Everyone has insistent thoughts at times, however in OCD when an individual has obsessive thoughts they become persistent and overwhelming and cause extreme anxiety. This anxiety leads the individual to feel as though they need to carry out a compulsion, and it is only when this compulsion has been completed that some relief is felt. Obsessive beliefs can become extremely rigid and problematic leading to a complete breakdown in functioning. OCD has similarities with a number of conditions, which is why it should be diagnosed following the ruling out of other conditions, including autistic spectrum conditions (ASC).
Common types of compulsive behaviour in people with OCD include:
Not all compulsive behaviours will be obvious to other people.
OCD: characterised by the presence of either obsessions or compulsions, but commonly both.
Symptoms can cause significant functional impairment and/or distress. An obsession is an unwanted intrusive thought, image or urge that repeatedly enters the person’s mind. Compulsions are repetitive behaviours or mental acts that the person feels driven to perform. These can be either overt and observable by others, such as checking that a door is locked, or a covert mental act that cannot be observed, such as repeating a certain phrase in one’s mind.
It is thought that 1–2% of the population have OCD, although some studies have estimated 2–3%.
At HSR Psychology we ensure that we meet the needs of children and young people. To achieve this we ensure that any specific assessments, intervention, or direct work, is only carried out following an initial discussion.
An initial discussion allows us to understand the background and your expectations of our involvement. Having an initial discussion ensures any services we provide appropriately identify or address needs.
Our process for any specific assessments, intervention, or direct work is as follows:
An initial discussion allows us to understand the background and your expectations of our involvement. Arrange an initial discussion
Following an initial discussion we will send you an email that includes:
On receipt of the next steps recommendations and costing you can decide how to proceed. Once you have decided contact us to arrange the chosen services.
Assessing for OCD can include the following components:
A clinical interview is used to assess the impact that obsessions and / or compulsions may be having on an individual’s life, and what they involve.
A psychometric assessment may be used to assess areas of thinking and rationalising, for example a short questionnaire asking about specific behaviours.
Individuals may have kept a journal of their obsessions and / or compulsions, if this is the case then it can be useful to look at the development of needs.
Due to the mental health associations of OCD we may use a variety of assessments according to an individual’s needs.
Examples of psychometric assessments we may use include:
As OCD is a very individualised condition, the assessments chosen will be handpicked for an individual. If you have any questions relating to assessments then these can be answered during the initial discussion, or at any stage of the assessment process.
We provide the following interventions for OCD:
We are also able to provide therapeutic interventions for children and young people who have been prescribed medication for their OCD.
Individuals are unique, and so are the obsessions and / or compulsions they may be facing which is why an accurate quote can be provided following an initial discussion. The quote will take into account the levels of reporting we have available and whether it is advised to have a brief or comprehensive report.
Arrange an initial discussion to find out how we can benefit your education setting. The initial discussion lasts 2 hours and is a starting point to identify needs. The cost is £160.