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The Center for OCD and Related Disorders at Massachusetts General Hospital delivers evidence-based treatment to patients and conducts research to advance our knowledge of these disorders.
The mission of the Child Cognitive Behavioral Therapy Program at Massachusetts General Hospital is to provide state-of-the-art cognitive behavioral therapy to children, adolescents and young adults with a range of emotional and behavioral problems.
The Cognitive Behavioral Therapy (CBT) Program at Massachusetts General Hospital provides advanced clinical care to patients, furthers CBT research, and educates healthcare professionals, students and the general public about CBT.
The Functional Neurosurgery Program provides expert evaluations and surgical treatment for patients with movement disorders, trigeminal neuralgia, epilepsy and psychiatric conditions such as obsessive-compulsive disorder and chronic pain.
The Tourette Syndrome/Tic Disorders Clinic at MassGeneral Hospital for Children is a specialized multidisciplinary clinic and regional referral center for adult and pediatric patients with Tourette syndrome and other tic disorders.
Obsessive-compulsive disorder (OCD) is a common anxiety disorder. It causes unreasonable thoughts, fears, or worries. A person with OCD tries to manage these thoughts through rituals.
Frequent disturbing thoughts or images are called obsessions. They are irrational and can cause great anxiety. Reasoning doesn’t help control the thoughts. Rituals or compulsions are actions that help stop or ease the obsessive thoughts.
Experts aren’t sure of the exact cause of OCD. Genetics, brain abnormalities, and the environment are thought to play a role. It often starts in the teens or early adulthood. But it can also start in childhood. OCD affects men and women equally. It appears to run in families.
Other anxiety problems, depression, eating disorders, or substance abuse may happen with OCD.
Obsessions are unfounded thoughts, fears, or worries. They happen often and cause great anxiety. Reasoning does not help control the obsessions. Common obsessions are:
A strong fixation with dirt or germs
Repeated doubts (for example, about having turned off the stove)
A need to have things in a very specific order
Thoughts about violence or hurting someone
Spending long periods of time touching things or counting
Fixation with order or symmetry
Persistent thoughts of awful or disturbing sex acts
Troubled by thoughts that are against personal religious beliefs
You may know that the thoughts are unreasonable and not due to real-life problems. But it’s not enough to make the unwanted thoughts go away.
Compulsions are repetitive, ritualized acts. They are meant to reduce anxiety caused by the obsession. Examples are:
Repeated hand-washing (often 100+ times a day)
Checking and rechecking to make sure that a door is locked or that the oven is turned off for example
Following extremely rigid rules of order, such as, putting on clothes in the same order each day, or alphabetizing the spices, and getting upset if the order becomes disrupted
Compulsive acts can become excessive, disruptive, and time-consuming. They may interfere with daily life and relationships.
People may stay away from situations where they might have to face their obsessions. Some try alcohol or drugs to calm themselves.
OCD is diagnosed during a physical and psychiatric exam when obsessions and compulsions:
Take up at least 1 hour each day
Interfere with daily life
Always see your healthcare provider for a diagnosis.
Treatment will depend on your symptoms, age, and general health. It will also depend on how severe the condition is.
Treatment may include:
Anti-anxiety or antidepressant medicines are often used.
Cognitive behavioral therapy can also help.
OCD is a common anxiety disorder. It causes irrational and obsessive thoughts, fears, or worries.
A person with OCD tries to manage these thoughts through rituals.
The rituals become consuming and interrupt daily life.
Stressful events may trigger the OCD episodes or make them worse.
You may or may not have insight into the irrational thoughts or behaviors.
Medicines and therapy can help reduce the time spent in the thought patterns or compulsive behaviors. Treatment is most successful when both are used.
Tips to help you get the most from a visit to your healthcare provider:
Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered.
Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
Ask if your condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if you do not take the medicine or have the test or procedure.
If you have a follow-up appointment, write down the date, time, and purpose for that visit.
Know how you can contact your provider if you have questions.
The purpose of this study was to quantify and describe the amount of waste generated by an Emergency Department, identify deviations from waste policy and explore areas for waste reduction.
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