The Best OCD Treatment: Therapy, Medication or Both?

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January 5, 2012

Successful treatment for Obsessive Compulsive Disorder (OCD) varies according to each person's unique obsessions and compulsive behaviors. But with ongoing treatment - typically involving behavioral therapy, medication, or both - most people can realize long-term relief from their symptoms. For most people with OCD, the first step toward treatment is visiting a family doctor to discuss the various symptoms that are causing distress, along with assessing the presence of any other anxiety disorder or medical condition. If OCD is suspected, the doctor will suggest a mental health provider who can provide insight about treatment options. Studies show that a strong bond between therapist and patient is essential to successful treatment outcomes. So choosing a therapist should take into account mutual levels of comfort, confidence - and commitment to the treatment process. Most therapists use behavioral therapies, medication - or combine the two, which has proved to be the most effective approach for treating OCD. Some patients respond to treatment within months, while others may need longer for their symptoms to improve. The most common behavioral therapy for OCD is Cognitive Behavior Therapy, CBT. With CBT, patients are helped to confront their fears and reduce their anxiety through exposure and response prevention exercises, while refraining from the compulsive behaviors. This type of therapy calls for the patient to list feared situations or objects. The objective is to reduce anxiety by having patients gradually face each obsession directly, beginning with obsessions that produce the least anxiety, until all fears are confronted. Medication is also effective in reducing the intensity and frequency of OCD symptoms - and in helping increase a patient's comfort level with behavioral therapy. The majority of the drugs used to treat OCD are antidepressants, which help boost the brain's serotonin levels. Antidepressants approved by the Food and Drug Administration for treating OCD include: Anafranil, Prozac, Paxil and Zoloft. Studies show that OCD patients who respond to cognitive behavior therapy often report a 60-80% reduction in symptoms, while those responding to medication typically report a 40-60% reduction. Of patients who receive combined medication and behavioral therapy, approximately 70-80% show symptom improvement. Many OCD patients find support groups and stress management techniques such as yoga, meditation or the natural calming effects of exercise - especially helpful in the recovery process. Family support is vital as well. In most cases, OCD can be successfully treated with behavioral therapy and medication, but choosing the right therapist is key. For help with OCD, consult your doctor or a mental health professional.