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What Is OCD? Doctors Break Down the Different Types of OCD, Treatment Options, and More



The sweat. The stress. The skin-to-skin contact. While these are standard elements of boxing matches, the thought of these things can be debilitating for those with Obsessive Compulsive Disorder (OCD), a mental state marked by intense thoughts and fears that can lead to repetitive, compulsive behaviors – which is why it is so surprising that Olympic boxer Virginia “Ginny” Fuchs was diagnosed with the disease.

Ginny shares her story in the Apple TV + documentary series The Me You Can’t See and is particularly concerned with fears of contamination and cross-contamination, which are manifested in several daily “washing rituals”. As an Olympic athlete who practices a contact-heavy sport, she has successfully dealt with her condition with the help of therapy.

Your therapist, clinical psychologist Dr. Angela Smith, PhD., explains that the emotion most commonly associated with obsessive-compulsive disorder is anxiety, added: “Some people describe disgust, guilt, or a ‘wrong’ feeling.”

But what exactly is OCD? Is there a chance that you may have it or that someone you love may be dealing with the disorder? Learn all about this mental illness from the lessons Smith shared with you Dr. Neil Leibowitz, Chief Medical Officer of Beacon Health Options, and Dr. Roseann Capanna-Hodge, Expert in integrative and pediatric mental health and member of the member International OCD Foundation (IOCDF) and the Anxiety & Depression Association of America (ADAA).

What is OCD?

According to Dr. Leibowitz is OCD “a cycle of obsession that involves a pattern of unwanted thoughts, images, or urges that lead to compulsions or repetitive behaviors that are an attempt to neutralize those obsessive thoughts”. While these compulsions can provide some temporary relief from anxiety and stress, the feelings can easily be re-triggered, causing the cycle to repeat itself.

“To have obsessive-compulsive disorder, the degree or extent of the impairment must create significant stress and affect a person’s daily activities and life,” adds Dr. Leibowitz added.

Dr. As Capanna-Hodge explains, “It’s like feeding a barking dog because every time you let yourself into the intrusive thoughts, you accidentally let them happen – then they’re more likely to occur. Someone with Obsessive Compulsive Disorder doesn’t do these behaviors on purpose. “

The ADAA reports that OCD affects 1% of the US population and is equally common in men and women.

Connected: Camila Cabello reveals “painfully uphill” battle with OCD and “relentless fear”

Are People Born With OCD?

People are not necessarily “born” with OCD. Smith points out that OCD most commonly develops in adolescence, but can also develop in early childhood or adulthood. Challenging events can lead to OCD.

“Traumatic events can be the precursors of many negative experiences, including developing obsessive-compulsive disorder,” she says. “Studies show wide-ranging rates of obsessive-compulsive disorder and co-occurrence Post Traumatic Stress Disorder (PTSD), but the trauma and development of PTSD can also occur after a diagnosis of Obsessive Compulsive Disorder. “

Is OCD Hereditary?

Smith says, “Like other anxiety-based disorders, OCD occurs in families, and in fact, it is more likely to occur in families than panic disorder, social anxiety disorder, and generalized anxiety. Having an immediate family member doesn’t necessarily mean someone will develop obsessive-compulsive disorder, however. Likewise, some with OCD have no family member with the disorder. “

What happens in the brain

As with other mental disorders, the activity that takes place in the brain of someone with OCD is a rather tangled web.

“In certain areas of the brain, such as the cortex, striatum and thalamus, there is increased activity in circuits or loops,” says Dr. Leibowitz. “This leads to the development of obsessions, and compulsion is the response that provides temporary relief. But the relief is only temporary, and the compulsive behavior actually serves to strengthen the circulation and create that loop of obsessions and compulsions. “

The brain chemical serotonin plays an important role in this. “We know this, at least in part, because the main drugs we use to treat OCD affect serotonin,” says Dr. Leibowitz.

Connected: 10 of the best mental health movies ever made

What are the different types of OCD?

Obsessive-compulsive disorder is not a universal mental disorder. It appears in many forms.

Smith shares that there are “several joint presentations” by OCD which she believes include:

  • Obsessions to contamination (e.g. fear of illness and associated hand washing, showering, and avoiding things that are considered contaminated)
  • Damage obsessions (e.g. fear of inadvertently harming yourself or others and related review and avoidance)
  • Unacceptable thoughts (e.g. thoughts with a sexual, violent, or blasphemous topic)
  • “Not just right” experiences associated with feeling that things don’t feel “right” and pushing to correct the feeling by doing behavior to make it feel right

What difficulties do people with OCD have?

“Intrusive thoughts and compulsive behavior hijack a person’s brain and make everyday life very difficult,” says Dr. Capanna-Hodge. “When your brain is constantly in a state of anxiety, it is difficult to be connected, focus, and even do simple tasks when these intrusive thoughts and compulsions are intense. Many people with obsessive-compulsive disorder are highly functional and go through phases of weight gain and loss in which the thoughts and compulsions are less or more intense. “

Obsessive Compulsive Disorder is a complex disorder that can cause diagnosed individuals to feel isolated and “different”. In fact, it’s more complex than many think.

“The first problem with Obsessive Compulsive Disorder is that it’s underdiagnosed,” says Dr. Leibowitz. “This is often due to misdiagnosis. People can be diagnosed with Attention deficit hyperactivity disorder (ADHD), Depression, anxiety, or other disorders when they actually have obsessive-compulsive disorder. “

And while there are treatment options, Dr. Leibowitz states that it is difficult to treat, saying, “There are limited medication options for people with OCD, and many people do not achieve full remission.”

How does someone get an OCD diagnosis?

“A diagnosis of obsessive-compulsive disorder can be made by a psychiatrist such as a psychologist or psychiatrist and is based on the presentation and severity of the symptoms, the time spent with obsessions and compulsions, the level of distress and disruption from the symptoms and symptoms Consider other potential disruptions, ”says Smith.

What treatment options are there?

Our experts share different treatment options that are available to people with OCD. They include:

  • Exposure and Response Prevention Therapy (ERP) is considered the “gold standard” treatment that combines exposure therapy and cognitive behavioral therapy (CBT) and gradually exposes a person to their triggers so they can learn to feel uncomfortable to the point where they are can tolerate it and ignore its triggers
  • Medications called Selective Serotonin Reuptake Inhibitors (SSRIs) include Paxil, Prozac, and Lexapro
  • Transcranial magnetic stimulation (TMS), a newer approach to treatment for obsessive-compulsive disorder, a non-invasive form of brain stimulation that relies on a magnetic field to deliver electrical currents to specific areas of the brain
  • Neurofeedback, a type of biofeedback given by a psychiatrist that provides live feedback on brain activity and reinforces positive behavior
  • Alternative approaches like mindfulness, yoga, meditation, and anything else that calms the nervous system

Smith says 7 out of 10 people with Obsessive Compulsive Disorder benefit from ERP or medication.

Connected: In a year where we are struggling with our mental health more than ever, here is everything you need to know about online therapy

Is OCD curable?

Like other mental disorders, OCD is not “curable” although, as Dr. Leibowitz explains, “can go back to a point where it doesn’t bother the person”. Adding that it can grow and decrease over time, he says, “An important goal is to get the person to cope with the disorder.”

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Summing up the incurability of obsessive-compulsive disorder, Smith offers hope: “It is becoming clear that a person’s experience with OCD will never completely go away because thoughts, feelings, and urges are a permanent part of the human experience. When the question is, ‘Does suffering have to be infinite?’ The answer is absolutely not. There is considerable research support in both psychological and pharmacological approaches to reduce the suffering that results from unwanted thoughts, uncomfortable feelings, and the cycle maintained by obsessive-compulsive behavior. “

Next Up, Discover 30 of the best mental health apps.


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Mental health issues in the workplace – Searchlight



Posted November 30, 2021

The issue of mental health in the workplace is discussed more than ever by workers and employers. Years ago, mental health was considered a taboo subject. Some people even referred to people with mental health problems as “crazy”. Employees were embarrassed to admit they needed help and employers were unable to provide the assistance they needed. However, many companies are now incorporating an employee assistant program into their employee excellence strategy to help employees cope with a range of mental health problems.

What is Mental Health? In summary, “Mental health encompasses our emotional, psychological and social wellbeing. It affects how we think, feel and act. It also helps determine how we deal with stress, relate to others, and make decisions. Mental health is important at every stage of life, from childhood and adolescence to adulthood. ”Mental health problems can have a variety of causes, and for many people a combination of factors contribute to mental health. One person is quoted as saying, “My depression seems to flare up during times when I am stressed and isolated from other people.”

Some of the factors that could potentially lead to poor mental health in the workplace are bullying and harassment, micromanagement, lack of resources, silence about mental health issues, inflexible working hours and free time, unclear responsibilities and expectations, inappropriate expectations, and poor work-life -Balance. The point is, mental illness is one of the most common health conditions many workers face and often they are scared to talk about it. Therefore the discussion has to start with the employers.

Left untreated, mental health could adversely affect the company and employees through poor job performance and unproductivity, lack of engagement in work activities, and ineffective / poor communication with colleagues and direct reports.
In an article titled “Ultimate Guide to Mental Health in the Workplace,” published by Social Empowered, Orange County, United States, said that depression was the most widely studied mental illness in the workplace is.

In addition, workplace depression often manifests itself in the following behaviors and symptoms: nervousness, restlessness, irritability, physical discomfort, passivity, withdrawal from work, lack of productivity, fatigue, impaired judgment and decision-making.

Studies show that, “Employees struggling with depression reported losing the equivalent of 27 working days per year due to sick days. People who suffer from depression are also more likely to lose their jobs or experience frequent job changes. “

Food for thought.

Join us next week as we look at the mental health risks during the COVID-19 pandemic and what employers can do.

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Mental health problems in the workplace

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Powhatan Family Hoping For Safe Return Of Runaway Daughter With Mental Health Issues – RVA News – Oakland News Now



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Powhatan family hopes for the safe return of their runaway daughter with mental health problems

– YouTube channel video with the logo in the top left corner of the video. is the original blog post for this type of video blog content.

Kellie Bradley said Powhatan police told her they would not be able to leave a trace on her stepdaughter’s phone without a warrant. However, an arrest warrant can only be issued if …

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Note from Zennie62Media and This video blog post demonstrates the full and live operation of the latest updated version of an experimental Zennie62Media, Inc. network for video blogging systems for mobile media that was launched in June 2018 by Zennie62Media, Inc .s new and innovative approach to news media production. What we call “The Third Wave of Media”. The uploaded video is from a YouTube channel. When the YouTube video channel for WTVR CBS 6 Richmond Virginia uploads a video, it is automatically uploaded to the Oakland News Now site and Zennie62’s own social media pages and formatted automatically. The overall goal here is, in addition to our smartphone-enabled real-time reporting of news, interviews, observations and events anywhere in the world and within seconds, not hours – the use of the existing YouTube social graphic on any topic in the world. Now messages are reported with the smartphone and also by advertising current content on YouTube: There is no need for heavy and expensive cameras or even a laptop or a camera team to film what is already on YouTube. The secondary goal is faster and very inexpensive production and distribution of media content. We found that there is a discrepancy between post length and time to product and revenue generated. This means that the problem is much smaller, but by no means solved. Zennie62Media is constantly working to improve the system’s network coding and is looking for interested content and media technology partners.

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UNC community reflects on impact of mental health this semester



Content warning: This article includes the mention of death.




When psychology and neuroscience professor Andrea Hussong entered her youth development course on the first day of the fall semester, she noticed something that stuck with her – no one spoke.

“It wasn’t always like this before – people interacted a little more casually before class,” said Hussong. “And I think it was the first day I said, ‘Okay, everyone, go to someone else and introduce yourself.’ And there was this kind of bubble of energy going across the room. It was like people were waiting to make that connection, but the door had to be opened. “

UNC returned to mostly face-to-face teaching this fall after studying Zoom for over a year. However, the adjustment has exacerbated significant mental health challenges for the campus community.

Mental health in the community

Senior Sonam Shah, a co-founder of the student-led mental health organization Peer2Peer, said she and other peer responders had found consistent issues such as loneliness, social isolation, and academic pressure in students using Peer2Peer services this semester.

“Some would think we’re back in person, it would be a lot easier to hang out with friends, but we’re forgetting a huge number of freshmen and sophomores and even juniors who haven’t been to campus for the past few years.” said Shah.

According to CAPS Associate and Clinical Director Avery Cook, this semester was the first time in 14 years that students seeking ongoing individual advice from Counseling and Psychological Services were put on a waiting list.

A few weeks after multiple student deaths on campus – and in response to the increased mental health needs of students during the pandemic – CAPS announced a partnership with teletherapy service UWill to remove the waiting list for brief one-on-one therapy.

“There is no waiting list for a student eligible for brief therapy,” Cook said in a November interview with The Daily Tar Heel. “They are able to really connect once we meet with them.”

However, some students are concerned about the possibilities of longer term care within CAPS and beyond.

First grader Belamy Counou said she started seeing a CAPS therapist early in the semester. She said her experience started great when the conversation turned on school-related topics. But in the end it just felt like a name on a piece of paper.

“I’ve opened up more and then we come to my fourth session and she tells me that she thinks I’m fine – I wasn’t fine,” Counou said.

Counou said she gradually started talking to her therapist about more serious mental health issues. Then her therapist canceled her last appointment and never came in to check in or make a new appointment. The idea of ​​a referral to a long-term therapist in an outside practice had never been discussed, she said.

The CAPS website states that it provides brief therapy for “problems that are relatively well defined and that can be adequately addressed or resolved in a short timeframe”.

Cook said in a statement through UNC Media Relations that CAPS will never turn away a student in crisis, regardless of the type of care they may need.

CAPS is meant to be a first step in the overall process of determining what type of help a student will need, either immediately or over the long term, Cook said. CAPS offers students a range of services – from individual and group therapies to medication management and referral coordination.

Shah said that she believes CAPS did their best with the limited resources they have, but it is important to explore other therapists with an identity-based or lived experience focus – and options beyond CAPS in Consider such faculties as mentors.

CAPs hired two AAPI consultants in August after a student petition circulated last spring to increase representation from vendors who identify as Asian-American and Pacific Islanders. CAPS didn’t have any before.

“The lack of services is not just a problem for the UNC,” said Hussong. “It’s not just a problem in North Carolina or the US – it’s global.”

I’m looking forward to

In response to growing levels of anxiety and depression in the campus community, the UNC hosted a mental health summit on November 15 with a series of discussions centered on campus culture, crisis services and prevention.

At the summit, the UNC announced its partnership with the JED Foundation, a nationally recognized resource center that provides access to experts and aims to improve the university’s ability to prevent and respond to mental health problems. The university plans to be officially designated as a JED campus in February 2022.

Chancellor Kevin Guskiewicz said he expected to add at least one spa day to the spring semester calendar during a faculty council meeting on November 5th.

Counou said it is important that mental health resources – CAPS or otherwise – are visible and available before students hit a breakpoint.

“It’s really okay not to be 100 percent where we were two years ago and it’s okay never to be back where we were two years ago,” said Shah. “It’s really important to just be where you are and just listen to yourself.”

Mental health resources

If you or someone you know is contemplating suicide, the National Suicide Prevention Lifeline, 1-800-273-8255, is available 24/7. It’s free and confidential.

UNC students who need help during this time can contact the student advisory service and the psychological service, the dean’s office or Student Wellness. CAPS can be reached around the clock at 919-966-3658. University employees can apply to the Employee Assistance Program.

Peer supporters of the student organization Peer2Peer, which provides mental health resources for PhD and undergraduate students, can be reached via an online form. Students can choose to remain anonymous.

The resources were also compiled by the DTH editorial team.


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