Compulsive Disorder OCD Treatment

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 6 min readPersons who have this condition find themselves repeating certain behaviors or thoughts coach outlet store online again and again. They know the coach factory online sale repetition is unnecessary, but are unable to stop themselves. Common forms of this are checking Coach factory outlet website locks, stoves, and lights, or even recurrent intrusive thoughts of hurting oneself or one children. Afflicted individuals usually experience severe anxiety if unable to complete their rituals, though many therapies work by helping the individual understand that no catastrophe occurs when the behaviors do cease.Research has shown that one of the most difficult problems in OCD is getting family official coach outlet online members to understand that the patient is unable to simply stop the behavior. Many times relatives become angry and upset when they are forced to deal with the time consuming and unrealistic repetitive behaviors. With this background, it is no wonder that many patients do not volunteer their symptoms and instead complain only of anxiety or depression.PsychotherapyFor many years, OCD was seen as a purely psychological disorder, related to a desire to control one environment or to undo some perceived wrong action. Insight oriented psychotherapy has been singularly unsuccessful in treating this group of disorders, however. Behavior therapies have had much more success, especially those with specific small steps geared towards coach handbags outlet the specific Coach Outlet Store Online obsessions and compulsions involved in the individual case.Recognized as one of the most effective treatments currently and considered the standard for coach factory website treating OCD is Exposure and Response Prevention (EX/RP). It has received strong research support from numerous clinical trials evaluating its efficacy in OCD patients in both inpatient and outpatient settings. EX/RP involves two Coach Factory Outlet Store components: 1) provoking obsessions and having the patient experience their subsequent anxiety while 2) refraining from engaging in rituals.Rooted from a cognitive behavioral orientation, the coach outlet store online purpose of this process is to gradually extinguish the patient obsession related anxiety by having the patient by doing. Crucially, by preventing rituals, the patient is able to learn that (1) despite their anxiety and compulsive urge, the feared outcome likely will not occur (or at least not nearly as bad as imagined), and (2) the anxiety itself will habituate on its own as Coach Outlet Online Store long as compulsions are not performed. As coach factory outlet online login a byproduct, many patients also feel a coach factory outlet sense of control and empowerment over their anxiety for the first time, instead of remaining crippled by obsessions and compulsions.Behavioral exposure occurs gradually and hierarchically, where the least feared stimuli is presented first. Exposure exercises can be done during session (and assigned to patient for homework) through coach outlet online guided in vivo (out in the world) or imaginal scripts in the therapy room.In imaginal exposure, a patient will typically sit with their eyes closed and verbally perform a narrative of the occurrence of the feared consequences of their obsessions. For example, a woman who performs counting rituals to neutralize obsessions about accidentally killing her husband may be asked to vividly imagine killing her husband, while refraining from counting.During, in vivo exposure, the therapist will actually bring the patient with their feared stimuli. For example, a patient with contamination fears may be asked to sit on the bathroom floor for a specified amount of time, without washing his/her hands or taking a shower.Learn more: ERP Therapy: A Good Choice for Treating OCDCognitive therapy is often added during EX/RP so that the patient can process these behavioral experiences and sense of them as treatment progresses.Other forms of behavior therapy have been shown to be successful in treating OCD, though these are becoming increasingly replaced by EX/RP in the field. Two common and popular techniques are coach factory outlet online systematic desensitization and flooding, which are types of exposure accompanied with relaxation techniques. Systematic desensitization techniques involve gradually exposing the client to ever increasing anxiety provoking stimuli. It is important to note here, though, that such a technique should not be attempted until the client has successfully learned relaxation skills and can demonstrate these to the therapist. Exposing a patient to either of these techniques without increased coping skills can result in relapse and possible harm to the client.Relaxation techniques may include imagery, breathing skills, and muscle relaxation. The aim is for patients to learn to habituate to their anxiety. It is important for the client to find a relaxation technique that works best for them, before attempting something like systematic desensitization or official coach factory outlet online flooding. Systematic desensitization is the preferred technique of the two; flooding is not recommended except in rare uses. Flooding allows the patient to face the most anxiety provoking situation, while using the relaxation skills learned.Additional cognitive behavioral techniques, which may have some effectiveness for people who suffer from OCD, include saturation and thought stopping. Through saturation, the client is directed to do nothing but think of one obsessive thought which they Coach.com have complained about.Through thought stopping, the individual learns how to halt obsessive thoughts through proper identification of the obsessional thoughts, and then averting it by doing an opposite, incompatible response. A common incompatible response to an obsessive thought is simply by yelling the word loudly. The client can be encouraged to practice this in therapy (with the clinician help and modeling, if necessary), then they are encouraged to continue this behavior at home. They can often use other incompatible stimuli, such as snapping a rubber band which is around their wrist whenever they have a thought. The latter technique would be more effective in public.Recent research supports mindfulness based treatments for OCD, and specifically Acceptance and Commitment Therapy (ACT). ACT is a behavioral therapy that aims to change the relationship individuals have with their own thoughts and physical sensations that are feared or avoided.Different from EX/RP, ACT focuses on values and acceptance whereby promoting acceptance of distressing states, people are taught to more effectively focus on the present moment and act in line with their goals and life values instead of being pushed around by their obsessions. More research supporting this treatment is needed, and this therapy may be most effective in OCD patients with greater insight.Learn coach outlet sale more: OCD and InsightMedicationsIn coach factory store online the last 25 years, medications have been found to be fairly successful in the treatment of OCD. First was the tricyclic antidepressant clomipramine (Anafranil). This has been followed by several of the newer SSRI class antidepressants that act selectively on the reuptake of serotonin, a neurotransmitter.In the last few years, neuroimaging studies have begun to disclose the underlying pathophysiology of OCD. The area of the brain that functions abnormally is directly next to those areas that relate to tic disorders such as Tourette syndrome and to attention deficit disorder. It now seems that variable amounts of dysfunction produce clinical symptoms that may all be found in one of these areas, or may be overlapping. Many people with ADD also have tics, as do many people with OCD.Most unexpected is the finding that children who have rheumatic fever and develop Sydenham chorea have a significantly increased risk of OCD. This is one of the few areas of mental health where clear proof exists for the efficacy of multiple types of treatment.With medications, generally the dose used to treat depression is not enough to control OCD symptoms. Patients often will take 2 4 times the that amount. Exposure with Response Prevention or other forms of behavioral therapy with medications seems to offer the best long term improvement.Virtually no treatment is curative for OCD. However, most treatment can be expected to reduce symptoms by 50 80% or more. The illness is cyclic, and worsens when the individual is under stress.As a final note, click here it is crucial when looking for a therapist, that they have specialized training cheap coach purses in OCD treatment. Patients should be wary of treatments not mentioned in this article and should look for buzzwords, such as therapy and and Response Prevention in a therapist description.