Psychology and Psychiatry: Open access
Open Access

Obsessive-Compulsive Disorder (OCD); Mental health; Psychotherapy; Intrusive thoughts; Compulsive behaviors; Anxiety disorders

Introduction

OCD manifests in a variety of ways, but common symptoms include intrusive thoughts, urges, or images that cause significant distress (obsessions), and repetitive behaviors or mental acts performed in response to these obsessions (compulsions). Obsessions often centre on themes such as contamination, symmetry, harm, or taboo thoughts, while compulsions are aimed at reducing anxiety or preventing perceived harm [1]. Examples of compulsive behaviors include excessive hand washing, checking, counting, or seeking reassurance.

Methodology

OCD can present in different forms, including contamination OCD, where individuals fear germs or contamination; symmetry OCD, characterized by an obsession with orderliness and symmetry; and intrusive thoughts OCD, marked by distressing and intrusive thoughts about harm or forbidden behaviors [2]. Understanding the specific subtype of OCD is crucial for tailoring treatment approaches to individuals' needs.

Exploring the causes: biological, psychological, and environmental factors

The etiology of OCD is multifactorial, involving a complex interplay of biological, psychological, and environmental factors. Genetic studies have identified a heritable component to OCD, with certain genetic variations implicated in its development [3]. Neurobiological research has revealed abnormalities in brain regions involved in fear processing, decision-making, and impulse control, suggesting dysregulation in neural circuits underlying OCD symptoms [4]. Psychological factors such as cognitive biases, maladaptive beliefs, and early life experiences may also contribute to the onset and maintenance of OCD. Environmental stressors, including trauma, abuse, or significant life events, can exacerbate symptoms or trigger the onset of the disorder in susceptible individuals. Individuals with OCD may experience significant distress, anxiety, or shame related to their symptoms, leading to avoidance of certain situations or activities [5]. Interference in daily routines, impairment in work or school functioning, and strained interpersonal relationships are common consequences of untreated OCD.

Treatment approaches: medications, therapy, and supportive interventions

Treatment for OCD typically involves a combination of pharmacotherapy, psychotherapy, and supportive interventions aimed at reducing symptoms and improving functioning. Selective serotonin reuptake inhibitors (SSRIs) are the first-line pharmacological treatment for OCD, effectively reducing the frequency and intensity of obsessions and compulsions in many individuals. However, it may take several weeks or months for the full therapeutic effects of medications to be realized. Cognitive-behavioral therapy (CBT), particularly exposure and response prevention (ERP), is considered the gold standard psychotherapeutic approach for OCD [6]. ERP involves gradually exposing individuals to feared stimuli or situations while preventing them from engaging in compulsive behaviors, thereby facilitating habituation and reducing anxiety. A CBT technique such as cognitive restructuring, mindfulness, and acceptance and commitment therapy (ACT) may also be incorporated into treatment plans to address maladaptive beliefs and coping strategies [7]. Despite advances in our understanding and treatment of OCD, significant challenges remain in addressing the needs of individuals living with the disorder. Stigma, misconceptions, and lack of awareness surrounding OCD may deter individuals from seeking help or accessing appropriate care [8,9]. Limited availability of specialized mental health services and long waiting lists for treatment can further exacerbate delays in diagnosis and intervention. Future directions in OCD research include identifying biomarkers and end phenotypes associated with the disorder, developing novel pharmacological and psychotherapeutic interventions, and addressing treatment-resistant symptoms in refractory cases [10]. Additionally, efforts to raise public awareness, reduce stigma, and promote early intervention are crucial for improving outcomes and reducing the burden of OCD on individuals, families, and society.

Conclusion

Obsessive-Compulsive Disorder is a complex and multifaceted condition that requires a comprehensive and individualized approach to treatment and support. By fostering collaboration among researchers, clinicians, policymakers, and advocacy groups, we can continue to advance our understanding of OCD and enhance access to effective interventions for those in need. With increased awareness, empathy, and support, individuals living with OCD can embark on a journey towards recovery and reclaiming their lives.

Acknowledgement

None

Conflict of Interest

None

References

1. Quesada D, Ahmed NU, Fennie KP, Gollub EL, Ibrahimou B, et al. (2018) A review: Associations between attention-deficit/hyperactivity disorder, physical activity, medication use, eating behaviors and obesity in children and adolescents. Archives of psychiatric nursing 32: 495-504.

Indexed at, Google Scholar, Crossref

2. Al-Yagon M, Lachmi M, Danino M (2020) Manual-based personalized intervention for mothers of children with sld/adhd: Effects on maternal and family resources and children’s internalizing/externalizing behaviors. Journal of Attention Disorders 24: 720-736.

Indexed at, Google Scholar, Crossref

3. Motahhari ZS, Ahmadi K, Behzadpoor S, Azmoodeh F (2014) Effectiveness of mindfulness in marital burnout among mothers of ADHD children. Family Counseling and Psychotherapy 3: 591-613.

Google Scholar, Crossref

4. Anker E, Haavik J, Heir T (2020) Alcohol and drug use disorders in adult attention-deficit/hyperactivity disorder: prevalence and associations with attention-deficit/hyperactivity disorder symptom severity and emotional dysregulation. World Journal of Psychiatry 10: 202.

Indexed at, Google Scholar, Crossref

5. Schoenfelder EN, Chronis-Tuscano A, Strickland J, Almirall D, Stein MA, et al. (2019) Piloting a sequential, multiple assignment, randomized trial for mothers with attention-deficit/hyperactivity disorder and their at-risk young children. Journal of Child and Adolescent Psychopharmacology 29: 256-267.

Indexed at, Google Scholar, Crossref

6. DosReis S, Park A, Ng X, Frosch E, Reeves G, et al. (2017) Caregiver treatment preferences for children with a new versus existing attention-deficit/hyperactivity disorder diagnosis. Journal of child and adolescent psychopharmacology 27: 234-242.

Indexed at, Google Scholar, Crossref

7. Gainsbury S, Blaszczynski A (2011) A systematic review of Internet-based therapy for the treatment of addictions. Clinical Psychology Review 31: 490-498.

Indexed at, Google Scholar, Crossref

8. Dourado DM, Rolim JA, Machado N, de Souza Ahnerth NMG et al. (2020) Anxiety and Depression in the Caregiver of the Family Member with Mental Disorder1. Anxiety 3: 1-10.

Google Scholar

9. Slagt M, Deković M, de Haan AD, Van Den Akker AL, Prinzie P, et al. (2012) Longitudinal associations between mothers' and fathers' sense of competence and children's externalizing problems: the mediating role of parenting. Developmental psychology 48: 1554.

Indexed at, Google Scholar, Crossref

10. Roostaei M, Abedi S, Khazaeli K (2016) The relationship between behavioral problems in 7 to 13 year old children with cerebral palsy and maternal depression: a cross-sectional study. Journal of Research in Rehabilitation Sciences 11: 401-406.

Indexed at, Google Scholar, Crossref