Obsessive-Compulsive Disorder (OCD)
Trapped in a cycle of intrusive thoughts and rituals? OCD is highly treatable with the right approach. We specialize in medication strategies that break the cycle.
What is OCD?
Obsessive-Compulsive Disorder (OCD) is characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that you feel driven to perform. These aren't just habits—OCD can consume hours of your day and significantly impact your quality of life.
OCD is not about being "neat" or "organized"—it's a serious condition driven by intense anxiety. The good news is that with proper medication and therapy, most people with OCD experience significant improvement.
Common Obsessions
- Fear of contamination or germs
- Unwanted aggressive or violent thoughts
- Need for symmetry, order, or exactness
- Fear of harming yourself or others
- Disturbing sexual or religious thoughts
- Fear of losing important items
- Excessive doubt (did I lock the door?)
Common Compulsions
Compulsions are behaviors or mental acts performed to reduce anxiety caused by obsessions:
- Excessive hand washing or cleaning
- Checking locks, appliances, or switches repeatedly
- Counting, arranging, or organizing in specific patterns
- Repeating words, phrases, or prayers silently
- Seeking constant reassurance from others
- Mental rituals to neutralize obsessive thoughts
- Avoiding situations that trigger obsessions
2-3%
of people worldwide have OCD
Average time to treatment: 14-17 years
Specialized OCD Treatment at Next Step
OCD requires specialized expertise—we understand the unique medication protocols that work
High-Dose SSRI Therapy
OCD typically requires higher doses of SSRIs than depression. We carefully titrate medications like Prozac, Luvox, or Zoloft to optimal therapeutic levels.
Clomipramine
This tricyclic antidepressant is one of the most effective medications for OCD and may be used when SSRIs aren't sufficient.
Augmentation Strategies
Adding low-dose antipsychotics or other medications can enhance response when first-line treatments provide partial relief.
ERP Therapy Coordination
We work closely with therapists who specialize in Exposure and Response Prevention, the gold-standard therapy for OCD.
Important: OCD Requires Higher Medication Doses
Unlike depression or anxiety, OCD typically requires significantly higher doses of SSRIs to be effective. A dose that treats depression may not touch OCD symptoms. Our providers understand these nuances and will work with you to find the optimal dose while monitoring for side effects.
Expert OCD Care
OCD Expertise
We understand the specialized medication protocols required for effective OCD treatment.
Compassionate Care
We understand OCD is not about willpower. You'll receive judgment-free, supportive care.
Therapy Coordination
We work with ERP-trained therapists to ensure your medication and therapy work together.
Break Free from the OCD Cycle
You don't have to be controlled by intrusive thoughts and rituals. Effective treatment is available. Take the first step today.