How to Get an OCD Diagnosis

How is OCD Diagnosed?

Only a skilled clinician or psychiatrist knows how to diagnose OCD and pinpoint what causes OCD. There are no medical, biological, or genetic tests that can definitively indicate obsessive-compulsive disorder. Rather, an OCD diagnosis is based on the results of psychological assessments and interviews with clinicians.

It’s really important to understand that everybody experiences obsessive thought and compulsive behavior patterns periodically. For instance, it’s not uncommon or unusual to go back to double check that you shut the stove off, or you locked the door. Maybe you’re what others see as a “neat freak,” someone who simply likes everything orderly and nicely kept. These aren’t cause for worry or necessarily a problem.

However, OCD is much more intense. The worrisome, scary, or otherwise unwanted thoughts may consume many hours of your day, every day, until they seriously impact and interfere with your quality of life.

OCD causes long-term anxiousness that traps people in cycles of repetitive obsessions (intrusive thought/sensations). Often, these obsessions lead to engaging in compulsive behavior as a desperate attempt to try and break free from or stop things they’re obsessing over.

It might be easier to think of it like this: someone with obsessive-compulsive disorder experiences repetitive, intense urges and fears they’re unable to control. Those urges cause them extreme anxiety. To deal with that anxiety, they may begin partaking in certain compulsive rituals or routines.

DSM-5 criteria for OCD

These days, it’s common to hear phrases like “OCD,” “obsessive,” “obsessed,” and related terms in casual conversations. Of course, most people are using them flippantly, and don’t actually know how to diagnose OCD.

That’s why the Diagnostic and Statistical Manual of Mental Disorders, 5th ed (DSM-5TR) exists. Skilled clinicians use the OCD diagnosis criteria set forth in the DSM-5TR to diagnose obsessive-compulsive disorder and other mental health conditions.

Diagnosis of OCD criteria includes:

• The person experiences repetitive obsessions, compulsions, or both
• The obsessions or compulsions occupy considerable time every day, lasting more than an hour
• OCD symptoms are not caused by overuse of alcohol, illicit drugs, or prescription medication
• Obsessive thoughts and compulsive behaviors negatively affect the ability to participate in work, social activities, or other areas of life.

Additionally, a clinician will also ensure that OCD symptoms are not caused by another mental health condition like an eating disorder, generalized anxiety disorder, or depression.

Identifying obsessions & compulsions

The diagnosis of OCD is based on the presence of obsessions and compulsions that detract from a basic quality of life by interfering with an ability to perform normal activities.

People with OCD truly believe that if they don’t engage in (usually irrational) compulsive rituals and behaviors, which they get no pleasure from, things will worsen, or something tragic, dire, and unthinkable will happen.

Compulsive behaviors might seem to help lessen obsessive and unwanted thoughts, but they usually start a vicious cycle. The intrusive thought returns, and the acts continue. The constant loop of anxiety, followed by negative behaviors, followed by more anxiety, can be unbearable. The cycle can interfere in daily functioning, relationships, professional work, and more.

According to the International OCD Foundation, OCD is common, affecting about 1 in 100 Americans adults. It affects both sexes about equally, and occurs in people of all backgrounds, races, and socioeconomic statuses.

When diagnosing OCD, clinicians assess you for intrusive thoughts or unwanted sensations that are causing anxiety.

Some examples of such thoughts and feelings include:

• Needing constant reassurance
• Fearing that you’ll fail at a task you attempt
• Needing excessive symmetry, neatness, or order
• Fearing you’ll hurt somebody else or yourself
• Feeling like you’ll be embarrassed in front of others
• Fearing contamination from germs, dirt, or contact with others
• Repetitively thinking about religion or sex in ways that society may not accept

 

Again, these are not the typical experiences that most people feel. People with OCD experience these thoughts and sensations on a much more intense level.

In addition to identifying obsessions, an accurate OCD diagnosis also assesses for compulsive behaviors that someone might use to try and alleviate or cope with their repetitive obsessions.

Some examples of compulsive behaviors include:

• Checking repeatedly that you haven’t caused someone else harm
• Cleaning the house, showering, bathing, or washing your hands repetitively
• Arranging and rearranging things (like the items on your desk) very specifically
• Holding onto or hoarding items that have no financial, personal, or other value
• Performing specific tasks a certain number of times — like locking the door 4 times
• Repetitively counting or saying certain phrases or mantras while performing other tasks
• Avoiding shaking hands or touching objects that could be contaminated, like door handles

Some people with obsessive-compulsive disorder might also experience brief, uncontrollable, repetitive actions. They may seem to be constantly clearing their throat, grunting, shrugging their shoulders, blinking their eyes, or sniffing.

The reason these behaviors can vary so widely is because there are multiple types of OCD, each with its own unique patterns and manifestations.

Who Can Diagnose OCD?

Only a licensed clinician, therapist, or psychiatrist can assess someone, using OCD diagnosis criteria, to determine if an obsessive compulsive disorder diagnosis is appropriate. If you have obsessions, compulsions, or both, diagnosing OCD will in part depend on how much time you lose due to these sensations and behaviors. Other considerations will include the degree that your work, school, socialization, or home life is affected.

In today’s digital age, accessing professional help has become more convenient than ever. Platforms like Talkspace offer a seamless way to connect with licensed therapists who specialize in OCD. With Talkspace, you can receive an online diagnosis and treatment plan tailored to your needs, all from the comfort of your home. This innovative approach to mental health care not only saves time but also ensures that you receive the support and guidance necessary for managing OCD effectively.

How to Get an OCD Diagnosis with Talkspace

If you’re wondering whether you have obsessive-compulsive disorder (OCD) you don’t have to wait to get professional help. With Talkspace you can quickly and conveniently connect with a licensed provider who will evaluate your symptoms, listen to your concerns, and, if appropriate, diagnose you with OCD or another condition. 

Here’s how it works:

1. Get started any time by answering a few questions on the Talkspace website or app. You don’t need a referral for either therapy or psychiatric care.
2. You’ll be connected with a therapist within about two days or a psychiatric provider within about a week. 
3. If you choose to start with therapy you can message with your therapist as much as you like and also schedule live sessions. If you choose psychiatry you’ll schedule a live video session with your psychiatric provider.

Often OCD is most effectively treated with a combination of medication and talk therapy. Online therapy helps you manage symptoms and develop coping skills, while online psychiatry addresses the physiological basis or your symptoms, usually with a prescription for medication and ongoing medication management.

What to Do If You Get Diagnosed with OCD

If you receive an OCD diagnosis, know that this condition is both common and treatable. A diagnosis of OCD can be looked at as a positive turning point in your life. It can open up roads to recovery that you may never have found otherwise.

Therapy

Mindfulness therapy — like mindfulness-based cognitive behavioral therapy (MCBT) — and exposure and response prevention therapy (ERP) are two types of talk therapy commonly used during OCD treatment. These types of therapy for OCD work by encouraging and teaching you to better understand your thoughts and feelings so you can become able to resist engaging in negative or harmful behaviors.

The goal with any in person or online therapy for OCD is to help you not engage in negative behaviors when you experience obsessive thoughts. An experienced OCD therapist can teach you methods for replacing negative habits with healthier options.

Medication

Many people with OCD are prescribed prescription OCD medications, including selective serotonin reuptake inhibitors (SSRI’s) like *Prozac (fluoxetine), Celexa (Citalopram), *Luvox (fluvoxamine), *Paxil (paroxetine), and *Zoloft (sertraline). In cases where SSRIs aren’t effective, other types of OCD medication, such as tricyclic antidepressants (TCAs) or benzodiazepines, may be attempted.

*Note that only Prozac, Luvox, Paxil, and Zoloft are FDA-approved to treat OCD.

 

Any mental health diagnosis you get can be scary, but the most important part of being diagnosed is understanding that you’re now able to get help. Remember, the help is out there…you just need to be ready and willing to seek it out.