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Obsessive-Compulsive Disorder (OCD) Therapy

“When I am working, I’m not so much disciplined as obsessive. I have this feeling that I need to clear everything away and get this down.”

- Anne Enright

OCD Therapy in West Los Angeles

Effective, Research-Based Therapy for OCD

When you don’t feel in control of your own mind and behaviors, life can be terrifying at times. Obsessive-compulsive disorder (OCD) can often trap people in an endless cycle of recurring distressing thoughts (obsessions) and repetitive behaviors/rituals (compulsions). Although rituals may temporarily alleviate anxiety, they must be performed again when the thoughts return, which creates a never-ending loop that can begin to take over your life.

People with OCD often aware that their obsessions and compulsions are senseless or unrealistic; which can make it all the more frustrating to cope with. Unfortunately, the more you try to stop your obsessions and compulsions, the more you feed the anxiety and distress you’re seeking to eliminate.

At My LA Therapy, our therapists are trained to help you face what you’ve been avoiding so that you can break the painful cycle of OCD and get your life back. We will help you transform the damaging habits and beliefs that have led you here by helping you confront the underlying causes head-on. We will gently guide you through the process of healing your inner conflicts and facing your fears so you can get free.

OCD Symptoms and Signs

  • Presence of obsessions, compulsions, or both:
    • Obsessions are defined by 
      • 1) recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress; and
      • 2) the individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion).
    • Compulsions are defined by
      • 1) repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly; and
      • 2) the behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive.
  • The obsessions or compulsions are time-consuming (e.g., takes more than 1 hour per day) or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

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More Signs and Symptoms of OCD

  • The obsessive-compulsive symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.
  • The disturbance is not better explained by the symptoms of another mental disorder (e.g., excessive worries, as in generalized anxiety disorder; preoccupation with appearance, as in body dysmorphic disorder; difficulty discarding or parting with possessions, as in hoarding disorder; hair pulling, as in trichotillomania; skin picking, as in excoriation; stereotypes, as in stereotypic movement disorder; ritualized eating behavior, as in eating disorders; preoccupation with substances or gambling, as in substance-related or addictive disorders; preoccupation with having an illness, as in illness anxiety disorder; sexual urges or fantasies, as in paraphilic disorders; impulses, as in disruptive, impulsive-control, and conduct disorders; guilty ruminations, as in major depressive disorder; thought insertion or delusional preoccupations, as in schizophrenia spectrum and other psychotic disorders; or repetitive patterns or behavior, as in autism spectrum disorder).
  • Specified by “with good or fair insight”, “with poor insight”, and “with absent insight/delusional beliefs”.

Obsessive Compulsive Disorder Causes and Factors

  • The cause of obsessive-compulsive disorder isn’t fully understood. Factors that may increase the risk of developing or triggering obsessive-compulsive disorder include:

  • Biological/Genetic Factors – OCD may be a result of changes in your body’s own natural chemistry or brain functions and it may have a genetic component, but specific genes have yet to be identified. The brain is a very complex structure. It contains billions of nerve cells — called neurons — that must communicate and work together for the body to function normally. Neurons communicate via chemicals called neurotransmitters that stimulate the flow of information from one nerve cell to the next.

  • At one time, it was thought that low levels of the neurotransmitter serotonin were responsible for the development of OCD. Now, however, scientists think that OCD arises from problems in the pathways of the brain that link areas dealing with judgment and planning with another area that filters messages involving body movements.

  • In addition, there is evidence that OCD symptoms can sometimes get passed on from parents to children. This means the biological vulnerability to develop OCD may sometimes be inherited. Studies also have found a link between a certain type of infection caused by the Streptococcus bacteria and OCD. This infection, if recurrent and untreated, may lead to the development of OCD and other disorders in children. Also, having parents or other family members with the disorder can increase your risk of developing OCD. Individuals with OCD have troubled relationships.

More Causes and Factors of OCD

  • The obsessive-compulsive symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.
  • The disturbance is not better explained by the symptoms of another mental disorder (e.g., excessive worries, as in generalized anxiety disorder; preoccupation with appearance, as in body dysmorphic disorder; difficulty discarding or parting with possessions, as in hoarding disorder; hair pulling, as in trichotillomania; skin picking, as in excoriation; stereotypes, as in stereotypic movement disorder; ritualized eating behavior, as in eating disorders; preoccupation with substances or gambling, as in substance-related or addictive disorders; preoccupation with having an illness, as in illness anxiety disorder; sexual urges or fantasies, as in paraphilic disorders; impulses, as in disruptive, impulsive-control, and conduct disorders; guilty ruminations, as in major depressive disorder; thought insertion or delusional preoccupations, as in schizophrenia spectrum and other psychotic disorders; or repetitive patterns or behavior, as in autism spectrum disorder).
  • Specified by “with good or fair insight”, “with poor insight”, and “with absent insight/delusional beliefs”.

Obsessive Compulsive Disorder Treatment

Treatment can help bring symptoms under control so that they don’t rule your daily life, which includes a combination of the following options:

  • Supportive care – Your doctor may perform a physical exam to help rule out other problems that could be causing your symptoms and to check for any related complications. There is no lab test to diagnose OCD, though a complete blood count (CBC), a check of your thyroid function, and screening for alcohol and drugs are sometimes included. The doctor bases his or her diagnosis on an assessment (psychological evaluation) of the patient’s symptoms, discussing your thoughts, feelings, symptoms and behavior patterns (how much time the person spends performing his or her ritual behaviors). With your permission, this may include talking to your family or friends. A referral to a mental health provider will also be made.
  • Psychotherapy – OCD will not go away on its own so, it’s important to seek treatment. Cognitive behavioral therapy (CBT), a type of psychotherapy, is effective for many people with OCD. The goal of cognitive behavioral therapy is to teach people with OCD to confront their fears and reduce anxiety without performing the ritual behaviors (called exposure therapy or exposure and response prevention therapy). Therapy also focuses on reducing the exaggerated or catastrophic thinking that often occurs in people with OCD. Exposure and response prevention (ERP), a type of CBT therapy, and electroconvulsive therapy (ECT) or psychosurgery, may be used to treat the disorder.
  • Medications – Certain psychiatric medications can help control the obsessions and compulsions of OCD. Most commonly, antidepressants (SSRIs) are tried first, alone or in combination with antipsychotics.

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What Our Clients Say

I am blown away! I don’t write testimonials, unless I have been extremely moved by something. I was blessed to...

I am blown away! I don’t write testimonials, unless I have been extremely moved by something. I was blessed to work with Brooke on a single session, and before this I was in therapy on and off with multiple therapists for the last 20 years of my life. Brooke was able to do more in one session than many years of work with my previous therapist. She has the true gift of great insight and compassion while also getting straight to the heart of your blind spots and unconscious issues in a way that has truly changed my life.

Skyler J.

There are people who are good at their work there are people like Brooke: who are born to do it....

There are people who are good at their work there are people like Brooke: who are born to do it. I cannot recommend Brooke more highly. I can only imagine where I would be today if I had started working with her years ago. From the beginning of our session, she knew exactly what tools and questions that would work for my particular psychology and my personal experience. No other therapist has been able to do that or anything close.

What I also really appreciate from our session is Brooke's ability to go directly to the source of the issue while also keeping a very gentle and kind energy with me. I felt very seen, understood, and supported. Everything and more that I could have ever asked for from a therapist. I have a severe trauma history and complex issues she was able to immediately identify and help. If she could help me, I know she can help you too.

Taylor E.

You did more in 45 minutes than my last therapist did in a year.

You did more in 45 minutes than my last therapist did in a year.

Jamie

With your help, I've finally started to understand that while my vivid imagination often wants to create terrifying monsters under...

With your help, I've finally started to understand that while my vivid imagination often wants to create terrifying monsters under the bed, in a lot of cases those monsters are nothing more than a heap of decidedly less-terrifying laundry I've avoided for too long that just needs to be aired out and put away. Which is definitely a lot easier than monster slaying. Thank you for shedding light in the dark places I was too afraid to face alone.

Morgan B.

I am extremely fortunate to work with Sydney, who is helping me create real internal change. The talent to listen...

I am extremely fortunate to work with Sydney, who is helping me create real internal change. The talent to listen well is Hall of Fame stuff, and she has that. She then follows with questions, strategies that are organic to the moment. I have come to believe that deep, radical, if occasionally deeply painful change ... and, then, healing can happen. I'm just at the lip of that last part - but would not have gotten there, AT ALL, without Sydney

Ric K.

The best therapist ever! Life-changing 🙂

The best therapist ever! Life-changing 🙂

Catherine H.

Right now, the work is changing my life, sometimes in inches, sometimes in miles.

Right now, the work is changing my life, sometimes in inches, sometimes in miles.

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