Conversation Starter: Talking About OCD

Seeking Treatment

Many people may be familiar with OCD, but few understand its complex nature. People with OCD have persistent unwanted and intrusive thoughts (obsessions), and they may perform rituals (compulsions) that may bring some short-term relief from the anxiety and distress the thoughts produce.

While anyone might double-check to make sure that a door is locked or that the stove has been turned off, people who suffer from OCD devote one hour or more to their obsessions and compulsions on most days. OCD can cause people significant distress because it interferes substantially with the normal routines of a job, school, family, and social activities.

Left untreated, OCD can interfere with all aspects of life. If you’re concerned about symptoms of OCD, make an appointment with your doctor or a therapist. Then complete the self-test available on this site. Your responses will help your doctor or therapist make a proper diagnosis and determine an effective treatment plan.

Getting Help

Be prepared to make the most of each office visit. Follow the tips below to make sure your concerns are addressed and your questions are answered.

General

  • Write your questions ahead of time and bring them with you.
  • Take notes during the appointment to make sure you understand what you are hearing.
  • Ask for clarification whenever necessary.
  • Ask questions and learn where you can find more information. You have a right to know.
  • Be forthcoming and persistent about issues that concern you. Trust your instincts in your search to find a compatible doctor or therapist.

During Treatment

  • Keep your scheduled appointments.
  • Be honest and open with your doctor or therapist.
  • Do all homework assigned to you as part of the therapy to the best of your ability.
  • Give honest feedback on how the treatment is working.
  • Call between appointments if you have questions about treatment, experience unexpected levels of distress, or have concerns about your safety.

Questions for the Doctor or Therapist

Before Making an Appointment

  • What is your basic approach to treating OCD?
  • How much experience do you have treating OCD?
  • How often are my appointments?
  • How long is treatment likely to last?
  • What is your success rate with OCD?
  • How do you define success?
  • Are you a provider for my insurance?
  • Is payment expected at the time of my treatment?

At the First Session

  • How did you diagnose that I have OCD?
  • What if I also have other anxiety disorders or depression?
  • What causes OCD? Does it run in families?
  • What kind of treatment approach do you think is best for my problem?
  • What is CBT? How well does it work for OCD?
  • What are the side effects of medication?
  • What if the medication doesn’t work?
  • When can I expect to see results?
  • Is a combination of medication and CBT best for me?
  • How long do you expect treatment to last?
  • What if I have a relapse?