Understanding Obsessive Compulsive Disorder

What is Obsessive Compulsive Disorder?
Obsessive Compulsive Disorder (OCD) is the name given to a condition in which people experience repetitive and upsetting thoughts and/or behaviours. OCD has two main features: obsessions and compulsions. Obsessions are involuntary thoughts, images or impulses. Common obsessions include, but are not limited to, fears about dirt, germs and contamination; fears of acting out violent or aggressive thoughts or impulses; unreasonable fears of illness resulting in death especially the death of loved ones; inordinate concern with order, arrangement or symmetry; inability to discard useless or worn out possessions; and fears that things are not safe, e.g.household appliances. The main features of obsessions are that they are automatic, frequent, upsetting or distressing, and difficult to control or get rid of.

Just as with obsessions, there are many types of compulsions. It is common for people to carry out a compulsion in order to reduce the anxiety they feel from an obsession. Common compulsions include excessive washing and cleaning; checking; repetitive actions such as touching, counting, arranging and ordering; hoarding; ritualistic behaviours that lessen the chances of provoking an obsession (eg, putting all sharp objects out of sight); and acts which reduce obsessional fears (eg, wearing only certain colours). Compulsions can be observable actions, for example washing, but they can also be mental rituals such as repeating words or phrases, counting, or saying a prayer. Again, not all types of compulsion are listed here. The main features of compulsions are they are repetitive and stereotyped actions that the person feels forced to perform. People can have compulsions without having obsessional thoughts but, very often, these two occur together. Carrying out a compulsion reduces the person's anxiety and makes the urge to perform the compulsion again stronger each time.

A person can have some or all of these symptoms. Almost everybody experiences the type of thoughts that people with OCD have (eg, wanting to double-check the front door or the gas). However, most people are able to dismiss these thoughts. People with OCD cannot ignore unpleasant thoughts and pay undue attention to them. This means that the thoughts become more frequent and distressing and, over time, they can affect all areas of a person's life, often their job and their family and social life. A person with OCD can, however, appear to function perfectly normally despite being greatly distressed. This often makes it possible for people with OCD to hide their OCD (because of this, OCD has often been called the 'secretive disorder'). It is important to remember that severity of OCD differs markedly between people but each person's distress is very real. Most people with OCD know that their thoughts are excessive or irrational but the anxiety they feel makes the thoughts difficult to ignore. OCD is much more common than was previously thought. Prevalence estimates suggest that between 1-2 per cent of the UK population has OCD. One reason why the prevalence of OCD has been underestimated in the past is that people with OCD are often afraid to seek help. They worry that other people will think they are mad, and often do not know that their disorder is a recognised condition with effective treatments. Young people also suffer from OCD. In fact, many adults with OCD had symptoms in childhood. The cause of OCD is much debated but it is likely to result from a combination of factors and the causes for one person may be different from those for another. OCD can run in families and, in some cases, may be associated with an underlying biochemical imbalance in the brain. Psychological factors such as susceptibility to stress or exposure to an emotionally traumatic experience are also likely to be in evidence. The good news is that, for the majority, OCD can be effectively controlled and treated. Whilst professional treatment is the most effective, self-help groups, books, leaflets and the internet are useful ways of coping with OCD. The more you know about OCD the better equipped you will be to deal with it In order to break the loop of obsessive thoughts Dr Jeffrey M Schwartz developed a four step self treatment method to change brain chemistry. This revolutionary four step method helps defeat the irrational impulses by a process of Relabeling, Reatributing, Refocusing and Revaluing

  1. Relabel – when an obsessive thought comes, immediately acknowledge it by saying ‘here we are again, it is only my OCD’

  2. Reattribute – Say to yourself, it isn’t me, it is just a false message from my brain, it is nothing to worry about

  3. Refocus – Do something else, leave it for fifteen minutes, delay it because nothing bad can possibly happen

  4. Revalue – Just say to yourself ‘who cares if it doesn’t go away – it is not real anyway’. Be indifferent to it, laugh at it