Obsessive-Compulsive Disorder (OCD)

Obsessive-Compulsive Disorder (OCD) is more than being neat or organized. It involves unwanted, intrusive thoughts, images, or urges (obsessions) and repetitive behaviors or mental rituals (compulsions) that a person feels driven to perform to reduce distress or discomfort or prevent something bad from happening.

OCD can affect work, school, relationships, and everyday life. Although many people recognize that their thoughts or behaviors don’t make logical sense, they may still feel unable to stop them.

  • Unwanted, intrusive thoughts or images
  • Excessive doubts or fears
  • Repeated checking behaviors or reassurance seeking
  • Excessive washing or cleaning
  • Repeating actions or counting rituals
  • A strong need for symmetry or order
  • Mental rituals, such as repeatedly reviewing events, repeating words or prayers, or trying to neutralize unwanted thoughts
  • Avoiding situations that trigger obsessions or anxiety

Cognitive Behavioral Therapy (CBT), particularly a specialized form called Exposure and Response Prevention (ERP), is considered the gold standard treatment for OCD. Treatment helps people gradually face feared thoughts or situations while learning to resist compulsive behaviors. Often over time, anxiety decreases, and OCD becomes much less disruptive to daily life.

Our psychologists have specialized training and experience in treating OCD using Exposure and Response Prevention (ERP), a specialized form of Cognitive Behavioral Therapy and the leading evidence-based treatment for OCD. Through carefully planned exposure, clients gradually approach situations, thoughts, or sensations that trigger anxiety. At the same time, response prevention helps them resist compulsions, rituals, avoidance, and reassurance seeking. Over time, clients learn that they can tolerate uncertainty and distress without relying on compulsions, allowing the cycle of OCD to weaken.

Making progress with OCD often involves practicing exposure exercises between sessions and learning to tolerate anxiety without engaging in compulsions. Explore our tips for getting the most out of therapy.

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