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Is OCD curable?

Marta Carulla-Roig
Marta Carulla-Roig
Child and adolescent psychiatrist. Mental Health Area
Hospital Sant Joan de Déu Barcelona
María del Pino Alonso Ortega
María del Pino Alonso Ortega
Psychiatrist. Obsessive-Compulsive Disorders Unit. Psychiatry Department
Hospital Universitari de Bellvitge

We currently have very effective treatments, both psychological and pharmacological, for OCD, which can reduce symptoms and even eliminate them completely, allowing those affected to lead perfectly normal lives . This positive prognosis is especially clear in childhood-onset forms of OCD.

More than half of the children who are diagnosed with OCD in childhood will no longer exhibit obsessive symptoms when they reach adulthood.

These childhood forms of OCD, which have a particularly good prognosis, are often accompanied by other neurodevelopmental disorders such as tics or attention deficit hyperactivity disorder (ADHD).

A key aspect of maximizing the chances of a successful response to treatment for OCD is to start it as soon as possible; hence the importance of early diagnosis . This is often not easy because people tend to hide their symptoms out of shame, because they believe they should be able to control them on their own, or even because they are unaware that their symptoms constitute a disorder. Some studies describe that, in many cases, between 5 and 10 years pass from the onset of obsessions and rituals until an OCD diagnosis is made.

Performing rituals continuously for many years leads to the development of distorted ideas that worsen the disorder (the person believes, for example, that nothing bad has happened to their loved ones because they have carried out their rituals, or that they have not caught a disease because they have washed their hands repeatedly, when in reality in both cases, nothing terrible has happened because the obsessions do not represent real risks but imagined threats).

For this reason, it is important to begin cognitive-behavioral therapy as soon as possible when OCD appears. This approach helps the person, on the one hand, to interrupt the rituals (what we know as exposure and response prevention), thus avoiding the false confirmations of obsessive fears, and, on the other hand, to detect and modify the distorted beliefs that often accompany OCD. These include thought-action fusion (the belief that simply thinking about something increases the likelihood of it happening), overestimation of risk and intolerance of uncertainty (if I am not certain of safety, it means there is danger), and perfectionism (there is only one perfect and desirable way to do things).

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Marta Carulla-Roig
Marta Carulla-Roig
Child and adolescent psychiatrist. Mental Health Area
Hospital Sant Joan de Déu Barcelona
María del Pino Alonso Ortega
María del Pino Alonso Ortega
Psychiatrist. Obsessive-Compulsive Disorders Unit. Psychiatry Department
Hospital Universitari de Bellvitge