DOES OCD GO AWAY? 
Ask The Doctor Dr. Leland Heller Biological Unhappiness 
DOES OCD GO AWAY? 
Question: Dear Doctor Heller, I was diagnosed with OCD when I was 18. I received treatment and got a lot better and was able to get on with life again. I’m nearly 24 now. I just wanted to know is it possible for OCD to make severe relapses, even without no potential trigger? The past few months have been hell, I’ve obsessed about anything and everything, and I don’t know what’s OCD or what’s not anymore. Thanks for your time. Dr. Heller’s Answer: OCD (obsessive compulsive disorder or neurosis) is a neurological disorder causing intrusive repetitive thoughts, usually accompanied by ritual behaviors that seem to reduce anxiety. These rituals can be minor or severe, commonly involving repeatedly checking doors or other items and counting. Like most psychiatric disorders it can get worse or better, often relating to stress (which makes it worse). While some people get a remission from the symptoms, most have the problem to some degree permanently. Some cases of OCD in children occur after strep infections. SSRI medications like Prozac (fluoxetine) and others can markedly reduce or stop the obsessive thoughts and ritual behaviors. High doses are usually needed. If the genetic generalized anxiety disorder is also present, SSRI medication may make the condition worse until BuSpar (buspirone) is also taken, then most people tolerate the SSRI without difficulty. Sometimes benzodiazepines and/or antipsychotic medications are needed. OCD commonly is associated with other diagnoses such as ADHD, depression, the borderline disorder, OCPD and others. Everything you have wrong with you makes everything else you have wrong with you worse. Treating all the medically treatable diagnoses is very important and can make a huge difference when treating the OCD. 
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