Obsessive compulsive disorder (or OCD) is a highly structured neurosis that responds positively to treatment.
Treatments are essential, especially since OCD is early, rituals tend to worsen or become disabling. Depression is the most common complication because obsessions and compulsions eventually exhaust the subject. Psychotherapy is very important in the management of OCD. They must be put in place quickly.
Among the treatments for obsessive compulsive disorder: psychotherapy is on the front line. It can be based on a psychoanalytic cure and / or cognitive-behavioral work. While psychoanalysis helps the subject better understand the origin of obsessive symptoms, the second learns to manage his anxieties and emotions.
Hypnosis, mindfulness-based cognitive therapy, and art therapy can also help patients alleviate symptoms. Some integrative psychotherapies (such as gestalt therapy) combine different methods.
Cognitive Behavioral Techniques (CBT)
- The thought-stoping technique:
It consists of the learning of a progressive self-control of the triggering of the obsession, which we seek to replace with a pleasant, non-distressing thought.
- The desensitization technique :
It is a treatment that consists of "accustoming" the patient to obsessive thinking (writing, magneto) while teaching the patient to relax when confronted. Prevent the arrival of the compulsions usually used by the patient to fight against his obsessions: learning new and more adapted behaviors. For example: when comes the obsessive idea of washing your hands, do not do it, but focus on a dozen breaths.
- Some general measures are generally prescribed:
It is necessary to maintain as long as possible a correct socioprofessional insertion (if not the risk of severe aggravation). It may be necessary to advocate travel, changes of settings and places to avoid excessive ritualization of the patient.
Sometimes hospitalization is necessary to treat an obsessive-compulsive disorder, in case of: serious depressive decompensation with suicidal risk, uncontrollable and invasive anxiety, major emotional, social or professional impact
Drug treatments for OCD:
Some treatments have been shown to be effective in OCD. In particular, these are antidepressants that interfere with the brain serotonin system. They often take several weeks to work and the duration of the treatment can be long.
Anxiolytic treatments may be given for a limited time in case of significant anxiety associated with obsessive compulsive disorder. Some subjects may also benefit from antipsychotic treatment.
Treatments for resistant OCD
These are deep brain stimulation and transcranial magnetic stimulation, reserved for severe OCD cases. While the first requires the implantation of electrodes in the brain areas concerned, the second is based on external magnetic field application on these same areas. Both methods are promising but still under evaluation. The lesional surgery is little practiced because delicate, and prescribed on a case by case basis, for resistant TOCS.
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