Mara Barber, Registered Psychologist

Obsessive Compulsive Disorder (OCD) involves experiencing unwanted, recurrent thoughts and behaviours. Obsessions and compulsions can be a normal part of development, however when they start getting in the way of everyday life or are distressing, it is a good idea to seek some assistance in breaking the cycle. OCD is estimated to impact about 3% of the Australian population, often starting around the period of adolescence.

Understanding the Cycle of OCD

OCD involves experiencing obsessions, compulsions, or both;

• Obsessions are thoughts, images, or urges which are unwanted and recurrent.
• Compulsions are actions or rituals that people feel they must do repeatedly, often in an attempt to reduce discomfort associated with obsessions.

OCD can feel like a trap, tricking you into thinking the only way to feel better or supress obsessions is to act out a compulsion. Unfortunately, if any relief is felt, it is temporary and does not help to solve the real issue at hand.

How does OCD affect people?

Although the core features of OCD are similar across different age groups, it can present as more complicated for youth.

Due to younger children having a limited insight into their thoughts, they might not recognise obsessive thoughts as being irrational. Children also are unlikely to possess the vocabulary to adequately articulate intrusive thoughts. Further, young people are more likely to involve other family members in their compulsions. In an attempt to relieve distress, family members can unknowingly reinforce these behaviours.

The content of obsessions and compulsions generally change during developmental stages, with adolescents being more likely to experience obsessions relating to moral, religious, or sexual ideas. Both adolescents and adults are likely to have obsessions relating to contamination, from feelings of disgust rather than fear. However, most individuals will have obsessions and compulsions across multiple categories.

Therapy Options for OCD

Despite the added complications for OCD in young people, research has shown that OCD is more effectively treatable when caught early, with treatment outcomes generally being more favourable for young people. Exposure Response Prevention (ERP) is known as the most effective treatment for OCD, which is a form of Cognitive Behaviour Therapy (CBT).

CBT aims to assist individuals in coping with or changing their problematic thoughts, behaviours, and emotions. ERP involves gradually increasing exposure to what causes discomfort to build up resilience and no longer cause anxiety or lead to a compulsion.

Spencer Health has clinicians who can provide individual therapy for those suffering from OCD. If you would like to meet more of our team, or learn more about our services you can do so here https://spencerhealth.com.au/spencer-health-team/ or if you are ready to book in, you can do so here https://spencerhealth.com.au/contact/