There is a widespread misconception about what obsessive-compulsive disorder (OCD) actually is and what it’s like for people who really suffer from it. It’s common to see phrases like “You’re so OCD” and “I love a clean house! so OCD”. The truth is that obsessive-compulsive disorder isn’t just an eccentricity or habit. Every time OCD is trivialized another person suffering will decide to keep quiet because others think their illness is nothing.
In reality, obsessive-compulsive disorder is a serious anxiety disorder that affects approximately 1 in 40 adults and 1 in 100 children in the U.S. “Severe OCD takes such a toll on patients,” says Carolyn Rodriguez, MD, Ph.D., assistant professor of psychiatry and behavioral sciences at Stanford.
What Is Obsessive-Compulsive Disorder?
A medical diagnosis of OCD is the presence of obsessions and/or compulsions that are distressing, feel out of control, and disrupt a person’s daily life for more than one hour a day. Obsessions are recurrent and persistent thoughts, impulses, or images that cause distressing emotions such as anxiety or disgust. The disruption to everyday life caused by these intrusive thoughts cannot be resolved by logic or reasoning. Compulsions are repetitive behaviors or mental acts that a person feels compelled to perform to prevent or reduce the distress caused by the obsession. In the most severe cases, a constant repetition of rituals may fill the day, making a normal routine impossible.
Doctors aren’t sure why some people’s anxiety disorder develops into OCD. There is no cure, but the right treatment and therapy can help manage the symptoms of obsessive-compulsive disorder.
Selective serotonin reuptake inhibitors (SSRIs) typically take 2 to 4 months to work, if they are going to work at all, and often provide only limited symptom relief. However, the SSRIs (for example Celexa, Lexapro, Prozac, Zoloft, etc.) are still the only medications approved by the Food and Drug Administration for the treatment of obsessive-compulsive disorder. If a patient’s symptoms persist then stronger antipsychotic drugs may be prescribed such as Abilify or Risperdal. These too only work in some patients and often carry significant side effects.
In contrast, multiple studies over the past ten years have shown ketamine as a highly effective treatment for obsessive-compulsive disorder1. Ketamine infusions work almost immediately and with fewer side effects. These clinical studies conclusively demonstrated the anti-obsessional effects of ketamine infusion and showed relief from a single infusion typically lasting at least one week. This explains why patients receiving the Ketamine Wellness Centers’ maintenance program can finally experience sustained relief from being controlled by their OCD.
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Sources:
1Rodriguez, C., Kegeles, L., Levinson, A. et al. Randomized Controlled Crossover Trial of Ketamine in Obsessive-Compulsive Disorder: Proof-of-Concept. Neuropsychopharmacol 38, 2475–2483 (2013).