Obssessive compulsive disorder        Everyone
has unpleasant or obsessive thoughts occasionally. However, people with
OCD have repetitive thoughts and/or behaviours, which are
time-consuming and distressing. Even though they may know they are
irrational, people with OCD cannot ignore these thoughts. To help cope
with them, they carry out compulsions - which are repetitive behaviours
or rituals - that can get in the way of everyday life.     Many
people with OCD don't go to see a doctor about it, perhaps because they
feel that they are the only person who feels this way, or because they
do not want people to think they are mad.  OCD is a type of
anxiety disorder. For more information on these please see the separate
BUPA factsheet titled Anxiety disorders.  Symptoms of OCD  Obsessions 
 The most common sorts of obsessions are:  feelings that objects are dirty or 
contaminated with germs   worry about doors being left unlocked, heaters being 
left switched on or concern over causing harm to others   unpleasant intrusive 
thoughts, especially about violence, aggression or sex   intense fear of making 
mistakes or behaving inappropriately   obsession with the ordering, arrangement 
or symmetry of objects   Compulsions  People with OCD carry out compulsive 
behaviours to counteract the anxiety caused by their obsessions.     Compulsions
are usually related to the type of obsession experienced. For example,
repeated handwashing may follow from obsessions about dirt or
contamination. Touching, counting and arranging objects, checking
electrical appliances and repeatedly making sure dangerous objects such
as knives are put away are other examples. Usually, people with OCD
feel that something terrible will happen if they do not carry out their
compulsions.<!--
D(["mb","\u003c/div\u003e  \u003cdiv\u003e \u003c/div\u003e  
\u003cdiv\u003eCompulsive behaviours may be very time-consuming, often getting 
in the way of normal work and family life. They can also be embarrassing for 
the affected person. The time taken up by compulsions and the embarrassment 
they cause can increase stress levels even further, making symptoms 
worse.\u003c/div\u003e  \u003cdiv\u003eCompulsions can also be psychological. 
These include counting in the head or thinking through the words of a song or 
prayer over and over again. People with OCD may have more than one obsession 
and/or compulsion.\u003c/div\u003e  \u003cdiv\u003e \u003c/div\u003e  
\u003ch3\u003eMasking symptoms\u003c/h3\u003e  \u003cdiv\u003ePeople with OCD 
can sometimes hide their obsessions from others. However, the disorder is 
extremely distressing for the affected person.\u003c/div\u003e  
\u003ch3\u003eOCD and depression\u003c/h3\u003e  \u003cdiv\u003eMany people 
with OCD also have 
depression. This may be due to the emotional strain of dealing with obsessions, 
or\n because OCD and depression involve similar chemical imbalances in the 
brain.\u003c/div\u003e  \u003ch2\u003eWhat causes OCD?\u003c/h2\u003e  
\u003cdiv\u003eThe exact cause of OCD is not known, but it is probably due to a 
combination of factors.\u003c/div\u003e  \u003cdiv\u003e \u003c/div\u003e  
\u003cdiv\u003eThere is some evidence that OCD runs in families - it is often 
found in people whose relatives have similar anxiety-related disorders, 
including skin-picking or compulsive hair plucking 
(trichotillomania).\u003c/div\u003e  \u003cdiv\u003e \u003c/div\u003e  
\u003cdiv\u003eOCD may also be more common in people who are susceptible to 
stress or who have experienced a traumatic event in the past. Particular 
personality types, especially perfectionists are more prone to 
OCD.\u003c/div\u003e  \u003cdiv\u003eOCD has been linked to increased activity 
in certain parts of the brain and to a 
decreased level of the natural chemical serotonin. This chemical is important 
in the control of mood.\u003c/div\u003e  \u003ch2\u003eDiagnosing 
OCD\u003c/h2\u003e  \u003cdiv\u003eAnyone who feels their life is being 
affected by the symptoms of OCD should\n visit their GP. The GP will listen to 
a description of the symptoms. Some people are referred to a psychiatrist, a 
doctor who specialises in mental health, a psychotherapist or a counsellor for 
further help.",1]
);

//-->     Compulsive
behaviours may be very time-consuming, often getting in the way of
normal work and family life. They can also be embarrassing for the
affected person. The time taken up by compulsions and the embarrassment
they cause can increase stress levels even further, making symptoms
worse.  Compulsions can also be psychological. These include
counting in the head or thinking through the words of a song or prayer
over and over again. People with OCD may have more than one obsession
and/or compulsion.     Masking symptoms  People
with OCD can sometimes hide their obsessions from others. However, the
disorder is extremely distressing for the affected person.  OCD and depression  
Many people with OCD also have depression. This may be due to the emotional 
strain of dealing with obsessions, or
 because OCD and depression involve similar chemical imbalances in the brain.  
What causes OCD?  The exact cause of OCD is not known, but it is probably due 
to a combination of factors.     There
is some evidence that OCD runs in families - it is often found in
people whose relatives have similar anxiety-related disorders,
including skin-picking or compulsive hair plucking (trichotillomania).     OCD
may also be more common in people who are susceptible to stress or who
have experienced a traumatic event in the past. Particular personality
types, especially perfectionists are more prone to OCD.  OCD
has been linked to increased activity in certain parts of the brain and
to a decreased level of the natural chemical serotonin. This chemical
is important in the control of mood.  Diagnosing OCD  Anyone
who feels their life is being affected by the symptoms of OCD should
visit their GP. The GP will listen to a description of the symptoms.
Some people are referred to a psychiatrist, a doctor who specialises in
mental health, a psychotherapist or a counsellor for further help.<!--
D(["mb","\u003c/div\u003e  
\u003ch2\u003eTreatment\u003c/h2\u003e  \u003cdiv\u003eGetting professional 
help is the best way to deal with OCD. The goal of treatment is to enable 
people to gain control over their obsessions and to avoid carrying out 
compulsions. Treatment may include psychological treatments, medicines or a 
combination of these.\u003c/div\u003e  \u003ch3\u003eSelf-help\u003c/h3\u003e  
\u003cdiv\u003eSome people may be able to improve their symptoms by relaxation 
techniques, exercise or talking to other people in support groups. Your GP can 
advise you about groups in your area or contact OCD Action - see Further 
information, below.\u003c/div\u003e  \u003ch3\u003ePsychological 
(\u0026quot;talking\u0026quot;) treatments\u003c/h3\u003e  \u003cdiv\u003eThe 
most effective types of talking treatment for OCD are psychological therapies 
that help people adapt their behaviour or the way that they think\n 
(cognition).\u003c/div\u003e  
\u003cdiv\u003e \u003c/div\u003e  \u003cdiv\u003e\u003cb\u003eBehavioural 
therapy\u003c/b\u003e - this is usually recommended as a first treatment, 
especially when compulsions are the main problem. It involves sessions with a 
therapist, who will gradually and repeatedly confront the person with the 
situation that he/she fears. This is called exposure.\u003c/div\u003e  
\u003cdiv\u003eThe therapist does not allow the person to carry out their usual 
compulsive behaviour to cope with the anxiety brought about by this situation. 
For example, a person with an obsession with cleanliness may be asked to use a 
public telephone or use a door handle without washing their hands afterwards. 
Up to 20 weekly sessions may be required for the treatment to be 
effective.\u003c/div\u003e  \u003cdiv\u003eAlthough many people find 
behavioural therapy distressing to begin with, the anxiety associated with the 
situation gradually eases as people learn to deal with their fear. Around 75% 
of people 
who have behavioural therapy find it helpful.\u003c/div\u003e \n 
\u003cdiv\u003e \u003c/div\u003e  \u003cdiv\u003e\u003cb\u003eCognitive 
therapy\u003c/b\u003e - can help people by encouraging them to analyse their 
thoughts (cognitions) and the reasoning behind their assumptions, on the basis 
that incorrect assumptions fuel abnormal reactions. It is particularly useful 
when obsessions are the main problem.",1]
);

//-->  Treatment  Getting
professional help is the best way to deal with OCD. The goal of
treatment is to enable people to gain control over their obsessions and
to avoid carrying out compulsions. Treatment may include psychological
treatments, medicines or a combination of these.  Self-help  Some
people may be able to improve their symptoms by relaxation techniques,
exercise or talking to other people in support groups. Your GP can
advise you about groups in your area or contact OCD Action - see
Further information, below.  Psychological ("talking") treatments  The
most effective types of talking treatment for OCD are psychological
therapies that help people adapt their behaviour or the way that they
think (cognition).     Behavioural therapy -
this is usually recommended as a first treatment, especially when
compulsions are the main problem. It involves sessions with a
therapist, who will gradually and repeatedly confront the person with
the situation that he/she fears. This is called exposure.  The
therapist does not allow the person to carry out their usual compulsive
behaviour to cope with the anxiety brought about by this situation. For
example, a person with an obsession with cleanliness may be asked to
use a public telephone or use a door handle without washing their hands
afterwards. Up to 20 weekly sessions may be required for the treatment
to be effective.  Although many people find behavioural
therapy distressing to begin with, the anxiety associated with the
situation gradually eases as people learn to deal with their fear.
Around 75% of people who have behavioural therapy find it helpful. 
    Cognitive therapy
- can help people by encouraging them to analyse their thoughts
(cognitions) and the reasoning behind their assumptions, on the basis
that incorrect assumptions fuel abnormal reactions. It is particularly
useful when obsessions are the main problem.<!--
D(["mb","\u003c/div\u003e  \u003cdiv\u003e \u003c/div\u003e  
\u003cdiv\u003e\u003cb\u003eCognitive behavioural therapy\u003c/b\u003e - is a 
combination of cognitive and behavioural therapy.\u003c/div\u003e  
\u003ch2\u003eMedicines\u003c/h2\u003e  \u003cdiv\u003eYour GP or psychiatrist 
may prescribe medicines to treat OCD. The most effective medicines aim to 
restore the balance of serotonin in the brain. These drugs, such as selective 
serotonin re-uptake inhibitors (SSRIs), are also used to treat depression, and 
work by reducing feelings of anxiety. For OCD, they are usually given in high 
doses for around 12 weeks. SSRIs include fluoxetine (Prozac) and paroxetine 
(Seroxat). These drugs usually take two to four weeks to work. People react to 
SSRIs differently, so a number of medicines\n may have to be tried before an 
effective one is found. However, care must be taken at the end of treatment, as 
symptoms can return once the drug is 
stopped.\u003c/div\u003e\u003cbr\u003e\u003cbr\u003e\u003cdiv\u003e\u003cfont 
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);

//-->     Cognitive behavioural therapy - is a combination of cognitive and 
behavioural therapy.  Medicines  Your
GP or psychiatrist may prescribe medicines to treat OCD. The most
effective medicines aim to restore the balance of serotonin in the
brain. These drugs, such as selective serotonin re-uptake inhibitors
(SSRIs), are also used to treat depression, and work by reducing
feelings of anxiety. For OCD, they are usually given in high doses for
around 12 weeks. SSRIs include fluoxetine (Prozac) and paroxetine
(Seroxat). These drugs usually take two to four weeks to work. People
react to SSRIs differently, so a number of medicines may have to be
tried before an effective one is found. However, care must be taken at
the end of treatment, as symptoms can return once the drug is stopped.Group 
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