Adult Psychiatry
Obsessive-Compulsive Disorder (OCD)
Obsessive-Compulsive Disorder (OCD) is a recognised mental health condition that involves recurring, unwanted thoughts (obsessions) and repetitive behaviours or mental rituals (compulsions). These symptoms can be distressing and time-consuming, significantly interfering with day-to-day life, relationships, and emotional wellbeing.
What is it?
OCD is characterised by the presence of obsessions, compulsions, or both. Obsessions are intrusive, unwanted thoughts, images or urges that cause considerable distress or anxiety. These may relate to fears of contamination, making mistakes, harming oneself or others, or violating moral or religious standards. Despite recognising that these thoughts are irrational or exaggerated, individuals often struggle to dismiss them.
Compulsions are repetitive behaviours or mental acts carried out in response to these obsessions. They are intended to prevent a feared outcome or reduce anxiety but tend to offer only short-term relief. Over time, this cycle of obsession and compulsion can become entrenched, impacting a person’s ability to function and reducing their quality of life. The condition is not a reflection of personality but rather a treatable disorder that benefits greatly from early intervention and tailored support.
At The Clinica, we understand the unique challenges OCD presents. Our specialist-led services are tailored to support adults experiencing mild to moderate OCD symptoms, helping individuals regain a sense of control and improve their quality of life through compassionate, evidence-based care.
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Additional Information
Key Characteristics of OCD
OCD typically involves the following components:
Obsessions – intrusive thoughts or mental images that feel uncontrollable. Common themes include:
• Contamination (e.g., fear of germs or illness)
• Symmetry or order (e.g., needing objects aligned “just right”)
• Doubt and fear of harm (e.g., worry about leaving appliances on or harming someone accidentally)
• Moral or religious concerns (e.g., intrusive thoughts about being sinful or immoral)
Compulsions – actions or rituals performed to neutralise the distress caused by obsessions. Examples include:
• Excessive cleaning or handwashing
• Repeated checking (e.g., doors, switches)
• Counting routines
• Arranging or ordering items
• Repeatedly seeking reassurance from others
This cycle is often referred to as the OCD loop: obsessions trigger anxiety, compulsions are used to reduce that anxiety, and temporary relief reinforces the behaviour, leading to recurrence.
The Impact of OCD
OCD can be deeply disruptive and emotionally draining. Many people spend hours each day performing rituals or managing their obsessions, leaving little time or energy for other activities. This can interfere with work, education, relationships, and social interaction, leading to isolation or low self-esteem.
What Causes OCD?
The exact causes of OCD are not fully understood, but research suggests a combination of neurobiological, genetic, and environmental influences. Differences in brain function—especially in areas involving serotonin regulation—have been linked to OCD. Some individuals may also have a genetic predisposition if there’s a family history of the condition.
How We Can Help
At The Clinica, Dr Arora offers specialist assessment and treatment for adults experiencing Obsessive-Compulsive Disorder. Each patient receives a tailored approach to care, beginning with a thorough evaluation to understand the nature and severity of their symptoms. Treatment typically involves Cognitive Behavioural Therapy (CBT), particularly Exposure and Response Prevention (ERP), which is considered one of the most effective therapeutic approaches for OCD.
As an outpatient service, we are best suited to treat individuals with mild to moderate OCD. For those needing more intensive care, we may recommend a referral to an appropriate inpatient or specialist provider. Dr Arora also provides educational sessions for families, schools, and organisations to support those living with or caring for someone affected by OCD. To arrange a consultation or to speak with a member of our team, please call 01344 946363 or email info@theclinica.co.uk.
Frequently Asked Questions
If you’re experiencing persistent, unwanted thoughts and feel compelled to carry out rituals or routines to manage them, you may have OCD. A professional assessment can confirm a diagnosis and guide treatment.
Yes, OCD is highly treatable. Most individuals experience significant improvement with therapy—particularly Cognitive Behavioural Therapy with Exposure and Response Prevention. Medication may also be helpful in some cases.
Not always. Many people respond well to therapy alone. However, if symptoms are more severe or therapy alone is not effective, medication such as SSRIs may be recommended alongside psychological treatment.
Without treatment, OCD may worsen over time, leading to greater distress, increased compulsions, and disruption to daily life. Early intervention offers the best chance of managing symptoms effectively.
No, OCD is a mental health disorder involving intense anxiety and compulsions that significantly interfere with daily life. It is not the same as a preference for cleanliness or organisation.
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