Obsessive compulsive disorder (OCD)
Obsessive compulsive disorder (OCD) is a mental health condition where a person has obsessive thoughts and compulsive behaviours.
OCD can affect men, women and children. People can start having symptoms from as early as 6 years old, but it often begins around puberty and early adulthood.
OCD can be distressing and significantly interfere with your life, but treatment can help you keep it under control.
How to tell if you have Obsessive compulsive disorder (OCD)
If you have OCD, you'll usually experience frequent obsessive thoughts and compulsive behaviours.
- An obsession is an unwanted and unpleasant thought, image or urge that repeatedly enters your mind, causing feelings of anxiety, disgust or unease.
- A compulsion is a repetitive behaviour or mental act that you feel you need to do to temporarily relieve the unpleasant feelings brought on by the obsessive thought.
For example, someone with an obsessive fear of being burgled may feel they need to check all the windows and doors are locked several times before they can leave their house.
Women can sometimes have OCD during pregnancy or after their baby is born. Obsessions may include worrying about harming the baby or not sterilising feeding bottles properly. Compulsions could be things such as repeatedly checking the baby is breathing, and intrusive, unwanted and unpleasant thoughts, images or urges. These can cause anxiety and lead to repetitive behaviours.
What causes Obsessive compulsive disorder (OCD)
It's not clear what causes OCD. A number of different factors may play a part, including:
family history – you're more likely to develop OCD if a family member has it. It may be learned behaviour, or possibly because of your genes
- differences in the brain – some people with OCD have areas of unusually high activity in their brain or low levels of a chemical called serotonin
- life events – OCD may be more common in people who have been bullied, abused or neglected, and it sometimes starts after an important life event, such as childbirth or a bereavement
- personality – neat, meticulous, methodical people with high personal standards may be more likely to develop OCD, also people who are generally quite anxious or have a very strong sense of responsibility for themselves and others
Treating Obsessive compulsive disorder (OCD)
There are some effective treatments for OCD that can help reduce the impact it has on your life.
The main treatments are:
- talking therapy – usually cognitive behavioural therapy (CBT), which helps you face your fears and obsessive thoughts without "putting them right" through compulsions
- medicine – usually a type of antidepressant medicine called selective serotonin reuptake inhibitors (SSRIs), which can help by altering the balance of chemicals in your brain
CBT will usually have an effect quite quickly. It can take up to 12 weeks before you notice the effects of treatment with SSRIs, but most people will eventually benefit.
If these treatments do not help, you may be offered:
- an alternative SSRI
- a combination of an SSRI and CBT
- an antidepressant called clomipramine
Some people may be referred to a specialist mental health service for further treatment.
Please get in touch with us by clicking on the Self Refer button at the top of the website to discuss your options