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OCD – Obsessive Complusive Disorder

About this booklet

(About this leaflet)

This booklet is for those who have problem of ablation or compulsion, their family members or friends and anyone else who wants to know more about it:

You can learn from this booklet

 How does it feel to have OCD and how you can help yourself.

  •  What kind of help exists
  •  What places can help
  •  Other sources of information
  •  Reference to research and policy related documents



“He’s an obsessive fan of football, he’s obsessive about shoes, he lies compulsively.” They are not able to understand. Generally this is not a problem and can prove to be helpful in many places. However, the craving to do the same thing over and over again or something can affect your life in an unusable way. .

So if

  •  Strange thoughts keep coming in your mind even if you don’t want to.
  • You touch, count, or do the same thing over and over again, such as washing hands repeatedly,

So you can have OCD.

How does it feel to have OCD?

(What is it like to have OCD)

Lidge “I am afraid of getting sick from other people. I spend hours cleaning the house to avoid infection with germs and wash my hands several times a day. As far as possible I do not get out of the house. When my husband and children return home, I take detailed information about where they went that they did not go to any dangerous place like a hospital. I ask them to take off their clothes and take a good bath. Sometimes I feel that my fears are meaningless. My family is very upset with these things but this problem has been so long that I cannot stop it. ”

Honey, “I spend my whole day in check so that there is nothing wrong. It takes me too much time to get out of the house in the morning because I am confused whether I have shut down all the windows and electrical appliances, I see five or six times whether I have turned off the gas or not, but still I am fine If not, then I have to do all the work again. Lastly, I ask my colleagues to check all the things again. I also stay behind in my work because I do the work again and again. So that I do not make any mistake. If I don’t do this then I get unbearable panic. I know this is stupid but I think that if I make a terrible mistake, I will be responsible for it.

Dan “I’m afraid that I won’t harm my baby girl.” I know that I do not want to do this, but bad thoughts keep coming in my mind again and again. It seems to me that I should not stab him. The only way to get rid of these thoughts is to pray and bring to mind good thoughts like “I know that I love her so much, then I feel a little bit better until the same terrible in my mind again.” Do not bring photos. I have hidden all the sharp things and knives in my house. I think of myself as “I am a very bad mother who thinks so. I will definitely go crazy. ” 

OCD has three main parts?

(OCD has three main parts)

  •  Thoughts that worry you (Obsession)     
  •  The anxiety / panic you feel.
  •  Things you do to reduce your anxiety

What do you think (obsession)?

  • Thought – A word, sentence or sound that sounds bad, irritates or is jealous or slanderous. You try not to think of him but you cannot do it. You worry that you do not get an infection (caused by germs, dust or HIV or cancer), or your negligence can cause harm to someone.
  • Photographs in the mind – that show that someone in your family has died, or you are behaving in an extreme manner. Sex related that does not match your personality, stabbing or abusing or cheating. We know that people who have an obsession are not aggressive, nor do they work according to the idea.
  • Doubt / Doubt – You were amazed for hours that you did not have an accident or caused harm to you, you can be worried that you have hit someone in your car or you have left the windows and doors of your house open. .
  • Concerns- You constantly argue with yourself whether to do this work or do that work. In this way you are not able to make even a small decision.
  • Perfectionism – You get more upset than others if things are not in the right proportion or in the right place in the right way. For example, if the books are not properly kept in a cupboard. 

Nervousness you feel

  • You feel stressed, upset, scared, guilt-ridden or unhappy
  • You feel good after performing compulsive work or rituals, but it does not last long.

What you do

  • Thoughts to Improve Obsession In your mind, alternative ineffective thoughts like falling again and again, praying or reading a particular word.
  • Ritual (practice) – You wash your hands frequently, do the work carefully and slowly, organize things and do some work in some special way. It takes a lot of time for you to be told and to do a job successfully.
  • Check – of the pollution of your body, whether the electrical appliances are closed, whether the locks in the house are closed or whether the way of travel is safe or not.
  • Avoiding – Remind you of bad thoughts. That you are avoiding touching anything, taking any risk from going to certain places or taking any responsibility. For example, you do not want to go to the kitchen because you know that a knife will be found there.
  • Extraction – waste and bad things. You don’t throw anything away.
  • Assurance – You ask others repeatedly whether everything is alright or not. 

How many people have OCD?

(How Common is OCD)

About 50 in 1 person can have OCD in their lifetime and which is the same between men and women. Accordingly, about 10 lakh people in the UK have OCD. Biologist Charles Darwin Florence Nightingale, author of Pilgrim’s Progress, John Banyan is one of the most famous people.

Do you have OCD if you gamble, eat or drink compulsively?

(If you gamble, eat or drink ‘compulsively’, do you have OCD?)

No Sometimes those people are called obsessive or compulsive. People who gamble, drink alcohol, use drugs, or exercise more, but this type of behavior can also be enjoyable. There is never any feeling of joy in OCD’s compulsion and they always feel unpleasant need or burden.

How bad can OCD be?

(How can bad OCD get)

There is a lot of variation in this. If you do not have to fight OCD continuously then your work relationship and family life can be more fruitful and satisfying. Working in serious OCD can be impossible to participate in your family life and stay with family. Especially if you include them in your ritual, then they get upset.

Do people with OCD go crazy?

(Are people with OCD ‘mad’)

No, if you think that other people think you are crazy, then you run away from seeking help. Although you worry that you will lose control, but we know that people with OCD do not do this.

Similar problems with OCD

(Other conditions similar to OCD)

  • Stress from Body Dysmorphic Disorder or Fantasy Ugly You believe that your face or body texture is not right and try to hide or try to hide in front of the mirror for hours to check it. Even you stop going out.
  • Reddening of your hair or eyebrows (trichotillomania) 
  • Fear of serious physical illness such as cancer (hypochondriasis)
  • People with turret syndrome (where the person suddenly yells or uncontrolled jerks) often come to OCD.
  • Children with certain types of autism, such as Asperger’s syndrome, may be affected by OCD because they like the same type of testing and want to do the same thing over and over again which makes them less nervous. 

When does OCD start?

(When does OCD begin?)

Many children have minor complications. They keep their toys very organized and avoid setting foot on the cracks of the floor. This usually ends when the children grow up.

goes. Adult OCD often begins at adolescence or 20–25 years. Symptoms may come and go over time, but the affected people do not seek help unless they have OCD for several years.

What are the possibilities without treatment or help?

(What is the outlook without help or treatment?)

Many people with mild OCD get better without treatment. This does not usually happen in OCDs of moderate to severe intensity, but at some point of time their symptoms appear to be gone. The condition of some people gradually worsens when the symptoms of people increase in times of stress or sadness. Treatment will often be helpful.

What are the causes of OCD?

(What causes OCD?)

Jeans- OCD is sometimes genetic, so it can sometimes be passed on from generation to generation.

Stress- In one third of people, it can happen in stressful events of life.

Changes in life – during which sudden responsibility comes such as puberty, giving birth to a child or a new job.

Brain changes – We do not know for sure, but if you have OCD for a little longer then researchers think that there is an imbalance of sorotonin (5-HT) in the brain.

Personality- If you are a person who works very cleanly, very carefully or systematically and has high moral principles, then you are more likely to have OCD. These properties are often helpful, but can be OCD if increased by 10 to 10 times.

Thinking Views – Almost all of us sometimes get weird or annoying thoughts or pictures like “What if I come in front of the car” or “I will harm myself.” “Most of us soon abandon these ideas and live our lives, but if you are a more principled or responsible person, then you can feel that such thoughts are terrible, so you pay more attention to that thing again So that they are more likely to do so. 

What causes OCD to persist?

(What keeps OCD going?)

Surprisingly some methods that help you can help in maintaining it.

  • Trying to keep unwanted thoughts out of your mind – this often brings back thoughts. Try not to think about the pink elephant for the next one minute – maybe it will be difficult for you to think of anything else.
  • Rituals, tests, reassurance, or survival can make you less anxious for a while, especially if you feel that it can prevent some terrible things from happening, but the more often you do this, the stronger your confidence that it is. Can prevent things from happening. So you feel more pressure to do them.
  • Thinking of Impressive Ideas – If you alternate thoughts of disturbing thoughts (spend time) like counting to 10 or taking a picture (like seeing someone live and fine) then stop thinking and wait until your Nervousness does not stop.

To help yourself

(Helping yourself)

  • Face disturbing thoughts.
  • It sounds strange, but it is also a way to overcome them that you record them and listen or write again and read them again. You do this every day for about half an hour continuously until your nervousness is reduced.
  • Resist the compulsive habits, not the objective ideas.
  • Do not use alcohol to reduce nervousness.
  • If your thoughts are related to your faith or religion, then try to know with the help of any religious leader that it is not OCD.
  • Contact the website or support group written at the end of this booklet.
  • Buy a self-help book from the books written at the end of this booklet.

Get help

(Getting help)

Cognitive behavior thirapi-

There are two types of CBT for treatment of OCD, Exposure and Response Prevention (ERP) and Cognitive Therapy (CT)

Exposure and Response Prevention – This is a way to prevent compulsive habits and concerns from promoting each other. We know that if you stay in a stressful state for too long, then you slowly get used to it and your nervousness gradually disappears. Therefore, you gradually face the situation you are afraid of and prevent yourself from performing compulsive rituals, checking and cleaning. (Response Prevention) and wait for his nervousness to subside.

It is often better to do this in small steps.

  • Table all those things you fear or defend.
  • Write down the circumstances or thoughts that fear you the least and those which are the worst at the top.
  • Then start from the bottom and implement one thing at a time until you can control one thing, move to the second step.

It is necessary to do this daily for at least 1 or 2 weeks. Do this all the time until your nervousness is reduced to half of the worst. In the beginning, writing your level of nervousness after about 30 to 40 minutes every 5 minutes can help, for example 0 (no fear) to 10 (most fear). You will see how your nervousness increases then decreases.

You can practice some steps with your doctor, but most of the time, you should do it yourself at your own pace. It is important to remember that you do not need to end all nervousness. It just needs to be tolerated. Remember that

  • Your nervousness is painful but you will not harm anyone.
  • Will eventually end.
  • Constant practice will make it easier to cope.

There are two main ways of doing ERP

Help in directing                                                           

You follow the instructions of a book, tape, video or DVD. Sometimes you can contact a professional for advice or assistance. This method is suitable if your OCD is modest or you are confident of finding ways to help yourself.

Your own or collective direct contact with a professional

This can happen face to face or over the phone. In the beginning, it usually happens every week or 2 weeks. And it can last from 45 to 60 minutes at a time. Initially, contact is recommended for 10 hours but you may need more.

An example-

Life could not leave his house on time every day because he had to investigate many things in his house, he was worried that his house could be burnt or robbed if he did not check everything five times. He created a table of things that were easy to control, which looked like –

  1. Cooker (least feared)
  2. The kettle
  3. The gas
  4. Windows
  5. The doors

He started with the first Charag. He checked the cooker only once, instead of watching it again and again. Initially he was very worried. He stopped himself from going back and checking. He also prevented his wife from investigating things for him. And prevented him from asking for assurance from his wife that the house was safe. His fear gradually subsided in 2 weeks. Then it moved towards the second phase. And thus finally he was able to go through the rules on his work without doing any karmic scandal of his investigation.

Cognitive thirapi-

Cognitive thirapi is a psychological treatment that helps you change thoughts rather than getting rid of them. It is helpful if you have worrying obsessive thoughts but you do not follow any ritual or process to feel better. It can be helpful in controlling OCD when done with Exposure Treatment (ERP). Its objectives are-

  • Unrealistic criticism such as full thoughts
  • Give too much importance to your thoughts
  • Over estimate the chances of something bad happening
  • Taking responsibility for bad events that are out of your control
  • Trying to get rid of all the dangers in the life of your loved ones
  • Unlucky Inappropriate Thoughts     

Cognitive therapy helps you:

In taking a second view

(Get a different perspective)

We all have strange thoughts at some time, but they remain the same, it does not mean that you are a bad person or a bad thing will happen and it is not proper to try to get rid of such thoughts even in their presence. Remain, face them with a little curiosity and amusing manner. If there are small and unpleasant thoughts, then do not resist, let them come and think about them in the same way.

How to see each idea  

(Look at individual thoughts)

  •   What evidence is there that this idea is true or not?
  •   What is the use of this idea? What is another way to see them?
  •   What is the best / worst / most real result?
  •   What advice would I give to my friend who has the same problem as me? What makes me different if this advice is different from that advice?

Cognitive therapy will help you decide which thoughts you want to change. And will help in creating new ideas which are more real.

Most of the time you meet your doctor at the local GP practice clinics and sometimes in the hospital, if you cannot leave your home, you can take a diagnostic therapy over the phone or even at your home. Educated physicians are usually registered with the British Association for Cognitive and Behavioral Psychotherapy (

Anti depressant medicines-

Even if you are not depressed, SSRIs can be helpful in reducing your obsession and compulsion, it can also be used alone or with CBT if OCD is moderate to severe. If even after 3 months SSRI has not helped at all, then in the next phase it can be replaced with another SSRI or clomipramer.

To what extent do these treatments work?
Exposure Response Treatment

(Exposure Response Treatment)(ERP)

About three out of four people who complete the ERP are greatly assisted by those who get cured, 1 in 4 people will get symptoms again in the future and will need to be treated again, but about 7 out of them 1 people refuse to try ERP or do not fulfill it, they may become very scared or feel more pressure to do it.



About 6 out of 10 people are better off with medication, usually their symptoms are reduced to half. Anti-obsessional medications prevent OCD from coming back until use and even several years later. Unfortunately 1 out of 2 people Those who discontinue the medicine will get symptoms again within 1 month, the chances of recurrence are less if CBT is given along with the medicines.

Which method is best for me?
Taking medicines or treatment

(Which approach is best for me, medication or treatment?)

Exposure therapy for minor problems can also be tried without professional help and it is effective and does not cause any harm other than nervousness. On the other hand, it requires a lot of motivation and hard work and also some extra nervousness for some time.

CBT and medicines are almost equally effective. CBT is effective in itself if you have mild OCD. If you have severe OCD a little bit, you can choose CBT (10 hours contact with a professional person) or medicines (about 12 weeks). If you do not get better, then you should take both treatments. Some parts of our country may have to wait several months to meet a professional.

If your OCD is serious, then it is probably best to take medicines and CBT simultaneously from the very beginning. If your OCD is a little bit more and

If you feel that you cannot withstand the panic of ERP and OCD, then medicines are the only solution.

It helps 6 out of ten people. But in the future, 1 out of 2 OCDs are likely to happen again. While 1 in 4 of the Exposure Response Treatment takes up to a year, and it is clear that this is not ideal during pregnancy and breast feeding.

Talk to your doctor about these options, who can give you other desired information. You can also talk to your trusted friends or family members.

What to do if treatment does not help?

(What if the treatment does not help?)

Your doctor may refer you to a specialist team that may include psychiatrists, psychologists, nurses, social workers, and occupational therapists. They can advise:

  •   Combining cognitive therapy with exposure treatment and medications
  •   Giving anti-obsessional medicines together like clomipramine and citalopram
  •   By treating other conditions such as nervousness, sadness, and alcohol abuse.
  •   Using antipsychotic drugs 
  •   By supporting and advising your family and caregivers

If there is a problem in your routine too, then they can send you along with other people to the appropriate accommodation, which can help you to become self-reliant.

Do I need to go to the hospital for treatment?

(Will I need to go into hospital for treatment?)

Most people get better by going to GP surgery or hospital related clinics. Admission to mental health unit is advised only if

  • Your symptoms are very serious or you think of suicide.
  • If you have serious mental health problems like eating disorder, schizophrenia, psychosis, or severe depression.
  • Your OCD prevents you from going to the clinic for treatment.

Which treatments do not work in OCD?

(which treatment do not work for OCD?)

Some of these methods can help in other diseases, but there is no concrete evidence for their OCD:

  •  Complimentary and alternative therapy, which is hypnotic, such as hypnosis, homeopathy, acupuncture and herbal medicines, seems to be very appealing.
  •  Other types of antidepressant medications when you do not have depression with OCD such as tranquillizers, sedation drugs (zopiclor, diazepam and other benzodiazepines)
  •  More than 2 weeks. These medicines can become habit.
  •  Couple and Marital Thirapi – Unless you have problems with additional connections of OCD. It helps the life partner and the family to know and help the OCD.
  •  Counseling and Psychoanalytical Psychotherapy – It is helpful for some people to think about childhood and old experiences. However, there is evidence that fear

Facing can be better than talking about fear.

Advice for family and friends

(Tips for family and friends)

  • The behavior of people with OCD can be very frustrating. Remember that they are not trying to behave badly or strangely.
  • They are trying their best to tolerate what they can do. It may take some time for someone to believe that they need help. Encourage them to read about OCD and talk to a professional.
  • Learn more about OCD
  • You can help in the exposure treatment by opposing your relative’s compulsion.
  • – Encourage them to face a fearful situation.
  • – Refuse to participate in their rituals and check the examinations
  • – Do not explain to them everything is fine.
  • Do not worry that someone who has obsessive fear of doing dangerous work will do so in reality. This happens very rarely.
  • GPs, psychiatrist and other professionals can go to people and ask them what you should do with them.

If you have to wait too much for the beginning of CBT

(What if there is a long wait to start CBT)

There is currently a shortage of trained NHS professionals in CBT. In some places you may have to wait months for the beginning of treatment, if the remedies written in how to help you do not help you, then you can start antidepressant treatment by then.

Support group

O.C.D. Action

For help and information:

Phone: 0845 390 6232 Email:

It is a premier national institution for people with OCD, BDD, compulsive skin picking and trichotillomania.


Phone: 0845 120 3778; E-mail:

OCD UK: is a premier national charity that works independently for and with the people of OCD.

No panic

Helpline: 0808 808 0545 (10 am-10pm, each day); Phone: 01952 590 005; Fax: 01952 270 962; E-mail:

It is an institute for people suffering from anxiety problem, which provides assistance to the afflicted people, their families and caretakers. Help by phone and

Counseling, sin-in-center, self-help books, videos and tapes of CBT.


Helpline: +353 1890 303302; Phone: +353 1661 721; E-mail:

Institute that provides assistance and information to people affected by depression in Ireland and Northern Ireland.

Mental Health Ireland

Phone: 01 284 1166; fax: 01 284 1736; E-mail:

A national, autonomous institution that supports proper mental health and proactive support by identifying and supporting the needs of people with mental illness problems, their families and caregivers.

Scottish Association for Mental Health

 Phone: Tel: 0141 568 7000; E-mail:

Scottish Mental Health Support Institutions work to help people who have experienced mental health problems, depression, intoxication, or other forms of social exclusion.

Additional Information:

NHS Trust

A nurse-operated helpline that provides confidential help and information about health in 24 hours. Phone: 0845 4647

Royal College of Psychiatrists

This leaflet can be down loaded, printed out, photocopied and given free of charge till the dignity of the Royal College is maintained and it is not taken advantage of. To reproduce it again in any other way, it is necessary to obtain the permission of the publisher chief. The college does not allow repositioning of this leaflet in another site but allows them to be added directly.