What is it?
Obsessions are unwanted thoughts, images or urges that cause distress. Compulsions are repeated behaviours or mental acts, such as checking, washing or counting, used to reduce that distress.
Assessment covers how much time these take and how they affect daily life. Many people keep these symptoms hidden for a long time; the conversation takes place without judgement.
Cognitive behavioural therapy based on exposure and response prevention, and medication where appropriate, are among the options. The plan is made with you after assessment, and progress varies between people.
Who is it assessed for?
- People whose checking, washing or ordering takes up time
- Those troubled by unwanted intrusive thoughts
- People whose work or relationships are affected by these symptoms
- Families worried about a relative's repetitive behaviours
Step by step
- 1
Interview
The content and duration of thoughts and behaviours are discussed.
- 2
Questionnaires
Scales may be used to track symptom levels.
- 3
Plan
Therapy and, if needed, medication options are considered together.
- 4
Therapy steps
Gradual exposure exercises are planned with you.
- 5
Follow-up
Progress is reviewed at regular sessions.
Questions
Do these thoughts show what I really want?
No. Obsessions are distressing precisely because they conflict with a person's values. This is discussed in detail without judgement.
Is exposure work difficult?
Exercises are gradual and planned with your agreement. The level of difficulty is set together.
How can my family help?
With your permission, your family can be informed and guided on how to support you without joining in the behaviours.
This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.