More Than ‘Just OCD’: Understanding the Cycle Behind the Disorder

By: Katie Godfrey, LCSW, Therapist at Evoke Mind + Body

Have you ever heard someone say “Oh, I’m just so OCD” when they like to have something a certain way, “obsessed” with something specific, or have an order to things? While it may feel that way, in reality there is way more to OCD than that! 

When Obsessive Compulsive Disorder (or OCD) occurs, a person gets stuck in a cycle of unwanted thoughts and repetitive behaviors known as obsessions and compulsions. This cycle causes severe distress, consumes significant time, and interferes with daily life. Contamination, repeated checking, and intrusive thoughts of harm are just a few examples of OCD themes. Many people experience more than one, and symptoms can shift over time.

For those living with OCD, there is a cycle that happens. 

Engaging in a compulsion reduces discomfort and anxiety for the moment, but herein lies the problem: relief is only temporary. That compulsion isn’t addressing the actual issue at hand, only masking it. The brain erroneously believes that the compulsion helps alleviate anxiety, but when it is unsuccessful in permanent resolution, the discomfort comes back stronger than before, furthering the cycle’s likelihood of repeating. 

The good news is that there are effective ways to help break the cycle! Many people experience unwanted thoughts at some point, and we don’t always have control over those thoughts coming to mind. What we can change is the way we respond (i.e the compulsion). By gradually resisting the urge to engage in compulsions, individuals can begin to take power away from the obsession and learn to recognize that a thought is not necessarily a reflection of who they are, their values, or what they will ultimately do.  

One of the best treatment modalities for OCD is Exposure and Response Prevention (ERP). To put it very simply, ERP helps the client gradually face obsessions without using compulsions, helping the brain learn that the anxiety will decrease without the use of the compulsion. Other treatment options include Cognitive Behavioral Therapy (CBT) and medication management. Typically, if a client considers medication as a helpful tool to support their treatment journey, it is most effective when combined with therapy.

If you or someone you know struggles with Obsessive Compulsive Disorder, we would be happy to support you or help you find appropriate resources.

Read more at evokemindandbody.com.