Understanding and managing OCD: A guide from a therapist

Obsessive compulsive disorder (OCD) can be a perplexing and challenging condition, often characterised by repetitive thoughts and behaviours that can significantly impact daily life. As a therapist practising on Harley Street, I specialise in providing compassionate and person-centred therapy to help individuals navigate the complexities of OCD.


The nature of OCD

OCD is more than an inclination for orderliness or a set of peculiar habits; it is a mental health condition marked by recurring intrusive thoughts (obsessions) and compulsions (repetitive behaviours). These symptoms can vary greatly among individuals, making each person's experience with OCD unique and deeply personal.

Differentiating the impacts: Obsessions, compulsions, and the disorder

Obsessions (O) are intrusive, unwanted thoughts or images that repeatedly enter the mind, causing significant distress. The impact of these obsessions can be far-reaching:

  • Emotional toll: Individuals may experience intense anxiety, fear, or feelings of disgust, often related to themes like harm, contamination, or perfectionism.
  • Relationship strain: Obsessions can create misunderstandings or frustrations in relationships, as loved ones may struggle to comprehend the intensity of these thoughts.
  • Workplace challenges: Concentration and productivity at work or school can be hindered by the constant intrusion of obsessive thoughts.

Compulsions (C) are repetitive behaviours or mental acts that a person feels driven to perform in response to an obsession. These can significantly disrupt daily life:

  • Time-consuming rituals: Compulsions, such as excessive washing, checking, or counting, can consume substantial time, interfering with daily routines and responsibilities.
  • Physical and mental exhaustion: The repetitive nature of these actions can be physically draining and mentally exhausting, leading to burnout and decreased quality of life.
  • Social withdrawal: Due to the embarrassment or misunderstanding about their behaviours, individuals may withdraw from social interactions and activities they once enjoyed.

OCD as a disorder (D) encompasses both obsessions and compulsions, leading to a unique set of challenges:

  • Holistic life disruption: The combined effect of obsessions and compulsions can pervade all aspects of life, from personal relationships to professional aspirations.
  • Health complications: Chronic stress and anxiety associated with OCD can lead to other health issues, such as sleep disturbances, depression, or heart conditions.
  • Stigma and misunderstanding: Misconceptions about OCD can lead to stigma, making it difficult for individuals to seek help or receive support from their community.

The impacts of OCD are multifaceted, affecting emotional well-being, physical health, social relationships, and daily functioning.

How can therapy help?

Creating a therapeutic alliance

Therapy sessions at our Harley Street practice are safe spaces where clients can openly discuss their thoughts, fears, and behaviours associated with OCD without fear of judgment. I focus on building a strong therapeutic alliance, grounded in empathy and understanding, which is crucial for effective treatment.

Person-centred approach

My approach is rooted in person-centred therapy, emphasising unconditional positive regard. This means that every client is met with respect and acceptance, fostering a therapeutic environment conducive to exploring and understanding the intricacies of their OCD.

Collaborative goal setting

While person-centred therapy is inherently non-directive, I believe in the power of collaborative goal setting. Together, we can identify objectives that might include developing healthier coping strategies, gaining insights into the roots of compulsive behaviours, or enhancing overall well-being.

Challenging cognitive distortions

Part of our work together may involve identifying and addressing cognitive distortions that contribute to OCD. This process is approached with sensitivity, ensuring that clients feel supported and understood throughout their journey.

Integrating complementary techniques

In addition to person-centred therapy, I am skilled in incorporating elements of other therapeutic models like Cognitive behavioural therapy skills (CBT), including mindfulness and exposure-response prevention techniques, which have been shown to be particularly effective in treating OCD.

Supporting overall well-being

I encourage clients to engage in activities outside of therapy that promote holistic well-being. This may include mindfulness practices, physical activities, or hobbies that bring joy and relaxation, all of which are integral to managing OCD.

OCD is a complex condition, but it does not have to dominate your life. At our Harley Street practice, we are committed to providing tailored, empathetic, and professional support to help you manage OCD. By understanding your unique experiences and working together towards your goals, we aim to improve not only your symptoms but also your overall quality of life.

I can help. Come for an initial assessment at my therapy practice in Harley Street, Central London or Finchley, North London or see me online for therapy and counselling.

The views expressed in this article are those of the author. All articles published on Counselling Directory are reviewed by our editorial team.

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London W1G & N3
Written by Danny Zane, Person Centred Therapist and Counsellor MBACP CPCAB PDip
London W1G & N3

Good therapy is built on the relationship between client and therapist.  I focus on listening to your story, your concerns and the self you want to share with me in order to offer you a non-judgemental and constructive space.  I feel passionately about offering therapy that is person-centr...

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