Online Therapy For Obsessive Compulsive Disorder: OCD Treatment
A person with OCD may experience obsessions, compulsions, or both. Obsessions are intrusive thoughts and urges that can induce anxiety. Some common obsessive thoughts include concerns about contamination, perfectionism, or unwanted sexual thoughts.
What are compulsions?
Compulsions are repetitive behaviors that a person with OCD feels they need to perform. Often to relieve an obsession. These actions usually deviate from daily life routines, like bedtime rituals. Mental health professionals, such as licensed therapists or OCD specialists, can help in treating OCD through a tailored treatment plan. Common OCD compulsions include excessive cleaning, repeated checking, and mental compulsions, like counting.
Effective OCD treatment: Behavioral therapy and online therapy for obsessive-compulsive disorder
Several factors contribute to the development of OCD, such as genes, differences in the brain. and mental health conditions. A licensed therapist or OCD therapist can accurately diagnose the disorder by assessing obsessions, compulsive behaviors, and the impact these have on an individual's life. Treatment options like online OCD therapy or in-person sessions with an own practice can help manage symptoms.
Two successful mental health treatments
The International OCD Foundation states that two treatments have proven effective for OCD. One is medication, which a doctor can prescribe. The second is cognitive-behavioral therapy (CBT), specifically exposure and response prevention (ERP) therapy. With ERP, individuals are exposed to situations that prompt their anxiety and are taught how to respond in a way that doesn’t involve a compulsion.
Finding the right therapist for OCD symptoms
Finding a therapist who has experience treating OCD can be time-consuming. Many people find that medical internet research is a great way to start. This type of research allows individuals to get information about the therapist’s credentials, experience, and specializations. Additionally, many mental health professionals accept insurance coverage, which may help reduce OCD treatment costs. If insurance is not an option, some therapists may offer a sliding scale fee based on the client’s income and financial situation. It is essential to ensure that you are comfortable with the therapist before committing to beginning working together.
Online CBT for OCD: Effectiveness study
Although CBT has proven to be an effective treatment for OCD, the disorder remains undertreated.
Researchers in Sweden recognized the need for more readily available CBT for OCD and the possible efficacy of online cognitive-behavioral therapy. They designed a study to examine the impact of online CBT on OCD, predicting that outcomes would include decreased OCD symptoms and depression and improved general functioning.
Research methods for online therapy for obsessive compulsive disorder
In the Swedish study, the intervention was designed using current CBT methods for treating obsessive-compulsive disorder. Participants were split into 50 in the online CBT group and 51 in the control group.
The intervention was designed using current CBT methods for treating obsessive-compulsive disorder. It consisted of two main parts: approximately 100 pages of reading and worksheets that were divided into 10 modules.
The general information presented to participants covered psychoeducation and the reasoning behind the treatment in modules 1-4. However, modules 5-10 were tailored based on each person’s subtype of OCD. Therapists decided what personalized information was presented and the order in which it was made available. All of the necessary information—worksheets, text information, audio files, self-assessments, and therapist email information—was available on a treatment platform.
The program lasted for 10 weeks, so participants were encouraged to complete one module a week. Participants could contact their assigned therapist throughout the treatment and receive a reply within 24 hours on weekdays. Therapists also contacted participants who hadn’t logged in to the platform in a week, first by SMS and then by a phone call if necessary.
Those in the control group also completed 10 weeks of treatment. Their treatment consisted of online non-directive supportive therapy. They were able to email an assigned therapist throughout the 10-week program.
After completing the study, participants were assessed using the self-reported Montgomery-Asberg Depression Rating Scale to examine depressive symptoms. The Clinical Global Impression Scale and the Global Assessment of Functioning Scale were used to assess the severity of the disorder and the impact it had on day-to-day life and the response to treatment.
Researchers chose to offer the online CBT treatment to the control group after they completed the 10 weeks of online non-directive supportive therapy.
Results of OCD treatment with online therapy
Both groups saw improvements in their obsessive-compulsive disorder. Of the control group, 6% of participants saw clinically significant change. However, among those who had their OCD treated with online therapy, 60% achieved clinically significant change. For 54% of participants, the results were sustained four months later at follow-up.
Reducing obsessive-compulsive disorder symptoms
Cognitive-behavioral therapy is widely considered an effective treatment for OCD, with studies showing that 75% of patients see a reduction in symptoms after participation. If you or someone you love is looking to address OCD or any other mental health-related concern, online therapy through BetterHelp can provide the support you need.
Managing your OCD symptoms often requires a shift in your mindset, both in approaching the world and speaking to yourself. An article from a psychologist with the International OCD Foundation offers some tips for successful treatment.
Avoid an all-or-nothing mindset in behavioral therapy for OCD
Expecting that you should never slip up can lead to disappointment especially when dealing with online OCD therapy. Compulsions are likely going to happen. Instead of feeling angry or upset when you perform a compulsion, consider taking note of what triggers the behavior and discuss it with your therapist during live video sessions. The goal is progress, not perfection, and a tailored treatment plan can help achieve it. Exposure and response prevention (ERP), as one example of behavioral therapy, aims to help the person gradually face these triggers to help lessen anxiety and reduce compulsive behaviors over time.
Be mindful of therapy homework to manage OCD symptoms
Because a common OCD treatment is exposure and response prevention (ERP) therapy, often integrated with CBT therapy, your therapist will likely ask you to be exposed to your obsessions. On an online therapy platform, you may have daily or weekly homework assignments through a patient portal. Being diligent about completing your homework and staying focused on your online treatment can help you reinforce concepts and further manage symptoms.
You might also try to find a balance in your therapy homework. If an assignment seems too daunting and you know you won’t be able to complete it, it may be best to speak up. On the other hand, you can probably expect that you should feel at least somewhat challenged when doing the homework assigned during online therapy.
Accept your anxiety to support mental health growth
Facing thoughts and actions that cause anxiety can help you identify and overcome certain things that prompt your compulsions. Engaging in online OCD treatment and joining OCD community support groups might encourage a positive perspective on challenges—they may help you grow and could potentially alleviate your OCD symptoms through experiences and effective therapeutic approaches. By learning to accept your anxiety as a part of the journey, you can build resilience and support your overall mental health growth.
Takeaway
If you are experiencing OCD, know that you are not alone. With BetterHelp, you can be matched with a therapist with training and experience using exposure and response prevention or other types of therapy to help people with OCD. You can talk to a therapist from the comfort of your own home, without having to deal with your insurance company. You can contact your therapist in between sessions via in-app messaging if you have questions or difficulty with OCD symptoms. With online therapy, you may find that you experience improvement in your thoughts and a decrease in urges to engage in compulsions. Take the first step toward improved mental health and reach out to BetterHelp today.
Frequently asked questions about anxiety and OCD
Does online therapy work for OCD, anxiety, and other mental health conditions?
Multiple research studies show that online therapy treatment options can be as effective as traditional in-person therapy for some people with obsessive-compulsive disorder (OCD). For example, a recent study published in the Journal of Medical Internet Research found that participants experienced a significant improvement in symptoms of OCD after three weeks of twice-weekly video therapy sessions. When followed by six weeks of once-weekly check-ins, participants experienced a 43.4% reduction in OCD symptoms, as well as a 44% reduction in depression and a 47% reduction in comorbid anxiety symptoms.
Participants also reported a 37.3% mean reduction in stress symptoms and a 22.7% improvement in overall quality of life after online OCD therapy. Positive outcomes were similar for people who reported mild, moderate, or severe symptoms at the beginning of treatment. Positive outcomes persisted for a year or more in some cases after treatment. Online therapy is also effective for treating a variety of other mental health conditions like depression, anxiety, and post-traumatic stress disorder (PTSD).
What type of therapy is best for obsessive compulsive disorder (OCD)?
The most effective treatment for OCD is cognitive behavioral therapy (CBT), particularly a specialized form called exposure and response prevention (ERP). In some cases, physicians prescribe medications such as selective serotonin reuptake inhibitors (SSRIs) to complement psychotherapeutic interventions. Other types of OCD therapy include, but might not be limited to:
Imaginal exposure (IE): IE uses visualization to expose an individual to the source of OCD anxiety with the aim of desensitization before transitioning to ERP.
Habit reversal training: This type of training includes a multi-pronged combination of response awareness, introduction of a “competing response” (a substitutional behavior for the original OCD response), positive reinforcement, relaxation techniques, and social support.
Deep brain stimulation (DBS): DBS is an advanced surgical treatment for more severe, treatment-resistant OCD. With DBS treatment, doctors use a brain scan to identify the area causing symptoms. Then, they implant electrodes in that area of the brain and connect them to a neurostimulator that delivers mild electrical signals. These signals help alleviate OCD symptoms.
Can you do ERP therapy on your own?
It is possible to engage in self-directed ERP therapy, but clinical evidence shows the method is most effective when facilitated by a mental health professional. There are several reasons why this might be, including challenges with finding and adhering to treatment techniques appropriate for the individual’s symptoms. Further, ERP therapy may not be effective for everyone, even under the guidance of a therapist. If you do try self-directed methods and don’t see an improvement in symptoms, be sure to consult a therapist who can help design a program tailored to your needs.
What is currently the most successful therapy for anxiety and obsessive compulsive disorder?
Currently, ERP therapy is the first-line treatment for OCD. ERP is a form of cognitive behavioral therapy that involves gradual exposure to stimuli that provoke a reaction in people with OCD. It’s conducted in a safe, controlled environment, with careful attention to the patient’s distress levels.
The aim of ERP is to provide the patient with coping skills to manage anxiety symptoms upon exposure to the source of their OCD. With time, the patient can strengthen these skills and use them in everyday life, freeing them from the cycle of obsessive thoughts and compulsive behaviors.
Is it possible to self-treat OCD?
It is possible, but there are several reasons why it’s not recommended. For example, ERP therapy involves exposure to thoughts, images, objects, or situations that provoke obsessive thinking and compulsive behaviors; therefore, it can be significantly uncomfortable. Additionally, OCD is often accompanied by comorbid conditions like depression, requiring a more complex intervention plan that addresses both disorders. Individuals without training in diagnosing and treating mental health disorders may misdiagnose their symptoms. For example, physiological conditions like tic disorders or Tourette Syndrome can mimic symptoms of OCD.
Should I go to therapy if I have OCD?
If you have obsessive-compulsive thoughts and behaviors that interfere with your daily functioning and quality of life, you should see a therapist who can diagnose and treat your condition. Research suggests that only 4% of people with OCD who forego treatment experience symptom remission.
How do I cure my OCD naturally?
OCD is a chronic condition that exists on a spectrum of severity. Although there is no cure, there are things one can do to reduce the symptoms and cope with OCD causes as they arise in daily life. Managing OCD naturally involves active engagement in psychotherapy, but also self-care, and often changing one’s lifestyle habits. Here are some tips:
Do your “homework”
Often, therapists who treat OCD assign their patients small, achievable self-help goals outside of therapy, including tasks and homework assignments to try in between sessions. For example, they might ask them to complete self-assessments and worksheets and journal about their experiences. In the next session, they will review the results and any thoughts and feelings the patient might have experienced while completing their homework assignments.
Practice mindfulness and meditation
Mindfulness involves staying present in the moment and observing your thoughts without judgment. This can help you become more aware of obsessive thoughts without reacting to them, potentially reducing resulting compulsive behaviors. Regular meditation practices like deep breathing, progressive muscle relaxation, and guided visualizations can reduce anxiety and support overall mental health.
Eat a nutritious diet
Eating a well-balanced diet with plenty of fruits, vegetables, whole grains, and lean proteins can support overall brain health. Also, limit or avoid caffeine and sugar, as they can increase anxiety and possibly exacerbate OCD symptoms. Be sure to consult your physician before changing your diet or if you struggle to reduce your caffeine intake.
Exercise regularly
Regular exercise can boost mood, reduce anxiety, and improve overall mental health. Activities like walking, running, or swimming can be helpful, but research shows that any type of moderate aerobic exercise can significantly reduce symptoms of OCD. Additionally, mind-body activities like yoga and tai chi combine physical and mindfulness activities, which can help reduce OCD symptoms. Talk to your doctor to see which types of exercise are the best for you.
Improve your sleep hygiene
Prioritize good sleep hygiene by maintaining a consistent sleep schedule, creating a relaxing bedtime routine, and ensuring your sleep environment is conducive to rest. Try relaxation techniques like deep breathing or progressive relaxation before bed to improve sleep.
Try cognitive exercises
Your therapist may recommend activities like journaling to record obsessive thoughts and compulsions. This can help you identify patterns and sources of distress, which you can later reflect upon to gain perspective and challenge obsessive-compulsive beliefs. Consider writing down things you are grateful for each day to focus on positive aspects of your life and shift your mindset away from obsessive thinking. Positive affirmations can also help challenge unhelpful thinking patterns and reinforce positivity.
Do things that nourish and bring you joy
Creative projects, hobbies, exercise, and participating in group activities like volunteering or social outings can serve as a distraction from obsessive thoughts and provide a healthy outlet for emotions. Spend time with friends and family, and get outside regularly for some fresh air. Studies suggest that spending time in nature can help reduce stress and improve symptoms related to anxiety and depression. Consider hiking, gardening, camping, walking a dog, or simply spending time at the park.
What triggers OCD?
There are several possibilities for what may cause an OCD flare-up. For example, daily stress, sadness or depression, traumatic experiences, significant life changes, and certain environmental factors like high-pressure or chaotic environments. Some physical factors might also contribute to OCD symptoms. Hormonal fluctuations, such as those occurring during puberty, pregnancy, or menopause, can generate or worsen symptoms. Excessive use of caffeine, nicotine, or other stimulants, as well as alcohol and recreational drugs, can exacerbate OCD symptoms. Illness or physical health issues might also lead to increased obsessive thoughts and compulsive behaviors.
How do you treat OCD without medication?
Successful OCD treatment without medication often involves a commitment to psychotherapy, lifestyle changes, and a self-care regimen that addresses your physical and mental well-being.
Can you do ERP virtually?
You can engage in exposure and response prevention treatment virtually with an online therapist. Online therapy is often more flexible and affordable than conventional in-person therapy without insurance. It’s also an ideal solution for some individuals who live in areas where it’s challenging to find a therapist.
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