, “However, the Gold Standard of treatment for OCD is a highly specialized form of psychotherapy called Exposure and Response Prevention (ERP). For more information on ERP, visit this site.
Explore Your Next Steps
Intrusive thoughts or compulsions can impact your personal and professional life, but it doesn’t have to stay that way. Our skilled and compassionate providers can help you manage your OCD symptoms and regain control of your life. At NextStep 2 Mental Health, we know that the pandemic can profoundly impact your mental health. We provide comprehensive OCD treatment — pandemic or not. Whether you’ve already been diagnosed or you are just now starting to see the signs, we can help you feel better. Give us a call at our Louisville, Kentucky office at 502-339-2442, or send us a message to request more information.
You can also request an appointment with our convenient scheduling tool here.
About Dr. Briscoe
Dr. Brian Briscoe is a board-certified psychiatrist and the medical director of adult programs. Dr. Briscoe was voted a “Top Doctor” by Louisville Magazine. You can make an appointment with Dr. Briscoe here .