Obsessive-Compulsive Disorder (OCD)

Obsessive-Compulsive Disorder (OCD) is an anxiety disorder characterized by uncontrollable, unwanted thoughts (obsessions) and repetitive, ritualized behaviors you feel compelled to perform (compulsions).

Obsessions are defined as:

  • Recurrent and persistent thoughts, impulses, or images that are experienced at some time during the disturbance as intrusive and inappropriate and that cause marked anxiety or distress
  • The person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action
  • The person recognizes that the obsessive thoughts, impulses, or images are a product of his or her own mind (not imposed from without as in thought insertion)

Compulsions are defined as:

  • Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly
  • The behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessive.
  • At some point during the course of the disorder, the adult has recognized that the obsessions or compulsions are excessive or unreasonable (not applicable to children)

The two main treatments for OCD are psychotherapy and medication.

A type of therapy called cognitive behavioral therapy (CBT) can be effective. Cognitive behavioral therapy involves retraining your thought patterns and routines so that compulsive behaviors are more manageable or no longer necessary.

Dallas Counseling for Obsessive-Compulsive Disorder (OCD)