Obsessive Compulsive Disorder

 

Best OCD Treatment Doctor In Pune, India

Amrutvel Vyasanmukti Kendra has the Best team of doctors for OCD treatment in Pune, India. We have been able to help many people struggling with OCD get their life back on track. If you or someone you know is struggling with OCD, don't hesitate to reach out to us. We are here to help!

 

What Is Obsessive Compulsive Disorder(OCD)?

Obsessive compulsive disorder (OCD) is a mental health condition where a person has obsessive thoughts and compulsive activity.

Obsessions are persistent, uncontrollable thoughts, impulses, or images that are intrusive, unwanted and disturbing. They cause anxiety or discomfort that significantly interferes with normal life.

A compulsion is the drive to do a repetitive task that the patient needs to get temporary relief from the unpleasant feelings brought on by an obsessive thought. For example, repeating the act of checking closed doors because the patient has an obsessive thought of being robbed. Or if they have fear of contamination, they clean their hands repeatedly. If you want to learn more about the best ocd treatment in pune then you are on the right page as you can get all the details here.

     

 

Who is affected?

A rising need of OCD disorder treatment in Pune can be noticed. It's estimated around 12 in every 1,000 people are affected by the condition. Men, women and children, all are prone to acquiring this condition. There is no particular age group that is more affected. However, obsessions start interfering with a person's life during early adulthood, although problems can develop at any age. . You can visit jagruti rehab center to get the best OCD treatment doctors in India if you feel that you suffer from this disorder.

It is about time that people do away with the stigma related to OCD. The associated embarrassment and shame related to any mental disease stops a patient from seeking care. We must normalise visiting psychiatrists just like our normal physicians. Seeking help is important because it is unlikely your symptoms will improve if left untreated, and they may get worse. You should seek treatment for OCD in time or else the situation can worsen.

 

Can OCD Be Cured?

Yes, OCD can be cured with the help of proper treatment. In most cases, a combination of medication and psychotherapy works well. However, it is important to seek professional help as soon as possible to get the best results. If you are looking for the best OCD treatment in Pune then we heartily invite you to Amrutvel Vyasanmukti Kendra. We have the resources and infrastructure to provide you with the best possible treatment. Our team of trained professionals has extensive experience in treating OCD and other mental health conditions.

 

What to Expect During An OCD Treatment?

The first step to recovery is when the person suffering from OCD realizes that they have a problem. The next step is to find an experienced mental health professional, such as a psychiatrist, who can diagnose and treat OCD. There are different types of OCD treatment available, and the most effective approach depends on the individual's needs. Treatment usually involves a combination of medication and therapy.

Cognitive-behavioral therapy (CBT) is one of the most effective psychological treatments for OCD. CBT helps people to understand their thoughts and feelings, and how these affect their behavior. It teaches them new ways of thinking and behaving, which reduces anxiety and helps to break the cycle of obsessive thoughts and compulsive behaviors.

Exposure and response prevention (ERP) is a type of CBT that is particularly effective for treating OCD. ERP involves gradually exposing the person to the things they are afraid of (the exposure part), without letting them carry out their usual compulsions (the response prevention part). This helps the person to learn that their anxiety will reduce on its own, without them needing to carry out their compulsions.

Medication can also be effective in treating OCD. Visiting good doctors for Obsessive Compulsive Disorder (OCD) in Pune will allow you to get the best of both worlds. The most commonly prescribed medication for OCD is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). SSRIs help to reduce anxiety by increasing levels of the chemical serotonin in the brain.

 

Best Obsessive Compulsive Disorder Doctor In Pune

You and your loved ones should have the best possible life. If you are struggling with OCD, then it is essential to seek professional help. The expert team at Jagruti Hospital comprises the best doctors for Obsessive Compulsive Disorder in Pune. We use a comprehensive and multimodal mental health treatment approach that involves a combination of medication and therapy.

Please feel free to contact us for more information about our services.

 

Causes of obsessive compulsive disorder (OCD)

Despite much research being carried out into obsessive compulsive disorder (OCD), the exact cause of the condition has not yet been identified. However, a number of different factors that may play a role in the condition have been suggested.

Genetics

Research suggests OCD may be the result of certain inherited genes that affect the development of the brain. Complex research is yet to be done in order to understand the type of gene that affects this condition. However, reports to do suggest that your chances of getting OCD from your family line are common.

Brain differences

Increased activity and blood flow, and a lack of the brain chemical serotonin hamper the normal functioning of the brain. It affects how we respond to any particular emotion. This may lead to a different coping mechanism for dealing with the emotions in form of compulsive activity.

Serotonin

This brain chemical transmits information from one brain cell to another and is known as a neurotransmitter. Serotonin is responsible for regulating a number of the body's functions, including mood, anxiety, memory and sleep. It is not known for sure how serotonin contributes to OCD, but some people with the condition appears to have decreased levels of the chemical in their brain.

Life events

OCD may be more common in people with a history of having experienced emotional, physical or sexual abuse, neglect, social isolation, teasing or bullying. An important life event, such as bereavement, family break-up, a new job, pregnancy or childbirth, may also trigger OCD in people who already have a tendency to develop the condition – for example, because of genetic factors – and may affect the course of the condition. For example, the death of a loved one may trigger a fear that someone in your family will be harmed.

Personality

People with certain personality traits may be more likely to have OCD. For example, if you are a neat, meticulous, methodical person with high standards – a "perfectionist" – you may be more likely to develop the condition. OCD may also be a result of simply being more prone to becoming tense and anxious than most people, or having a very strong sense of responsibility for yourself and others.

 

 

Symptoms of Obsessive Compulsive Disorder (OCD)

You can trace your symptoms in four main steps mentioned below. If you relate to them, it’s to seek obsessive compulsive disorder treatment in Pune.

  • Obsession – where an unwanted, intrusive and often distressing thought, image or urge repeatedly enters your mind. If you have a persistent, unwanted and unpleasant thought that dominates your thinking to the extent it interrupts other thoughts; you may have developed an obsession. Some obsessions include: fear of harming yourself or others, contamination, or a need for aligned order.
  • Anxiety – the obsession provokes a feeling of intense anxiety or distress
  • Compulsion – repetitive behaviours or mental acts that you feel driven to perform as a result of the anxiety and distress caused by the obsession. For example, a person who fears becoming contaminated with dirt and germs may wash their hands repeatedly throughout the day, or someone with a fear of causing harm to their family may have the urge to repeat an action multiple times to try to "neutralize" the thoughts of harm.
  • Temporary relief – the compulsive behaviour brings temporary relief from anxiety, but the obsession and anxiety soon returns, causing the cycle to begin again

Obsessive thoughts

Almost everyone has unpleasant or unwanted thoughts at some point in their life, such as a concern that they may have forgotten to lock the door of the house or that they may contract a disease from touching other people, or even sudden unwelcome violent or offensive mental images.

Most people are able to put these types of thoughts and concerns into context, and they can carry on with their day-to-day life. They do not repeatedly think about worries they know have little substance. However, if you have a persistent, unwanted and unpleasant thought that dominates your thinking to the extent it interrupts other thoughts; you may have developed an obsession.

Some common obsessions that affect people with OCD include :

  • Fear of deliberately harming yourself or others – for example, fear you may attack someone else, even though this type of behavior disgusts you
  • Fear of harming yourself or others by mistake or accident – for example, fear you may set the house on fire by accidentally leaving the cooker on
  • Fear of contamination by disease, infection or an unpleasant substance
  • A need for symmetry or orderliness – for example, you may feel the need to ensure all the labels on the tins in your cupboard face the same way

Compulsive Behavior

Compulsions arise as a way of trying to reduce or prevent the harm of the obsessive thought. However, this behavior is either excessive or not realistically connected at all. For example, a person who fears becoming contaminated with dirt and germs may wash their hands repeatedly throughout the day, or someone with a fear of causing harm to their family may have the urge to repeat an action multiple times to try to "neutralize" the thoughts of harm. This latter type of compulsive behavior is particularly common in children with OCD.

Most people with OCD realize that such compulsive behavior is irrational and makes no logical sense, but they cannot stop acting on their compulsion. Some common types of compulsive behavior that affect people with OCD include:

  • cleaning and hand washing
  • checking – such as checking doors are locked, or that the gas or a tap is off
  • counting
  • ordering and arranging
  • hoarding
  • asking for reassurance
  • repeating words silently
  • extensively "over thinking" to ensure the feared consequence of the obsession does not occur – for example, if you fear you may act violently
  • thinking "neutralizing" thoughts to counter the obsessive thoughts
  • Avoiding places and situations that could trigger obsessive thoughts

Not all compulsive behaviors will be obvious to other people.
Related problems- Some people with OCD may also have or develop other serious mental health problems, including:

  • Depression – a condition that typically causes lasting feelings of sadness and hopelessness, or a loss of interest in the things you used to enjoy
  • Eating disorders – conditions characterized by an abnormal attitude towards food that cause you to change your eating habits and behavior
  • Generalised anxiety disorder – a condition that causes you to feel anxious about a wide range of situations and issues, rather than one specific event
  • A hoarding disorder – a condition that involves excessively acquiring items and not being able to throw them away, resulting in unmanageable amounts of clutter

People with OCD and severe depression also frequently have suicidal feelings. OCD can stop you carrying out normal day-to-day activities and can have a significant impact on your career, education and social life.

 

Diagnosing and Treating obsessive compulsive disorder (OCD)

Best OCD disorder treatment in Pune start with asking basic questions about your routine (cleaning habits, thought process, time taken to complete daily activities etc).It is important you are open and honest, as accurate and truthful responses will ensure you receive the most appropriate treatment.

The impact of OCD on your day-to-day life can be reduced if the condition is diagnosed and effectively treated.
Initial questions Your Psychiatrist will probably ask you a series of questions to determine whether it's likely you have OCD. These may be similar to the following:

  • Do you wash or clean a lot?
  • Do you check things a lot?
  • Do you have thoughts that keep bothering you that you would like to get rid of but cannot?
  • Do your daily activities take a long time to finish?
  • Are you concerned about putting things in a special order or are you upset by mess?
  • Do these problems trouble you?

Assessment

If the results of the initial screening questions suggest you have OCD, the severity of your symptoms will be assessed either by your psychiatrist or a mental health professional. There are several different methods of assessment. All involve asking detailed questions to find out how much of your day-to-day life is affected by obsessive-compulsive thoughts and behavior. During the assessment, it is important you are open and honest, as accurate and truthful responses will ensure you receive the most appropriate treatment.OCD is classified into three levels of severity:

  • Mild functional impairment – obsessive thinking and compulsive behaviour that occupies less than one hour of your day
  • Moderate functional impairment – obsessive thinking and compulsive behaviour that occupies one to three hours of your day
  • Severe functional impairment – obsessive thinking and compulsive behaviour that occupies more than three hours of your day

Treatment

Obsessive Compulsive Disorder treatment in Pune can be a mix of medicines and CBT. If your OCD has a severe impact on your daily life, you will usually be referred to a specialist mental health service for a combination of intensive CBT and a course of SSRIs. It's important to remember it can take several months before a treatment has a noticeable effect.

The two main treatments are:

Cognitive behavioral therapy

  • Cognitive behavioral therapy (CBT) involves exposure and response prevention (ERP) which can be used to help people with OCD of all severities.
  • People with mild to moderate OCD usually need about 10 hours of therapist treatment, combined with exercises done at home between sessions.
  • Those with moderate to severe OCD may need a more intensive course of CBT that lasts longer than 10 hours. During the sessions, you will work with your therapist to break down your problems into their separate parts, such as your thoughts, physical feelings and actions.
  • Your therapist will also need to ask you to use a technique called graded ERP. This therapy encourages you to face your fear and let the obsessive thoughts occur without "putting them right" or neutralising them with compulsions.
  • It requires motivation and is difficult, but should start with situations that cause you the least anxiety first. These exposure exercises need to take place several times a day, and need to be done for one to two hours without engaging in compulsions to undo them.
  • Although this sounds frightening, people with OCD find that when they confront their anxiety without carrying out their compulsion, the anxiety does eventually improve or go away. Each time, the anxiety is likely to be less and last for a shorter period of time.
  • Once you have conquered one exposure task, you can move on to a more difficult task, until you have overcome all of the situations that make you anxious.

Medication

You may need medication if CBT fails to treat mild OCD or if you have moderate or severe OCD. The main type of medication you may be prescribed is discussed below. If these medications prove ineffective, you will be referred to a specialist mental health service.

Selective serotonin reuptake inhibitors : Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant medication that increases the levels of a chemical called serotonin in your brain. Serotonin is a neurotransmitter the brain uses to transmit information from one brain cell to another.

Although SSRIs are a type of antidepressant, they have been shown to work in people with OCD regardless of their level of depression. The doses that have been shown to be effective in OCD are also higher than those generally used for depression. Possible SSRIs you may be prescribed include:

  • citalopram
  • clomipramine
  • escitalopram
  • fluoxetine
  • fluvoxamine
  • paroxetine
  • sertraline

You will usually need to take an SSRI for 12 weeks before you notice any benefit. Most people with moderate to severe OCD need to take one for at least 12 months. After this time, your condition will be reviewed. If it causes few or no troublesome symptoms, you may be able to stop taking the medication. People with more severe OCD, however, may need to take the medication for many years to prevent the condition recurring. Possible side effects of SSRIs can include headaches, feeling agitated or shaky, and feeling sick. However, these will often pass within a few weeks. In the case of clomipramine, common side effects can include:

  • a dry mouth
  • constipation
  • diarrhoea
  • blurred vision
  • dizziness
  • fatigue (extreme tiredness)

SSRIs can also affect your heart, so it is advisable to have an electrocardiogram (ECG) after being on the medication for a few weeks. This may be done before treatment starts if you are advised to take clomipramine. An ECG is a simple test to measure the electrical activity of your heart. There is also an extremely small chance that SSRIs will increase your anxiety, which can very occasionally cause you to have suicidal thoughts or a desire to self-harm. Contact your GP immediately or go to your nearest accident and emergency (A&E) department if you are taking an SSRI and have suicidal thoughts or want to self-harm. You may also have side effects when you stop taking SSRIs, so you shouldn't stop taking your medicine suddenly. If you no longer need the medicine, your GP will gradually reduce your dose. To find out more about the possible side effects, check the patient information leaflet that comes with your medicine.

Further treatment

Further specialist treatment may sometimes be necessary if you have tried all the treatments above and your OCD is still not under control. Some people with severe, long-term, difficult-to-treat (refractory) OCD may consider for non conventional treatment like psychosurgery.
We have done one psychosurgery for refractory patient with partial recovery

Amrutvel Vyasanmukti Kendra OCD support group

For exclusive OCD disorder treatment in Pune, Jagruti Rehab Centre works closely to form an OCD support group. Many people with OCD find Jagruti support group helpful, as they can:

  • offer reassurance
  • reduce feelings of isolation
  • offer a chance to socialize with others

Support group can also provide information and advice for family members and friends.

 

Patient’s Experience

My earliest memory of the illness was when I was about eight years old. The symptoms were a fear of stepping on the pavement cracks. I don't know why, but it made me feel physically uncomfortable if I did it.

That was one ritual. Another ritual, which was a compulsion, was the fear that if I didn't say my prayers respectfully and sincerely, my mother might be killed in a car accident. I took on this huge responsibility as a child for another person's life.

A lot of people know about the hand washing and the checking of things, but many people are unaware that OCD can also take a sinister angle, where you have a fear that you may harm your own children very violently.

When I had my fourth child I had intrusive thoughts at bedtime that I would go to the children's bedrooms in my sleep, take out their dressing gown cords and strangle each one. This was horrendous to go through, because I didn't know whether I was going to do it or not.

People with OCD are not dangerous and they do not harm, but I was permanently exhausted.