The causes of obsessive-compulsive disorder may include: physiology, personality, social culture, genetic factors, traumatic experience, psychological barriers and so on. For example, some people are born with the mode of pursuing perfection, so they are often more likely to fall into the dilemma of compulsion. The general mechanism of psychological barriers and traumatic experiences is as follows: when we encounter situations or events that make us feel pressure, tension and pain, we will alleviate them through some behavioral and psychological models. For example, when we are nervous, some girls like to buckle their fingers. Such behavior has a decompression mode for psychology.
At present, there are three main modes to treat obsessive-compulsive disorder: one is psychological cure. Obsessive-compulsive disorder is closely related to our psychological mechanism. There are cognitive behavioral therapy, psychoanalysis, wound healing, Morita therapy, relaxation training and so on. Morita therapy and cognitive improvement therapy are often very effective. For example, in the face of some compulsive thinking, we can use thinking blocking, which can be improved by diverting attention and changing behavior patterns. The so-called Morita therapy is mainly to make the forced psychology and thinking tend to be peaceful and let nature take its course. If the patient can resist forced thinking, it may lead to repetition. Morita therapy can ignore these contents every day.
Second, neurophysiological therapy. This part focuses on drug therapy. Drugs are mainly used to restore the balance of neurotransmitters in the brain. At present, the medication is relatively simple, mostly antidepressants, and comprehensive drugs may be used in the future, with different curative effects. After stopping the drug, there is still a great possibility of recurrence.
Thirdly, in recent years, there has been a kind of physical therapy. Neurosurgery is also the current clinical choice. I saw a news that an e-sports player was forced to sweat because he was too nervous. Later, he chose neurosurgery on the back of his hand.
Although the etiology of obsessive-compulsive disorder has not been clear yet, according to the existing research, it is not difficult to find that its onset is not only related to human personality and psychological factors, but also to the imbalance of neurotransmitter secretion in the brain. Therefore, both psychotherapy and medication play an important role in relieving patients' condition.
1. Psychotherapy
Obsessive-compulsive disorder (OCD) is a mental illness, and its pathogenesis is very complicated. Patients with similar symptoms may have different psychological mechanisms. In psychotherapy, therapists help patients find and analyze their inner conflicts by establishing a good doctor-patient relationship with them, promoting them to solve problems, increasing their ability to adapt to the environment, remolding their sound personality.
Commonly used clinical methods include psychodynamic therapy, cognitive behavioral therapy, supportive psychotherapy and Morita therapy. Among them, cognitive behavioral therapy is considered to be the most effective psychotherapy for obsessive-compulsive disorder, which mainly includes thinking blocking and exposure reaction prevention. Thinking blocking method is to block obsessive-compulsive thinking by diverting attention or applying external control when patients repeatedly have obsessive-compulsive thinking, such as setting alarm bells and relaxing training to relieve anxiety when necessary. Under the guidance of therapists, exposure reaction prevention encourages patients to face all kinds of situations that can cause compulsive thinking step by step without compulsive behavior. For example, if the patient is afraid of being dirty, he should wash his hands repeatedly to ensure that he will not get sick. In the prevention of exposure reaction, they need to touch their sweat, soles, door handles and toilet seats step by step in several treatments without washing their hands, because what patients are worried about will not actually happen, and the anxiety related to obsessive-compulsive symptoms will be alleviated until it subsides after many treatments, thus controlling compulsion.
2. Drug therapy
The onset of obsessive-compulsive disorder is related to the imbalance of various neurotransmitters in the brain, mainly manifested as the disorder of 5- hydroxytryptamine system. At present, the anti-obsessive-compulsive drugs used are all antidepressants, which are characterized by regulating the function of neurotransmitters such as serotonin in the brain, thus improving the symptoms of obsessive-compulsive disorder. Selective serotonin reuptake inhibitors (SSTIs) are mainly used, including fluvoxamine, paroxetine, sertraline, fluoxetine, citalopram and clomipramine, a tricyclic antidepressant. When necessary, propranolol and benzodiazepines are also used to help relieve patients' anxiety and improve insomnia. For refractory obsessive-compulsive disorder, risperidone, quetiapine, olanzapine and aripiprazole are often combined as synergists to improve the curative effect. Like psychotherapy, the curative effect of drug therapy is not immediate. Generally, it takes 10 ~ 12 weeks for SSRIs to achieve complete anti-compulsion. If the treatment is effective, it is still necessary to maintain medication 1 ~ 2 years to consolidate the curative effect.
Step 3: physical therapy
For patients with refractory obsessive-compulsive disorder, modified electroconvulsive therapy and transcranial magnetic stimulation can be selectively used according to specific conditions. Neurosurgery is regarded as the last choice to treat obsessive-compulsive disorder. Because of its adverse reactions such as spasm and loss of sensation, the indications for operation must be strictly controlled.
prevent
The onset of obsessive-compulsive disorder is related to social psychology, personality, heredity, neuroendocrine and other factors, of which the first two can intervene to prevent problems before they happen. As parents, we should create a stable, safe and harmonious living environment for our children, and we should not be too demanding. They can be more flexible in life, pay attention to communication with each other, and promote the construction of their sound personality. Self-screening of obsessive-compulsive disorder;
1. Do you have stupid, dirty or terrible unnecessary thoughts, thoughts or impulses?
2. Are you extremely afraid of dust, bacteria or chemicals?
3. Are you always worried about forgetting some important things, such as the door is unlocked and the valve is not closed, leading to accidents?
4. Are you worried that you will make or say offensive behaviors or offensive words that you don't want to do?
Are you always worried that you will lose something important?
6. Is there anything you have to do over and over again, or is there any idea that you have to think over and over again to relax?
7. Do you bathe or wash too much?
8. Is it necessary to check one thing many times before you can rest assured?
9. Do you avoid certain occasions or individuals for fear that offensive language or behavior will hurt others?
10. Do you keep a lot of useless things that you think you can't throw away?
If one or more of the above symptoms persist, bothering your life and making you feel pain, please consult a professional doctor to help you overcome obsessive-compulsive disorder.
Can obsessive-compulsive disorder be cured? Is there any good way?
Obsessive-compulsive disorder is a painful and stubborn mental illness, which belongs to the category of neurosis. It is driven by anxiety to repeatedly do or think meaningless things, and its prominent feature is fear of bad things.
Obsessive-compulsive disorder (OCD) is a conditioned reflex formed by stimulation and fright, and it is an automatic thinking. The uncontrollable reason is anxiety, which is fear. People with obsessive-compulsive disorder are generally insecure and sensitive and suspicious.
Seeing the reason, the symptomatic solution can be cured, specifically, it is to establish new conditioned reflex through practice, change unreasonable cognition, cultivate self-confidence and optimize personality.
As long as the method is right, obsessive-compulsive disorder can be completely recovered.
What do you care about most?
Appearance? Face? Security guard? Money …
When you care about appearance, you will spend a lot of time and energy on a fine line and a pimple every day, but ignore the cultivation of ability, thought and mentality;
When you care about your face, any feedback from the external environment can bring you great emotional ups and downs, which will make you spend a lot of useless energy on pretending appearance;
Actually, that's it. What you care about is that you should be careful in the future, dare not let go, and hold on tight, which is to bind you and make you jumpy all the time.
Anju teacher said: for you, are you here to feel calm or are you more obsessed with your own problems? If you are persistent in your question, no matter how many questions I answer, your persistence will not leave, and you will still be persistent in it, which will make you uncomfortable and difficult to relax. Offline, anything you cling to will hurt you, because no matter what you cling to, they will leave sooner or later.
First of all, you should look at yourself and ask yourself: What do I want? Just like I looked at myself and said, I don't want to get hurt, because I know persistence will get hurt, so I don't like it. I'm totally like this. Anything can come in and anything can leave.
The key to inner peace is always in your own hands. If you don't care, you are invulnerable. If the clouds are light and the wind is light, you can see the most beautiful scenery
Life is always inevitable in the cycle of gain and loss, and it is a life attitude to be happy with it. Learn to listen to your heart and look at the world with a normal heart. If you agree, you can go away. Don't be too persistent. How should you live your life?
Only by letting go can we grasp the present.
Obsessive-compulsive disorder belongs to a kind of neurosis, and anxiety, terror and depression belong to a big category of neurosis. The main treatment is medication.
Obsessive-compulsive disorder can return to normal. I suggest you know about Morita therapy.
Find out the causes of your illness, make treatment plans, build up self-confidence, improve self-happiness through work, exercise, socializing and funny entertainment circles, and restrain compulsive thinking and compulsive exercise. Unable to control thinking and hyperactivity combined with doctor's advice to adjust treatment.