What to Look for When Seeking an OCD Therapist

OCD is often misunderstood and misdiagnosed, and even incorrectly treated causing delays in the correct diagnosis or even worsening of symptoms. Research indicates that it can take many years and visits to multiple clinicians before a correct diagnosis is reached and the appropriate treatment is provided. It’s good to ask some questions when you are looking for someone to treat OCD for you or your child.

  • How many cases of OCD have they treated or what percentage of their case load are OCD-related clients?

  • Are they familiar with adapting treatment for OCD to work with children?

  • Can they explain to you what the gold standard is for the treatment of OCD?

  • Are they able to give you examples of how they might implement ERP?

  • How often do they use ERP in session or work on reviewing ERP practice?

  • Are they offering you reassurance about your fears or a structured plan to disengage with your OCD?

  • Are they addressing the family dynamics that maintain and reinforce OCD in family members?

  • How do they approach the use of standard CBT practices such as realistic thinking when OCD is part of the picture?

  • Do they understand some of the very common, but often misunderstood presentations of OCD, such as religious, sexual, violent, relational, or magical thinking themed obsessions?

  • How do they approach compulsions or rituals that are predominantly taking place in the mind?

OCD needs a thorough assessment by an experienced therapist who understands the complexities and sometimes the confusing ways in which OCD presents. A treatment plan with an exposure hierarchy to address each of the symptoms and core fears should be one of the outcomes of the assessment process. The therapist should provide a solid base of education for the client and family so that they understand the nature of OCD. From here clients are stepped through gradually facing their fears using Exposure/Response Prevention (ERP) techniques. Medication may also be a part of the picture for some clients. When needed, Catherine works collaboratively with psychiatrists and doctors to ensure optimal outcomes.

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