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Obsessive Compulsive DisorderObsessive Compulsive Disorder – General InformationObsessive Compulsive Disorder is an anxiety disorder characterized by unwanted, disturbing thoughts, called obsessions, and repetitive, ritualized behaviors that a person feels driven to perform, called compulsions. This type of disorder causes the brain to get stuck on a particular thought or action that it just can’t let go. Obsessive Compulsive Disorder, a type of anxiety disorder, is probably the most common kind of disorder encountered. And it can affect both adults and children. Because the obsessions and compulsions can be so hard to disregard, the disease can become disabling and chronic.Obsessions are involuntary, like uncontrollable thoughts, images, or impulses that take place over and over again in the patient’s mind. The patient does not want to have these ideas, and finds them disturbing, and usually tells that they don’t really make sense. A compulsion is a repetitive behavior, like a ritual, that a person feels to do it and cannot stop doing. Compulsions represent an attempt to manage an obsession by doing something to resolve it. These kinds of actions have a hard impact on the patient, because people usually make them crazy. These thoughts or images keep coming back despite the persons efforts to ignore them. Many people still carry the perception that they somehow caused themselves to have these compulsive behaviors and obsessive thoughts. Obsessive Compulsive Disorder is likely the cause of a number of intertwined and complex factors which include genetics, biology, personality development, and how a person learns to react to the environment around them. Obsessive Compulsive Disorder – SymptomsObsessive Compulsive Disorder is usually characterized by either obsessions or compulsions. Obsessions are repeated, persistent, unwanted ideas, thoughts, images or impulses that you experience involuntarily and that appear to be senseless. These obsessions typically intrude when you're trying to think of or do other things. There are some commonly types of obsessions like fear of contamination or dirt, repeated doubts, having things orderly and symmetrical, aggressive or horrific impulses, and even sexual images. Due to these obsession there are also some Obsessive Compulsive Disorder symptoms that involves them like fear of being contaminated by shaking hands or by touching objects others have touched, repeated thoughts that you've hurt someone in a traffic accident, intense distress when objects aren't orderly, lined up properly or facing the right way, images of hurting your child, impulses to shout obscenities in inappropriate situations, avoidance of situations that can trigger obsessions, such as shaking hands, replaying pornographic images in your mind, dermatitis because of frequent hand washing, skin lesions because of picking at the skin, hair loss or bald spots because of hair pulling. Compulsions are repetitive behaviors that the patient feels to perform. These repetitive behaviors are meant to prevent or reduce anxiety or distress related to your obsessions. There are some typical compulsions like washing and cleaning, counting, checking, demanding reassurances, repeating actions over and over. Here are also some Obsessive Compulsive Disorder symptoms that involves compulsions like washing hands until the skin becomes raw, checking doors repeatedly to see if they are locked, counting in certain patterns etc.Obsessive Compulsive Disorder – TreatmentActually, there is no cure for Obsessive Compulsive Disorder, but is treatable, because effective treatment can reduce the number of obsessive thoughts and compulsive rituals. Usually, the treatment consists in a combination of medications and behavior therapy, and offers true effective results for a long period. In the behavior therapy category, enters a therapy called exposure and response prevention, and it is considered the basic treatment of Obsessive Compulsive Disorder. In this treatment, you are repeatedly exposed to the source of your obsession. By doing this, you are prevented to engage any compulsive ritual you use to reduce the anxiety brought by your obsession. If you are a compulsive hand washer, you are asked to touch the door handle in a public restroom and then be prevented from washing up. The need to wash your hand it will disappear gradually on its own by getting used with the anxiety provoked by the obsession. In this way, you learn that you don’t need the ritual to get rid of your anxiety. Exposure treatment and response prevention is a planned out and controlled therapy, with a therapist supporting it. The patient will begin experimenting a low level of anxiety, and after the he had been exposed to the situation, it will move on to a more challenging situation. With each successful exposure and response prevention, he will feel a greater sense of control over his obsessions and compulsions. This type of behavioral therapy can even extinguish compulsive behaviors entirely. Another way to treat Obsessive Compulsive Disorder is by using medication. A part of this treatment is considered to be antidepressants. Antidepressants that affect the neurotransmitter serotonin are the primary drugs used in the treatment of the disease. Antidepressants that affect both norepinephrine and serotonin are also effective. This medication can take ten to twenty weeks to be effective, so that’s why is important that the patient follow a full three month trial, and usually higher than those needed to treat depression. It is generally recommended that medication be combined with behavior therapy. Other medication treatments which are considered effective are selective serotonin reuptake inhibitors and clomipramine. Selective serotonin reuptake inhibitors used to treat Obsessive Compulsive Disorder include Prozac, Paxil, Luvox, Celexa, and Zoloft. These medications increase the level of serotonin in the brain. These medications also provoke side effects like decreased sex drive, nausea, agitation, and sleepiness. Clomipramine, which is found in pharmacies is a tricyclic antidepressant used to treat the disease. It works by inhibiting the reuptake of norepinephrine and serotonin. It is a more effective treatment than the selective serotonin reuptake inhibitors, but it also produce more side effects including sleepiness, dry mouth, decreased sex drive, constipation, and difficulty urinating. Weight gain is also a serious problem to be considered. Other types of treating the Obsessive Compulsive Disorder are usually applied like family therapy, group therapy, herbal treatments such as kava, valerian, ginkgo biloba, and psychosurgery which involve removing a section of the brain called the cingulate cortex. |
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