Obsessive-compulsive disorder (OCD) and its treatment

Definition and Symptoms:

Obsessive-compulsive disorder (OCD) is an anxiety disorder characterized by two important features. The first of these is the existence of obsessive thoughts in individuals that they cannot get rid of. The second is that they cannot control themselves; It is the presence of compulsive behaviors such as checking the bottle gas, checking the doors and constantly cleaning.

Obsession is the name given to the imagination that individuals constantly repeat and create in their minds. In the compulsion state, individuals constantly exhibit the same behaviors. Both obsessions and compulsions take up a lot of time. For example, an individual who touches something that he knows is actually clean may think that his hand is dirty (obsession) and therefore wash his hands many times (compulsion) or recite a certain prayer repeatedly (obsession) because of the curses that come to his mind while making ablution (obsession). as an example of the typical thoughts of individuals; Thoughts such as undressing at the mosque and killing a loved one may be given.

From time to time, we all have repetitive thoughts (“did I leave the tap on?”) or engage in some ritualistic behavior (taking a test with a lucky pen). However, people with obsessive-compulsive disorder spend so much time on such thoughts and actions that their daily lives are affected. Even if he checks that the faucet is closed and goes out, the person who goes back to the house again and again, cannot go out to the street, cannot go to work or school because of the possibility of the taps remaining open at the last point. These people know that their thoughts are illogical and feel shame, but because they cannot ignore these thoughts, they live a life under the control of their obsessions and compulsive actions:

Reasons: One of the most important causes of obsessive-compulsive disorder is the perfectionist nature of individuals. It is seen that individuals with obsessive compulsive personality structure set high standards for themselves and blame themselves for not reaching these standards. At the same time, a perfectionist structure can be observed in the parents of these people, and in this case, the person may experience serious performance anxiety.

In order to avoid the feeling of guilt and anxiety, these individuals prefer to control their own behavior constantly. (self-punishment) There are research results showing that genetic factors are also effective in this disorder.

Treatment: There are treatment options such as pharmacological treatment and psychotherapy in OCD. In pharmacological treatment, individuals are given anti-anxiety drugs. In addition, drugs that increase the amount of serotonin are also used in the treatment process. In psychotherapy, dysfunctional emotions, thoughts and behaviors that cause anxiety are replaced with functional ones. In particular, exposing the individual to events and situations that cause obsessions or compulsive behaviors is used as an important treatment option. The use of psychodynamic approaches in the treatment of personality disorders accompanying OCD is an effective approach, and interventions without stabilizing the obsessive factors and traumas of individuals. It can cause the person to disperse. The Psychological Counselor should definitely not try to take away the obsessions of the person without revealing the underlying causes. It should be kept in mind that advanced obsessions approach paranoia, especially with the age of 40. Individuals with OCD should definitely receive psychotherapy support, and it should be kept in mind that this disease can continue for generations through social learning and genetic transmission.

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