What to know about Obsessive Compulsive Disorder now
Have you wondered what truly qualifies as having Obsessive Compulsive Disorder? We hear this phrase very commonly now, and many people like to make light of their selves or routines by saying “I’m OCD,” but are they actually? It’s important to clear up any misconceptions regarding this so you can know when you actually need to seek help. Early intervention is critical for your health and to live a full life. Read on below to fully understand what having OCD means.
What is Obsessive Compulsive Disorder or OCD?
Obsessive Compulsive Disorder (OCD) is a common mental health condition characterized by repetitive, unwanted thoughts (obsessions) and excessive urges to engage in behaviors related to these thoughts (compulsions). OCD affects both children and adults and is typically diagnosed by late adolescence or early adulthood. OCD can be a very life limiting disorder, but with proper treatment a health and fulfilling life can be achieved.
What are the Symptoms of OCD?
- Obsessions: These are unwanted, disturbing thoughts, images, or urges that won’t go away, despite causing severe distress or anxiety. Individuals with OCD know these thoughts are irrational, but feel like they have no control over them. Obsessions are typically accompanied by feelings of fear, disgust, or doubt.
- Compulsions: These are repetitive behaviors or rituals intended to counteract the obsessions or make them go away. Individuals with OCD know that these behaviors are not realistic, but they feel like they must do them to relieve the anxiety caused by obsessions or prevent something bad from happening. Compulsions do not bring pleasure and provide only temporary relief. They are time consuming and get in the way of daily activities.
How is OCD Diagnosed?
Although you may hear people say that they have OCD because they occasionally experience an impulsive thought or compulsive behavior, OCD is an ongoing cycle that severely interferes with normal, daily functioning. Lightly using the phrase “I have OCD” can bring misconceptions to the significant impact and struggles of what having Obsessive Compulsive Disorder is like. There are very specific criteria that must be met in order to receive an OCD diagnosis. To be diagnosed with OCD, you must have:
- Obsessions, compulsions, or both
- An inability to control your obsessions (thoughts) and compulsions (behaviors), even when you recognize that they are irrational
- Obsessions and compulsions that last at least an hour each day and cause significant problems with work, relationships, or other parts of life
- No gain of pleasure from compulsions aside from a brief relief from anxiety caused by the obsessions
What are the Subtypes of OCD?
Though there are many types of OCD, individuals’ obsessions and compulsions tend to fall into one of the following five main subtypes.
- Contamination Obsessions & Washing/Cleaning Compulsions- Individuals with this subtype fear discomfort related to dirt & contamination and will engage in excessive washing or cleaning to relieve their stress. (e.g. Washing your hands repeatedly for hours after touching a door knob)
- Harm Obsessions & Checking Compulsions- Individuals with this subtype worry about possible harm to themselves or others and engage in constant checking rituals to relieve their distress. (e.g. Worrying about your house burning down and repeatedly driving by your house to make sure there is no fire; Worrying that you are increasing the likelihood of something bad happening just by thinking about it)
- Symmetry Obsessions & Ordering/Arranging/Counting Compulsions- This subtype involves the urge to arrange and rearrange things to prevent feelings of discomfort from things not feeling “right” or symmetrical (e.g. Wanting to write the exact same number of words in each line on a page). Sometimes these compulsions are used to prevent potential harm or danger. (e.g. “Something bad will happen if the pillows on my bed are uneven.”)
- Hoarding- Individuals who hoard are unable to discard possessions with little value due to the fear of losing items that may be needed one day. This subtype is associated with higher depression and anxiety than other subtypes.
- Obsessions Without Visible Compulsions- Individuals with this subtype will ruminate over unwanted thoughts, particularly related to sexual, religious, or aggressive themes. Instead of engaging in compulsions, mental rituals may be used, like reciting words, counting in one’s head, or praying for relief. (e.g. Intrusive thoughts about attacking someone)
How is OCD Treated?
Treatment for OCD typically involves medication, psychotherapy, or a combination of the two. Antidepressants are the most common medications used to treat OCD, and must be prescribed by a medical doctor or psychiatrist. Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention Therapy (ERP) are also highly effective in treating OCD symptoms. CBT is focused on recognizing and changing negative thoughts that cause distress and lead to compulsive behaviors. ERP involves exposing individuals with OCD to the cause of their anxiety and prevents them from engaging in compulsions.
If some of the symptoms above sound similar to your life situation, it’s important to begin taking the steps to seek help for this. Symptoms can become worse over time and sometimes will evolve into other issues if left untreated. If you’re interested in psychotherapy for OCD, reach out to us!
Source(s): National Institute for Mental Health , International OCD Foundation, Mayo Clinic, National Association for Mental Illness, The Very Well Mind
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How to help your student overcome test anxiety
For most students, the end of the school year is exciting because it means that the freedom of summer break is right around the corner. However, before students can begin to enjoy summer break, they must get past the one thing that many dread the most… testing! For our 3rd-12th grade students, it’s the end-of-grade tests and state exams. For our college students, it’s finals. With the end of the school year fast approaching, many of these students are likely already experiencing test anxiety. This is a term we hear a lot, but what exactly is test anxiety? What causes it? And how can we overcome test anxiety? Read below to learn how to help your student overcome test anxiety.
Test anxiety is a type of performance anxiety that we experience when pressure from high expectations or the fear of failure interfere with our ability to perform well when taking tests. Having some nervous feelings before a test is normal. In fact, these feelings are helpful because they keep our minds alert and focused. However, too much test anxiety can have the opposite effect, making it difficult to recall information or think clearly. Serious test anxiety can also lead to physical symptoms, such as, increased heart rate, shortness of breath, sweating, dry mouth, sweaty palms, headaches, upset stomach, nausea & vomiting, shaking, fainting, or even panic attacks. In addition to physical symptoms, those with test anxiety may experience emotional symptoms, like low self-esteem, frustration, irritability, fear, or helplessness. If this sounds like you or your child, then how can you begin to manage your test anxiety?
Here are some test taking tips to help you during this exam season:
- Prepare Well- Feeling prepared for a test ahead of time can help reduce your anxiety on test day, while cramming only increases it. Consider joining a study group or finding a tutor if the material is challenging. Also, be sure to learn all you can about the format of the test beforehand, such as how many or what types of questions will be on it.
- Be Mindful of Self-Talk – Watch out for unrealistic or negative thoughts. It can be easy to go down this road, but try to think about what you are telling yourself, how rational it is, and if there’s something better you could say. For example, if you find yourself saying “I have to do well on this exam,” challenge that thought with “Even if I don’t do well, it’s not the end of the world.” Or, if you say “I’m gonna fail this exam,” remind yourself of all the times you’ve successfully taken exams in the past.
- Visualize Success- Picture yourself on exam day feeling confident and doing well on the exam. If you visualize successful completion of the test, it can help you make it happen in real life!
- Use Relaxation Techniques– While studying for your test, practice deep breathing exercises, progressive muscle relaxation, or mindfulness meditation and be sure to take breaks! Some of these strategies can also be used during the test when you start to feel overwhelmed!
- Stay Healthy- Students often neglect their physical health when preparing for exams, which can worsen test anxiety. Be sure to get adequate sleep, eat nutrient-rich foods, regulate caffeine intake, and make time for physical movement during the time leading up to the test. On test day, remember to eat an adequate meal and avoid excess caffeine.
- Have Grace for Yourself- Remember that a little bit of anxiety before a test is healthy, so don’t be upset with yourself for this! Accept this feeling and realize that it helps you stay motivated. Try to let go of perfectionism. Remember that it is impossible to know everything! When studying, focus on the major concepts first and then return to the less important information if you have time.
- Reward Yourself- Plan something to look forward to after the test to celebrate your completion. This does not have to be big, and elaborate! Just make sure to take some time to relax and debrief afterward. You worked so hard! Be proud of yourself! If you have multiple exams, try to allow at least a small break before studying for the next one.