SSRIs at OCD Doses
Higher doses than for depression are needed for OCD. SRIs are first-line.
OCD
OCD — Obsessive-Compulsive Disorder in Maryland
OCD is characterized by intrusive obsessive thoughts and compulsive behaviors aimed at reducing anxiety. It is often undertreated — many patients wait years for an accurate diagnosis.
Schedule a Consultation →Common Signs & Symptoms
- !Intrusive, unwanted thoughts (obsessions)
- !Compulsive behaviors or mental acts to reduce obsessions
- !Significant time consumed by obsessions/compulsions (>1 hour/day)
- !Significant distress or functional impairment
- !Recognition that obsessions are irrational (often)
What Causes This?
- •Genetic component
- •Serotonin and glutamate dysregulation
- •Environmental triggers
- •PANDAS in some children (streptococcal-triggered)
Treatment Approaches
Exposure and Response Prevention (ERP)
Gold standard psychological treatment — gradual exposure to triggers without performing compulsions.
Augmentation
Antipsychotic augmentation for SSRI partial response.
Frequently Asked Questions
Is OCD just about being neat and organized?▾
No — this is a damaging misconception. OCD involves intrusive thoughts across many themes (contamination, harm, religious, sexual) that cause significant suffering.
Related Topics
Think This Could Be Your Issue?
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