Obsessive Compulsive Disorder

obsessive compulsive

Obsessive Compulsive Disorder (OCD) is a type of anxiety disorder in which person experiences recurrent and unwanted thoughts the name given obsessions and repetitive behaviors the name given compulsions.

These habits and movements are uncontrolled over which person has no control. Person feels compulsion to do such behaviors. A person feels fear and apprehension and so continues doing such acts. Example is that person feels his hands are dirty despite washing them repeatedly many times. He does not get satisfaction of their cleanliness and continues washing them. It is considered to be the mental disorder. This disorder is equally seen in male, female and children. It is seen that some children do such repetitive acts as to ask the same questions many time or wash the utensils number of time so that they remain free of germs.

So on this basis people are categorized as hoarders who feel fear of throwing anything due to fear of occurrence of any bad thing. These may be doubters, washers, arrangers and the checkers. These people want to do perfect things and feel afraid, if it is not done perfectly and feel that it will not be good in their right.

Causes

The causes of this disorder are thought to be decreased level of certain important neurotransmitters such as serotonin and dopamine. There is decrease stimulation of serotonin receptors in this disorder. It may be due to mutation in the gene carrying this serotonin receptor. This obsessive compulsive disorder is found to be in the different members of same family so it is inherited disorder.

There are also seen abnormalities in the brain at certain levels with this disorder for example decrease in volume of grey matter occurs in the anterior cingulated gyri and medial frontal gyri as well as increase in volume of grey  matter occurs in the lenticular nuclei.

Signs and Symptoms

  • The signs and symptoms of obsession in such person include
  • Works obsession
  • Fear of contamination with dirt or germs
  • Strange fear of losing
  • Sexual obsession
  • Obsession about rules and regulation
  • Obsessive about luck charms
  • Some of these patients show obsession about the religion.
  • The compulsive symptoms  in these patients include
  • Repeated washing and cleaning
  • Due to religious fear remain busy in rituals
  • Repetitive checking of things such as checks, locks, or any appliances
  • Repeated counting
  • Speaking the same words
  • Excessive caring of his love ones
  • Accumulating things that are of no use.

Diagnosis

Diagnosis about obsessive compulsive disorder is made on the basis of person strange acts and behaviors of repeated nature. An examination of whole body is necessary. Brain MRI is also undertaken to rule out any brain abnormality. Mental state is also needed to be checked so psychological evaluation is also necessary in these patients. Other baseline investigations are also normally done.

Treatment*

The treatment can be done by many methods. It includes medication use as well as psychotherapy.

The drugs use to treat obsessive compulsive disorder are various types of antidepressants such as drugs of groups selective serotonin reuptake inhibitors. These lead to increase neurotransmitter levels in the brain.

Psychological therapy includes cognitive therapy which is found beneficial in the treatment of this disorder. It teaches the effective and healthy methods to cope up with such obsessive compulsive thoughts.

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