Obsessive Compulsive Disorder (OCD) is a common, yet distressing mental health condition characterized by unwanted intrusive thoughts, otherwise known as obsessions. These obsessions often lead to anxiety, thus, to deal with these obsessions, people with OCD often resort to repetitive patterns of behaviours known as compulsions.

While medications are an effective form of treatment, many people wonder if OCD can be managed or treated without medicines. And the answer to that is yes. Many therapies can help reduce and treat the symptoms of OCD. Let’s look at a few of them in this article

  • Cognitive Behaviour Therapy (CBT)

CBT is considered to be one of the most effective treatments for OCD. CBT is based on the assumption that our thoughts, feelings and behaviours are interconnected, so changing one of these three can lead to changes in other aspects as well. Thus, CBT helps people identify and challenge unhelpful thought patterns, which are often the root cause of obsessions and compulsions in OCD. 

Thus, by identifying and challenging unhelpful thought patterns, CBT allows people to reframe these thoughts and develop healthier thinking patterns. Adapting healthier thought patterns often leads to a reduction in OCD symptoms over time.  

  • Exposure And Response Prevention (ERP)

ERP is a form of CBT. It is considered the ‘gold standard’ when it comes to treating OCD. What makes ERP unique is that it addresses compulsive behaviours directly. In ERP, people are gradually exposed to the situations or objects that trigger their obsessions, but they are encouraged to resist the urge to engage in compulsive behaviours. 

A trained therapist also empowers people with relaxation techniques to manage their anxiety. By confronting obsessions, without resorting to compulsive behaviours people learn that their intrusive thoughts may not be as powerful as they seem, reducing their intensity over time. Research suggests that almost 50-85% of people undergoing ERP see significant differences in their OCD symptoms

  • Acceptance And Commitment Therapy (ACT)

ACT takes a different approach as compared to other therapies. It encourages people to accept their intrusive thoughts, instead of trying to change them or avoiding them. ACT also encourages people to act according to their values and goals, instead of acting on intrusive thoughts. By focusing on what they can control, ACT encourages people to develop healthier coping mechanisms

  • Group Therapy

Group therapy provides a supportive environment where people with OCD can feel safe sharing their experiences and learning healthier coping mechanisms from other group members. Joining a group can also help reduce feelings of loneliness and isolation that are often a result of OCD symptoms.

  • Lifestyle Changes And Self-Care

Apart from the above-mentioned therapies, people with OCD can also benefit from self-care habits such as getting regular exercise, learning mindfulness and relaxation techniques, maintaining a balanced diet, and ensuring adequate sleep. These habits can reduce stress and significantly improve one’s ability to cope.

When Is Medication Necessary?

While ERP and other therapies can be highly effective, there are some situations where medication may be required or recommended. These situations are:

  • When OCD symptoms significantly impact one’s daily life, and functioning, leading to severe distress. In such situations, medication can help keep symptoms under control, making it easier for people to engage in therapy.
  • If a person is going through multiple mental health conditions, such as depression or anxiety, along with OCD, medications may be required to manage these additional symptoms effectively.

Conclusion:

Experiencing OCD can be extremely distressing, but it is important to know that there are multiple ways to treat it. While medication is effective, OCD can also be treated with therapeutic approaches such as CBT, ERP, ACT and Group therapy. Additionally, self-care and seeking support from friends and family are significant parts of recovery. However, medications may be necessary, depending on the severity of one’s symptoms.

References:

  1. ERP for OCD: How It Works, Examples & Effectiveness. (n.d.). ChoosingTherapy.Com. Retrieved June 18, 2024, from https://www.choosingtherapy.com/erp-for-ocd/
  2. Is ACT an Effective Treatment for OCD? (n.d.). Retrieved June 18, 2024, from https://www.choosingtherapy.com/act-for-ocd/
  3. Self-Help Strategies for Living With OCD. (n.d.). Verywell Mind. Retrieved June 18, 2024, from https://www.verywellmind.com/ocd-self-help-2510625
  4. What is Cognitive Behavioural Therapy (CBT)? | OCD-UK. (n.d.). Retrieved June 18, 2024, from https://www.ocduk.org/overcoming-ocd/cognitive-behavioural-therapy/

Dhruva Koranne

Dhruva Koranne has completed his Masters in Applied Psychology from Tata Institute of Social Sciences, BALM. He has been practicing as a counsellor since 2020 and works to create a safe space for clients where they can open up. In addition to this, Dhruva loves researching and studying about upcoming theories in the field of Psychology. Connect with him on Linkedin