Obsessive-Compulsive Disorder (OCD)
Obsessive-Compulsive Disorder (OCD)
At DSC, OCD is never diagnosed simply from recurring, distressing thoughts or repetitive behavior. According to DSM-5-TR, ICD-11/CDDR, and NICE guidelines, we distinguish between obsessions and compulsions and assess the individual's level of insight into the disorder.
We differentiate OCD from generalized anxiety disorder, obsessive-compulsive personality disorder, autism spectrum conditions, body dysmorphic disorder, hoarding disorder, and psychosis-related obsessional thinking.
We also identify the real impact of obsessions and compulsions on daily functioning, relationships, and the time consumed by rituals.
From this differential diagnostic profile, we build a plan grounded in the strongest scientific evidence: exposure and response prevention as a first-line treatment, supported by cognitive behavioral therapy, and selective serotonin reuptake inhibitor medication when clinically indicated and prescribed at doses calibrated for OCD. Family training focuses on reducing reassurance-seeking and participation in rituals. Progress is measured through reduced ritual time and a confident return to daily life.
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