When the tendency to control gets the upper hand
The obsessive-compulsive disorder manifests as obsessive thoughts and overtly visible or thoughtful compulsive acts. Obsessive thoughts are ideas, conceptions, or impulses that impose themselves on the affected person against his or her will and occupy him or her stereotypically- that is, with the same thought repeatedly. These obsessive thoughts are almost always experienced as senseless or tormenting, shame the person affected, and usually occur in combination.
These obsessive-compulsive disorders cause considerable distress: they are time-consuming and interfere with daily life, occupation, social activities, and relationships with other people. In addition, they are often coupled with other disorders, such as depressive disorders, anxiety disorders, and/or phobias. Learn more in our patient information on obsessive-compulsive disorder
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Although a distinction is made between obsessive thoughts and compulsive acts in the symptomatology of obsessive-compulsive disorder, they usually occur in combination.
If several risk factors co-occur, affected individuals can no longer adequately cope with their everyday stresses and the possibility of developing OCD increases.
The core of behavioral therapy is stimulus confrontation with response prevention. For this purpose, the affected person confronts situations that trigger compulsions in him. In these situations, he learns that the triggered tension or his fears are a physical reaction that will eventually be reduced even without exercising the compulsions.
Through repeated confrontation, the affected person makes the experience that the tension rises again and again, but a habituation process sets in, and the tension thus also decreases again. This measure is repeated until the force-triggering situation can be mastered without problems. Such a relearning process helps the patient to essentially solve the obsessive-compulsive disorder if the therapy is successful.