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Doctor insights on: Obsessive Compulsive Disorder Hand Washing

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How do I cure obsessive compulsive disorder aka ocd?

How do I cure obsessive compulsive disorder aka ocd?

OCD: Dear butterfly. To successfully treat obsessive compulsive disorder, one needs to address their thoughts. This requires counseling. Cognitive behavioral therapy is often effective. Psychiatric medications are sometimes needed as well. Take care. ...Read more

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Washing (Definition)

As soon as possible after being exposed to poison oak or poison ivy, washing the skin and clothes well can help reduce exposure to the offending oil and the ...Read more


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Where do I turn for obsessive compulsive disorder help?

Where do I turn for obsessive compulsive disorder help?

Where OCD gets help: I am a board certified psychiatrist, and would recommend that you seek a licensed clinical psychologist, who is a verifiable expert in cognitive-behavioral treatment of OCD symptoms. Treatment needs to be systematic and organized along certain lines. The right pscyh meds, however, can make the difference between failure and success in the change process; without meds, cbt has less lasting impact. ...Read more

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What are common symptoms of obsessive compulsive disorder?

What are common symptoms of obsessive compulsive disorder?

See below: Ocd is defined by the presence of recurring obessions (thoughts) & compulsions (behaviors) that are distressing to the person because of time consumed or effects of thoughts/acts. Nearly all individuals label the thoughts and behaviors as "weird" or "odd, " even very young children; yet, they can't stop. Usually, the compulsion is an effort to get rid of the thought. Range of symptoms is wide. ...Read more

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How do I know if my child suffers from obsessive-compulsive disorder?

How do I know if my child suffers from obsessive-compulsive disorder?

MD is best source.: The diagnosis of OCD is made when a patient reports having obsessive thoughts and compulsive behaviors, or by observation of compulsive behaviors. Children are reluctant to reveal these symptoms due to fear of being labeled "crazy". Observe your child. If you see repetitive, ritualistic behaviors, with anxiety, isolation, or depression ask them gently to share their thoughts and fears. Seek help. ...Read more

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I need help! How do I know if I have an obsessive compulsive disorder?

I need help! How do I know if I have an obsessive compulsive disorder?

Get evaluated: If you are asking, you must have concerns about yourself. What are you noticing? OVD has many forms. Most common are persistent worry about something that you ca t get off your mind, perfectionism so that you get lost in details and don't finish tasks, checking and rechecking things that,you fear you have forgotten and rituals based on fears such as repeated hand washing. See doc ...Read more

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Can you please list the common causes of obsessive-compulsive disorder?

Can you please list the common causes of obsessive-compulsive disorder?

Likely Many: Via ocd-uk: "in spite of a range of theories & considerable research, scientists...Have not been able 2 identify a definitive cause 4 a person developing obsessive-compulsive disorder... However...It is believed that ocd is likely 2be the result of a combination of either neurobiological, genetic, behavioural, cognitive, or environmental...Triggers..." more here; http://bit.Ly/14igwa5. ...Read more

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Funny how a diagnosis doesn't mean much till you have it. What is obsessive-compulsive disorder?

Funny how a diagnosis doesn't mean much till you have it. What is obsessive-compulsive disorder?

Form of Anxiety: Ocd is a type of anxiety disorder characterized by two types of symptoms. One of these is obessesional thoughts in which a person has constant thoughts (often negative) that are intrusive and paralyzing. The other symptom is compulsive actions, in which a person engages in repetitive or ritualistic behaviors to the point that it interferes with completing daily activities. ...Read more

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Can someone tell me how to overcome obsessive-compulsive disorder?

Can someone tell me how to overcome obsessive-compulsive disorder?

Get help: There is not a simple solution to overcoming ocd. Find a therapist who specializes in ocd and start working on overcoming the symptoms. You may want to consult with a psychiatrist about medication if the ocd is severe. Behavioral techniques can be helpful in combination with insight oriented work. Good luck, but it will take time, don't be discouraged. ...Read more

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What causes obsessive-compulsive disorder? Are people born with it?

What causes obsessive-compulsive disorder? Are people born with it?

Cause unknown: The cause of ocd isn't fully understood. It may be genetic but to date no gene has been identified.It does seem to run in families however. ...Read more

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What are the medications and side effects for obsessive compulsive disorder?

What are the medications and side effects for obsessive compulsive disorder?

Ocd meds: Typically, higher doses of ssri (e.g., prozac, luvox, zoloft, (sertraline) etc.) antidepressant medications are prescribed. Anafranil, which is a tricyclic antidepressant can also be prescribed. The tricyclic potentially has side effects of dry mouth, dizziness, weight gain, sedation and others. Ssri's are better tolerated, but some report headaches, daytime somnolence, nausea and decrease sex drive or delayed. ...Read more

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What is the link between obsessive compulsive disorder and being a germaphobe?

What is the link between obsessive compulsive disorder and being a germaphobe?

"Germaphobes" + OCD: Mysophobia, or fear of germs is one among ocd's cluster of symptoms, of course, not the only one. Frequent washing, and fear of contamination accompany this. This germ fear can exist by itself in what is called a "simple phobia" which is the commonest category of specific anxieties or co-occur in ocd. Treatment can be medication, cognitive-behavioral therapy, desensitization. Causes much distres. ...Read more

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Why is obsessive compulsive disorder such a common psychological disorder today?

We don't know.: There has been some speculation about the fact that obsessive compulsive traits, ie the ability to be meticulous, the ability to check your work, have been so valued in this country that we have actually helped to increase it's presence in our society. ...Read more

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What are the medications and their side effects for obsessive compulsive disorder?

Ocd meds: Typically, higher doses of ssri (e.g., prozac, luvox, zoloft, (sertraline) etc.) antidepressant medications are prescribed. Anafranil, which is a tricyclic antidepressant can also be prescribed. The tricyclic potentially has side effects of dry mouth, dizziness, weight gain, sedation and others. Ssri's are better tolerated, but some report headaches, daytime somnolence, nausea and decrease sex drive or delayed. ...Read more

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How effective is group psychotherapy for treating obsessive compulsive disorder (OCD)?

How effective is group psychotherapy for treating obsessive compulsive disorder (OCD)?

It's promising: Recent studies indicate Cognitive Therapy or CT in a group format is effective at reducing symptoms of OCD. Earlier studies found two psychological approaches, Exposure+Response Prevention and CT to be effective. Both are structured programs that challenge the behaviors and thoughts of OCD. Ask the therapist about the specific type of treatment they use and whether it has research support. ...Read more

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How effective is systematic desensitization for treating obsessive compulsive disorder (OCD)?

How effective is systematic desensitization for treating obsessive compulsive disorder (OCD)?

Alone, not very: But when used with other techniques such as prolonged exposure, deep muscle relaxation, cognitive rehearsal, thought stopping, can be very helpful in relieving some of the symptoms that bother folks with OCD. Should not be used simply alone. Consult a provider with experience in the evidence based treatment of anxiety disorders such as OCD. ...Read more

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What are obsessive compulsive disorder (ocd) and tourette syndrome?

What are obsessive compulsive disorder (ocd) and tourette syndrome?

Somewhat alike: Both were thought to be closely related due to the anxiety and compulsions related to both but we are now rethinking this. Ocd usually more cognitive while tourette more motor but there's overlap. ...Read more

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How effective is aversion therapy for treating obsessive compulsive disorder (OCD)?

How effective is aversion therapy for treating obsessive compulsive disorder (OCD)?

Not effective: Aversion therapy (positive punishment) is not appropriate for OCD. Exposure+Response Prevention and Cognitive Therapy work best. E+RP is a structured program of confronting the feared situation or thought without using the compulsive behavior to escape from it. CT challenges faulty thinking associated with OCD. Effective treatment with either approach takes a very skilled therapist ...Read more

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How effective is citalopram (Celexa) for treating obsessive compulsive disorder (OCD)?

How effective is citalopram (Celexa) for treating obsessive compulsive disorder (OCD)?

It's effective: Studies indicate SSRIs including fluvoxamine (Luvos) sertraline (Zoloft), fluoxetine (Prozac), citalopram (Celexa) and paroxetine (Paxil) can reduce OCD symptoms by 40-60%. SSRIs may also be used in combination with two empirically validated psychotherapies, Exposure plus Response Prevention and Cognitive Therapy. Ask your doctor for more information about your options. ...Read more

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How effective is venlafaxine (Effexor) for treating obsessive compulsive disorder (OCD)?

How effective is venlafaxine (Effexor) for treating obsessive compulsive disorder (OCD)?

Useful: Studies show SSRI's such as Celexa (citalopram) and Zoloft (sertraline) are effective with 70% of OCD patients. Venlafaxine (a SNRI) has been found to help in some cases of nonresponse to SSRIs. When possible, a combination of medication and effective psychological treatment is desirable. However, pharmacological treatment is often more accessible and is a cost efficient approach. ...Read more

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How effective is escitalopram (Lexapro) for treating obsessive compulsive disorder (OCD)?

How effective is escitalopram (Lexapro) for treating obsessive compulsive disorder (OCD)?

Lexapro (escitalopram) & OCD: That would be off-label use, since it is approved for Major depression & Generalized anxiety. Some benefit from Lexapro (escitalopram) if dosed high enough & tolerated well. ...Read more

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I am struggling with obsessive-compulsive disorder and anxiety attacks, please help?

I am struggling with obsessive-compulsive disorder and anxiety attacks, please help?

Assessment: Suggest seeing a good psychologist or a psychiatrist to assess and then to provide treatment recommendation. Cognitive behavioral therapy can be effective for both. Sometimes psychiatric medications are also indicated. Take care. ...Read more

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How effective is fluoxetine (Prozac) for treating obsessive compulsive disorder (OCD)?

How effective is fluoxetine (Prozac) for treating obsessive compulsive disorder (OCD)?

Prozac (fluoxetine): Dosed correctly, it has been used for long time, as well as Anafranil & Luvox, (fluvoxamine) for OCD. ...Read more

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How effective is sertraline (Zoloft) for treating obsessive compulsive disorder (OCD)?

How effective is sertraline (Zoloft) for treating obsessive compulsive disorder (OCD)?

It's effective: Studies indicate SSRIs including sertraline, fluoxetine (Prozac), citalopram (Celexa) and paroxetine (Paxil) can reduce OCD symptoms by 40-60%. SSRIs may also be used in combination with two empirically validated psychotherapies, Exposure plus Response Prevention and Cognitive Therapy. Ask your doctor for more information about your options. ...Read more

Hand Washing (Definition)

Hand washing is the most effective prevention of ...Read more