What is OCD?
Obsessive-Compulsive Disorder (OCD) is a serious anxiety-related condition characterised by two core features: obsessions — intrusive, distressing and unwanted thoughts, images or urges — and compulsions — repetitive behaviours or mental acts performed to reduce the anxiety caused by obsessions.
OCD can be profoundly disabling, consuming many hours each day and significantly affecting relationships, work and quality of life. It is often misunderstood and misrepresented — OCD is far more complex and debilitating than the popular stereotype of 'being very tidy'. It can take many forms, from contamination fears and checking to intrusive thoughts about harm or religious themes.
With the right treatment, the majority of people with OCD make significant improvements. Dr Sivasanker provides expert assessment and a comprehensive treatment plan combining psychological and pharmacological approaches.
Signs & Symptoms of OCD
Intrusive Thoughts
Repeated, unwanted and distressing thoughts, images or impulses that feel difficult or impossible to control.
Compulsive Rituals
Repetitive behaviours (handwashing, checking, counting, arranging) performed to neutralise anxiety or prevent feared outcomes.
Time-Consuming
OCD can occupy many hours per day, leaving little time for work, relationships or enjoyable activities.
Extreme Distress
The obsessions cause intense anxiety, guilt or disgust — even when the person recognises they are irrational.
Avoidance
Avoiding triggers for obsessions, which can become progressively more restrictive over time.
Impact on Life
OCD significantly impairs social relationships, work performance and overall quality of life.
OCD — Frequently Asked Questions
The gold-standard treatment for OCD is Exposure and Response Prevention (ERP), a specialised form of Cognitive Behavioural Therapy. Combined with medication (typically SSRIs at higher doses than used for depression), ERP produces significant and lasting improvements in the majority of patients.
OCD rarely resolves spontaneously and tends to worsen without treatment. The good news is that with appropriate evidence-based treatment, most people experience a significant reduction in symptoms and can reclaim their lives.
Many people with OCD feel intense shame about their intrusive thoughts, particularly when they involve violence, harm, religious themes or sexual content. It is crucial to understand that having an intrusive thought does not reflect your character or intentions. OCD is an anxiety disorder — the thoughts are ego-dystonic (i.e. contrary to your values) and this is one of the diagnostic features. Dr Sivasanker creates a safe, non-judgmental space for discussing all aspects of OCD.
A course of ERP typically involves 12–20 sessions. Many people notice meaningful improvement within the first few weeks of treatment. Some people benefit from longer-term support, particularly if OCD is severe or has been present for many years.