What Therapy is Best for OCD?

OCD, short for obsessive compulsive disorder, is a mental condition in which an individual experiences obsessive thoughts and compulsive behaviors. This condition can affect anybody – it is not gender or age-specific.

From as early as 6 years old, symptoms can develop, but it typically presents itself around puberty/early adulthood. Obsessive compulsive disorder can have a significant impact on your daily life, with symptoms causing distress. But, thanks to research, there are psychotherapy treatments that can keep OCD under control.

‍

Obsession versus Compulsion

Obsession

This is an unpleasant or unwanted thought, urge or image that enters your mind repeatedly. This can cause feelings of unease, disgust, anxiety or a combination of the three.

Compulsion

This is a repetitive act that can be physical or mental. This act is something you feel you must do in order to experience temporary relief from unpleasant feelings that are brought on by obsessive thought(s.)

‍

Common Types of Obsessive or Compulsive Behaviors

For those with OCD, there are some common obsessions and compulsions. It is important to note that not all compulsive or obsessive behaviors will be obvious to the people around you:

• Repetitive checking - e.g. checking that doors are locked, or the gas has been switched off
• Excessive ordering and arranging
• Hoarding behaviors
• Counting
• Repeatedly asking for reassurance
• Repeating words in your head
• Excessive hand washing
• Avoidance of certain places, people or situations that may trigger obsessive thoughts
• Compulsion to think “neutralizing” thoughts in order to counter the obsessive ones

‍

Types of Therapy for OCD Treatment

This condition affects people in different ways, so the best therapy for OCD differs. Fortunately, many people benefit from psychotherapy treatments for OCD – and there is a range to choose from. 

• Cognitive Behavioral Therapy (CBT)

Those with OCD tend to become overwhelmed by their compulsive behaviors and intrusive thoughts. However, with CBT, it allows them to reframe unhelpful thought patterns and replace them with healthier behaviors. 

CBT focuses on identifying triggering reactions and replacing them with healthier behaviors, which helps a person with OCD to regain control of their thoughts.

‍

• Exposure and Response Prevention (ERP)
  
  

This treatment focuses on breaking the cycle of compulsive behaviors by gradually exposing individuals to their underlying fears while resisting the urge to respond with fear, rituals or avoidance. Instead of trying to suppress anxiety, ERP aims to help individuals build tolerance to distress and reduce compulsive urges over time.

The process focuses on identifying key triggers and practicing controlled exposure with prevention of the usual response. For instance, exposure therapy for someone with contamination fears may involving touching a doorknob and delaying washing their hands. Over time, repeating this exposure practice weakens the fear response and allows for healthier coping strategies.

‍

• Acceptance and Commitment Therapy (ACT)

This form of OCD treatment encourages a person to accept their thoughts and feelings, free of judgement. The goal is to stay present, even when it feels uncomfortable. It is described as “a way of being psychically flexible” and encourages alignment with personal values outside of intrusive or unwanted thoughts or urges.

It encourages connecting with what really matters and staying mindful despite difficult emotions.

‍

• Habit Reversal Training

This treatment is known for working in a clear-cut manner. Instead of attempting to destroy obsessive-compulsive behaviors, you are encouraged to replace obsessive thoughts and behaviors with actions that are healthier and less obsessive in nature. 

The triggers that precede the negative habit are identified, and an alternative action is used to replace the habit. For instance, a chronic nail biter who is developing feelings of anxiety can develop a healthier response, such as holding a fidget toy or sipping water.  In doing so, the urge has been satisfied, but in a healthier way.

‍

Take Our Quiz

If you’re wondering “what therapy is best for OCD” let us help. Westchester Therapy Match want to make sure that you’re matched with the right OCD therapist. 

We have created a simple quiz that takes less than five minutes to complete. We will use your answers to understand who you are and what you’re looking for so we can match you with the most appropriate therapist. Click here to take the quiz.