Home › Forums › Obsessive Compulsive Disorder (OCD) › is OCD treatable? is there hope for some, but not all? › Re: is OCD treatable? is there hope for some, but not all?
Dr. Michael Jenike said:
although it is very uncommon for OCD to be totality cured, almost all patients can get well enough to lead a normal life with productive jobs and families. i have seen patients who are 100% disabled and stuck for years get better. it takes a lot of work with behavior therapy and often medications. no one with OCD should just accept disability from OCD. using substances like alcohol can temporarily help the anxiety associated with OCD but there is a huge price to pay in terms of rebound anxiety and depression. this approach does not work. if your main symptom is “violent thoughts” i recommend reading the book “The Imp of the Mind” by Lee Baer. this talks about how to manage the thoughts. also, with Luvox i would go to 300mg daily. you can go to http://www.ocfoundation.org for more recommendations on treatment. i would start by getting a consult with an OCD expert. the OC Foundation web site has a list of treatment providers around the world and you can put in your location to find someone. all best wishes,
Michael Jenike, MD
Thank you Dr. Jenike, for your reply. I understand that the alcohol worsens the anxiety, I really hope I can reach a point where I dont need it. My dr just increased my meds to 100 mg, and hopefully it will reach 300 mg in the future. I have an important question regarding treatment. I have read that exposure therapy is used with OCD, I am not sure if this is true or not, but if it is, I am concerned. I want to get treatment, but I am terrified of facing my fears (even talking about them leads to tremendous anxiety). So how do you treat a person's OCD symptoms without forcing them to deal with this terrible anxiety? Is there no choice but to go through this pain since you have to talk about the fears through CBT, exposure therapy, etc? This one thought is the main factor in my choice to avoid therapy, which i know is not what a good choice. Thank you so much. Lyndsey