Obsessive Compulsive Disorder


Obsessive Compulsive Disorder (OCD) in Lexington, Richmond & Frankfort KY

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What is Obsessive Compulsive Disorder (OCD)?

People with obsessive-compulsive disorder (OCD) feel the need to check things repeatedly or perform routines and rituals over and over. To try to control the upsetting thoughts, called obsessions, a person will feel an overwhelming urge to repeat certain rituals or behaviors, called compulsions. People suffering from OCD cannot control these obsessions or compulsions. 

Common rituals consist of a need to repeatedly check things, touch things, or count things. People with OCD may also be preoccupied with order and symmetry, have difficulty throwing things out, or hoard unneeded items.

Signs & Symptoms

People with OCD suffer from obsessions, or unwanted intrusive thoughts, that are controlled by compulsions, or ritualistic behaviors and routines to ease anxiety or distress.

Common obsessions include:
  • Constant, irrational worry about dirt, germs, or contamination. 
  • Excessive concern with order, arrangement, or symmetry. 
  • Fear that negative or aggressive thoughts or impulses will cause personal harm or harm to a loved one. 
  • Preoccupation with losing or throwing away objects with little or no value. 
  • Excessive concern about accidentally or purposefully injuring another person. 
  • Feeling overly responsible for the safety of others. 
  • Distasteful religious and sexual thoughts or images. 
  • Doubting that is irrational or excessive.
  • Common compulsions include:
  • Cleaning — repeatedly washing one’s hands, bathing, or cleaning household items, often for hours at a time. 
  • Checking — checking and re-checking several to hundreds of times a day that the doors are locked, the stove is turned off, the hairdryer is unplugged, etc. 
  • Repeating — unable to stop repeating a name, phrase, or simple activity, such as going through a doorway over and over. 
  • Mental rituals — endless review of conversations, counting, repetitively calling up “good” thoughts to neutralize “bad” thoughts, or excessive praying and using special words or phrases to neutralize obsessions.
In an effort to control the obsessions and complusions, people suffering from OCD generally experience these common symptoms:
  • Having repeated thoughts or images about many different things, such as fear of germs, dirt, or intruders; acts of violence; hurting loved ones; sexual acts; conflicts with religious beliefs; or being overly tidy
  • Doing the same rituals over and over such as washing hands, locking and unlocking doors, counting, keeping unneeded items, or repeating the same steps again and again
  • Unable to control the unwanted thoughts and behaviors
  • Cannot get pleasure when performing the behaviors or rituals, but get brief relief from the anxiety 
  • Spending at least 1 hour a day on the thoughts and rituals, which cause distress and get in the way of daily life.
Diagnosis & Treatment Options

OCD usually responds well to treatment with certain medications, psychotherapy, or a combination of both to help people face situations that cause fear or anxiety in order to become desensitized to them.

A type of psychotherapy called cognitive behavior therapy is especially useful for treating OCD. It teaches a person different ways of thinking, behaving, and reacting to situations that help him or her feel less anxious or fearful without having obsessive thoughts or acting compulsively. The most common type of therapy for OCD is called exposure and response prevention, which is especially helpful in reducing compulsive behaviors. Doctors also may prescribe medication to help treat OCD. The most commonly prescribed medications for OCD are anti-anxiety medications and antidepressants.

There Is Hope!

OCD treatment can be difficult, and requires a lot of courage and determination. Having a support network to talk to during treatment can make all the difference. Consider accessing a support group or psychologist for more information by calling our office today to set up an appointment. 

New Client Info
Lexington, KY

Darby Creek Location
501 Darby Creek Road
Suite 11
Lexington KY, 40509
Phone: 859-338-0466
Fax: 859-294-0802

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By Paul Dalton 05 Feb, 2016
So you live in Kentucky and only a few more weeks until spring. Everyone should be happy and feel better about that, right? I think most of us get a sense of relief and hope, and that cognitive energy to bust out of the winter season and get moving. For some, the spring can be a rough time. Depression, anxiety, bi-polar disorder, and relationship issues prevent the spring season from being all that it could be. Following are some reasons that these and other conditions may worsen in the spring, a few resources for you, and some concrete strategies you can implement to help yourself. 

So why do people struggle some in the spring when it should be all flowers and sunshine? 

1. Sleep
Many times the spring season causes a change in our circadian rhythm . The sun wakes you up in the am, it is difficult to keep a routine, and restlessness all contribute to the sleep problem. Our eating in the winter and spring can affect how much we sleep. Caffeine, napping, undereating, and how much we are moving, all contribute to how much we sleep. Spring likely has an effect on melatonin in the body, which aids in sleep. 

Strategies that help are EXERCISE and EATING RIGHT! If you keep moving with the help of  a tool like a Fitbit or utilize regular exercise of 45 minutes or more 4-5 times per week, you are far less likely to have sleep problems. Exercise helps you sleep. Exercise helps you eat better. Eating and sleeping adequately can reduce your stress and fight any symptoms you may have. Eating healthy keeps your mind, body, and spirit in a positive place. When your body is well, your mind has a great chance of being well too. Sounds too simple? Give it a try!

The sleep foundation can help here :  Sleep Foundation Healthy Sleep Tips
Eating Right For Spring
Here is a good link to read on symptoms getting worse in the spring: Spring Makes Symptoms Worse

2. Spring Fever is Real
Our office has existed for over 15 years now. I can tell you that March to May is our busiest time of the year, always. Bipolar disorder, marital infidelity, depression, and anxiety are the main reasons people call us in the spring. The real causes of spring fever include longer days that produce more sunshine and increased energy, changes in hormone production, sleep cycles, nutrition and diet changes, body needs, and possibly, a lack of self care. When we bust of out winter here in Kentucky we sometimes forget that it takes a little time to get our minds and bodies in shape for yard work, spring cleaning, and for many, an increased workload all the way around. Here are some links to let you know spring fever is real. 

Spring Fever
WEB MD-You Give Me Spring Fever
Wiki Spring Fever
Spring Time Bad for Depression

3. Expectations Are High

Sometimes in spring we have been thinking about all the things we should of, could of, would of done if we had lived in San Diego or Florida during our winter days. The reality of being human can set in when we find out that spring has sprung, it is time to get moving, and we don't have the energy or drive to complete our list of high expectations. Many people are disappointed in themselves and these outcomes. Don't worry about it. 

Strategies you can use include setting small attainable goals you can feel good about. Work on your list a little at a time. Make goals that regular people can reach with time built in for you to EXERCISE AND SLEEP. Do a mix of things that you enjoy and are healthy for you while completing your responsibilities. If you deny yourself from pleasure too long, that strategy is likely to backfire. Have a good balanced approach. Use a checklist that has 3 sections. One section is for today. One section is for the week. Reserve one part of the list for things your are really wanting to do. Put a vacation or planned fun activities on a calendar. Look up things you might want to do during that time online. Planning, thinking and dreaming are fine. They keep us hopeful. 

Tiny Buddha Expectations and Disappointment
Expectations at The Silent Blog
Three Ways Expectations Can Hurt You

4. Allergies

If you live in Kentucky, you know about allergies. Kentucky is known to be one of the worst states when it comes to spring and fall allergies.  Louisville is ranked as one of the worst cities in the entire country to live in due to allergies.   Many times people are unaware they are being affected. Sometimes the symptoms are less obvious than a runny nose, cough, and cold like symptoms. Many times people are lethargic, grouchy, have headaches, and have cognitive deficits. The allergic affect we have in Kentucky can quickly turn into a sinus infection, bronchitis, ear infections, and other maladies that make us mentally and physically drained. That flower below can cause us some issues! 

Get to a doctor. Take a seasonal allergy medication. Some are mild, like Allegra (please get your physician's approval before taking allergy medications) and can be taken everyday. Prescription nose sprays may help, but may also have some cognitive or mood altering side effects. Be careful, but don't suffer! Get help from an allergist if you need it. 

Allergy Resources
Pollen Map
How to Beat Spring Allergies by WEB MD
By creekmoremarketing 21 Sep, 2015

Welcome to our website!

Therapy is a great choice. It works, and I hope you make a commitment today to start. Most people find the idea of attending therapy with a therapist or counselor far more scary than the actual process itself. Here is a link that describes how the process works at our locations.

Our therapists are located in Lexington, Frankfort and Richmond, KY. See individual profiles of our therapy providers here . I hire our professionals personally and attempt to provide you with someone that will care about your outcome and treat you well. These are experts at counseling and therapy and provide services you will want to tell others about.

Our clinicians care, and you will know they are different in that respect. Providing therapy in Central Kentucky is much more than a job to our therapists. It is a profession, and a way of life.

Please let us help you today!   Contact us here   or at 859.338.0466 now.

Sincerely,

Paul D. Dalton, MS, LPCC, CADC

More Posts
What is therapy?

Therapy is more long-term than counseling and focuses on a broader range of issues. The underlying principle is that a person's patterns of thinking and unconscious awareness affect the way that person interacts with the world. The goal is to uncover those patterns and become aware of their effect and then learn new, healthier ways to think and interact.
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