What treatments are available for OCD?
The main evidence-based treatments for OCD include:
- Cognitive Behavioral Therapy (CBT), specifically Exposure and Response Prevention (ERP)
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- Combination therapy (medication + CBT)
How long does treatment typically take?
- ERP therapy usually requires 12-20 weekly sessions
- Medication effects typically begin after 4-6 weeks
- Many patients see significant improvement within 3-4 months
What is ERP therapy?
ERP involves:
- Gradual exposure to anxiety-triggering situations
- Learning to resist compulsive behaviors
- Working with a trained therapist in a structured environment
- Practicing techniques at home between sessions
Will I need to take medication forever?
- Treatment duration varies by individual
- Some patients may taper off medication after 1-2 years
- Others benefit from longer-term maintenance
- Any medication changes should be supervised by a psychiatrist
What if initial treatment doesn't work?
Alternative options include:
- Trying different SSRI medications
- Augmentation with other medications
- Intensive outpatient programs
- Deep TMS (Transcranial Magnetic Stimulation)
What can family members do to help?
- Learn about OCD and its treatment
- Avoid enabling OCD behaviors
- Support treatment adherence
- Join family therapy sessions when recommended
Success rates and prognosis
- 70% of patients improve with proper treatment
- Combination therapy shows highest success rates
- Early intervention typically leads to better outcomes
- Ongoing management may be necessary