Understanding Obsessive-Compulsive Disorder 
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Understanding Obsessive-Compulsive Disorder 

Post by Dr Bhavna Barmi & team on Sunday, December 25, 2022

First slide
Obsessive-Compulsive Disorder (OCD) is a mental illness that causesrecurrentunwantedthoughts and feelings (obsessions) and urges to do things over and over again (compulsions). Some people have both obsessions and compulsions.
OCD is not about habits such as nail biting or negative thoughts. Obsessions may think that certain numbers or colors are 'good' or 'bad'. A compulsive habit might be washing your hands seven times after touching something that may be dirty. 
Everyone has habits and thoughts that are repeated from time to time.
It usually takes at least an hour a day and is out of control.It is also uncomfortable and interferes with work, social life, or other parts of life.
Types of OCD
OCD comes in many forms most often fall into at least one of four generalcategories.   
• Schizophrenia
• Contamination, fear of things that may be dirty, or compulsion to clean. Mental pollution includes feeling treated like dirt.
• Symmetry and order, the need to arrange things in a certain way.
• Obsession with ruminations and intrusive thoughts, trains of thought. Some of these thoughts are intense and some are disturbing.
 
Obsessions and Compulsions
Many people with OCD know that their thoughts and habits don't make sense. They don't do it for fun, they do it because they can't stop. And when they stop, they feel very sick and start again.
Obsessions include:
• Worry about hurting themselves or others. Constantly aware of other bodily sensations.
• Suspecting, without reason to believe, that a partner is unfaithful.
Compulsive habits include:
• Working.
• Need to count steps, bottles, etc.
• Fear of touching doorknobs, using public restrooms, or shaking hands.
 
Risk factors for OCD
• A parent, sibling, or child with OCD
• Physical differences in certain parts of the brain
• Depression, anxiety, or tics
• Experiences of trauma
• A history of physical or sexual abuse.
 
OCD Treatment
There is no cure for OCD. However, medications, treatments, or a combination of treatments may control how symptoms affect your life.Treatment includes:
 
• Psychotherapy: Cognitive-behavioral therapy can help change thought patterns. In a form called exposure and response prevention, your doctor puts you in situations designed to induce anxiety and urges. Learn to reduce and then stop obsessions and behaviors.
• Relaxation:Simple things like meditation, yoga, and massage can help with stressful symptoms of obsessive-compulsive disorder.
• Pharmaceuticals: Psychiatric drugs called selective serotonin reuptake inhibitors help many people control their obsessions and urges.It may take 2-4 months for them to start working. Common ones include citalopram (Celexa), escitalopram (Lexapro),fluoxetine (Prozac), fluvoxamine, paroxetine (Paxil), and sertraline (Zoloft). If symptoms persist, your doctor may prescribe an antipsychotic drug such as aripiprazole (Abilify) or risperidone(Risperdal).
• Neuromodulation:In rare cases, when treatment or medication doesn't help enough, doctors may talk about devices that alter the electrical activity of specific areas of the brain. One type, transcranial magnetic stimulation, is FDA-approved for the treatment of obsessive-compulsive disorder. It uses a magnetic field to stimulate nerve cells. A more complex procedure, deep brain stimulation, uses electrodes implanted in the head.
• Transcranial Magnetic Stimulation (TMS): A TMS unit is a non-invasive device held above the head to induce a magnetic field. It targets specific parts of the brain that regulate the symptoms of obsessive-compulsive disorder.
 
 
 
 
 
Why is dealing with depression so delicate? 
Depression drains your energy, stopgap, and drive, making it delicate to take the way that will help you to feel more. Occasionally, just allowing the effects you should do to feel more, like exercising or spending time with musketeers, can feel exhausting or insolvable to put into action. 
It’s the Catch- 22 of depression recovery. The effects that help the utmost are the effects that are the most delicate to do. There's a big difference, still, between a delicate commodity and a commodity that’s unsolvable. While recovering from depression isn’t quick or easy, you do have further control than you realize — indeed if your depression is severe and stubbornly patient. The key is to start small and make from there. You may not have important energy, but by drawing on all your reserves, you should have enough to take a walk around the block or pick up the phone to call a loved one, for illustration.  
Taking the first step is always the hardest. But going for a walk or getting up and dancing to your favorite music, for illustration, is a commodity you can do right now. And it can mainly boost your mood and energy for several hours — long enough to put an alternate recovery step into action, similar to preparing a mood- boosting mess or arranging to meet an old friend. 
By taking small but positive way day by day, you ’ll soon lift the heavy fog of depression and find yourself feeling happier, healthier, and more hopeful again.  
Getting support plays an essential part in prostrating depression. On your own, it can be delicate to maintain a healthy perspective and sustain the trouble needed to beat depression. At the same time, the veritable nature of depression makes it delicate to reach out for help. When you are depressed, the tendency is to withdraw and insulate so that connecting to indeed close family members and musketeers can be tough.  
You may feel too exhausted to talk, shamed at your situation, or shamefaced for neglecting certain connections. But this is just the depression talking. Staying connected to other people and taking part in social conditioning will make a world of difference in your mood and outlook. Reaching out isn't a sign of weakness and it will not mean you are a burden to others. 
Look for support from people who make you feel safe and watched for. The person you talk to does not have to be suitable to fix you; they just need to be a good listener — someone who will listen attentively and compassionately without being detracted or judging you.  
Make face- time a precedent. Phone calls, social media, and texting are great ways to stay in touch, but they do not replace good old- fashioned in- person quality time. The simple act of talking to someone face to face about how you feel can play a big part in relieving depression and keeping it down.  
Try to keep up with social conditioning indeed if you do not feel like it frequently when you are depressed, it feels more comfortable to retreat into your shell, but being around other people will make you feel less depressed. 
Find ways to support others. It's nice to admit support, but exploration shows you get an indeed bigger mood boost from furnishing support yourself. So find ways — both big and small — to help others levy, be a harkening observance for a friend, do commodities nice for notoriety. 
Join a support group for depression. Being with others dealing with depression can go a long way in reducing your sense of insulation. You can also encourage each other, give and admit advice on how to manage. Here are some tips:  
1. Talk to one person about your passions. 
2. Help someone differently by volunteering. 
3. Have lunch or coffee with a friend. 
4. Ask a loved one to check in with you regularly. 
5. Accompany someone to the pictures, a musical, or a small get- together. 
6. Call or telegraph an old friend. 
7. Go for a walk with a close or loved one. 
8. Schedule a daily exercise date. 
9. Meet new people by taking a class or joining a club. 
10. Spend some time in nature. 
11. List what you like about yourself. 
12. Read a good book. 
13. Watch a funny movie or television show. 
14. Take a long, hot bath. 
15. Take care of many small tasks. 
16. Play with a pet. 
17. Talk to friends or family face- to- face. 
18. Listen to music.