OCD - Obsessive Compulsive Disorder

How many times have you heard the expression, “I’m just soooooo OCD about cleaning”?

The truth is, OCD is far more than a fondness for being tidy. While cleanliness and orderliness can be symptoms of OCD, these traits do not indicate a diagnosis of OCD. OCD encompasses a wide range of obsessions and compulsions which can be very distressing and disruptive to a person’s relationships, work, study and other areas of day-t-day life.

By learning more about OCD you can:

· Better understand the experience of people living with OCD

· Reduce the stigma around OCD through increased awareness

· Strengthen compassion for those living with OCD

OCD is a mental health condition that is characterised by two types of symptoms: obsessions and compulsions.

Obsessions are thoughts, images or worries that keep coming into your mind, no matter how hard you try to block them out. For people with OCD, obsessions tend to be very distressing, and often involve thinking about something bad happening to themselves or other people. For example, worrying about getting very sick from germs or contamination, or having unwanted intrusive thoughts about their loved ones being harmed. Often, people with OCD fear that having a thought will increase the likelihood of the thought coming true (likelihood thought-action fusion), or that having the thought is morally as bad as acting on the thought (moral thought-action fusion).

Compulsions are behaviours that a person engages in in an attempt to get rid of, or ‘neutralise’ obsessive thoughts. Compulsions can be visible behaviours, such as repetitive hand-washing or repetitive checking (e.g., that the stove is turned off), or mental behaviours, such as repeatedly praying or counting. Compulsions are often repeated until the person feels that they’ve been done ‘just right’. Because of this, compulsions can take up a lot of time, and impact relationships, work, study and other areas of day-to-day life.

Myth: Only people with OCD have strange, intrusive thoughts

Fact: This is incorrect! We all experience bizarre intrusive thoughts from time to time. Research conducted over the span of several decades has shown that 94% of the population experience unwanted intrusive thoughts, images, doubts and urges. For people without OCD, these thoughts are experienced as fleeting and random – they don’t hold any particular meaning and are therefore quickly forgotten.

For people with OCD, these unwanted intrusive thoughts become ‘stuck’ because they are seen as meaningful. For example, a person with OCD may have an intrusive thought about harming a loved one, and worry that experiencing the thought means they are bad or dangerous in some way.

Myth: Everyone is ‘a little bit OCD’, right?

Fact: Whilst it can be common to like things to be organised, to doubt whether you’ve locked the door, or double check that the stove is off, these symptoms alone do not indicate a diagnosis of OCD. OCD is a serious mental health condition. It involves intense, distressing symptoms that can significantly interfere with a person’s wellbeing, relationships, and day-to-day functioning.

Using the term OCD incorrectly is unhelpful and can be invalidating to the very real struggles of coping with unwanted obsessive thoughts and related compulsions.

Myth: People with OCD have to learn to live with it 

Fact: People with OCD do not have to suffer alone. There are accessible, evidence-based treatments available. Cognitive Behaviour Therapy (CBT) is one of the most effective treatments for OCD. The primary component of CBT for OCD is exposure and response prevention, which involves exposure to obsessive thoughts and feared situations without using compulsions. This allows patients to learn that having an obsessive thought does not change the likelihood of the thought coming true, and that compulsions do not protect them or others from bad things happening.

Many people also find medication to help in reducing their OCD symptom severity as well as improving overall mood and functioning. With effective treatment, people can get back in control of their lives.

It is rewarding to see my clients make lasting change as I support them in gradually facing their fears and doing things, they have not been able to do for a long time. I recognise that it takes a lot of bravery to seek support for OCD treatment – it is a privilege to work with people who are willing to discuss unwanted thoughts, learn to approach these in a different way, and to witness the positive change that follows.