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Treatment options for ocd, ears ringing louder at night - .

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Explains obsessive-compulsive disorder (OCD), including possible causes and how you can access treatment and support. If you are concerned that you have OCD, and you want to seek professional help, the first step would normally be to visit your GP. Your GP can provide an assessment and diagnosis, and help you access appropriate treatment. If you visit a doctor to talk about OCD, they are likely to ask you direct questions about possible symptoms. If you find it difficult talking about your OCD, you may find it useful to prepare beforehand. Before you have any treatment, your doctor should discuss all yourtreatment options with you, and your views and wishes should be takeninto account. If you access help on the NHS, your treatment should be in line withNICE (National Institute for Health and Care Excellence) guidelines.NICE recommends ‘stepped’ treatment for OCD.
However, the treatments recommended in the NICE guidelines are not appropriate for everyone.
The behavioural element (also known as Exposure Response Prevention – ERP) is strongly recommended for treating OCD. Some people find drug treatment helpful for OCD, either alone or combined with talking treatments, such as cognitive behaviour therapy (CBT). If you are experiencing very severe anxiety as a result of OCD, you may be offered tranquillising drugs, such as diazepam (Valium).

If your OCD is severe or complex, your GP may refer you to a community mental health team (CMHT). If you require more intensive support, it is recommended that you are referred to a specialist OCD service in your area. If you feel you are not getting access to the treatment you require, you may find it useful to have an advocate. If you receive a diagnosis of OCD, it should also say how severe your OCD is; for example, if you have mild, moderate or severe OCD. However, it is important to try and talk as honestly as you can, so your GP can suggest the right type of help for you. This means that youshould receive different types of treatment depending on how severeyour symptoms are and how you responded to any previous treatment. There are a number of options available to treat OCD and different things work for different people.
Cognitive behavioural therapy (CBT) is a talking treatment which aims to identify connections between your thoughts, feelings and behaviour.
This type of medication should only be used for short periods of treatment because of the risk of addiction.
It is not recommended for treating OCD, but is very occasionally offered in severe cases, when other treatments have been unsuccessful.
This is someone who can support you and speak up for you, so you can get the help you need.

You may find that a combination of approaches is most helpful for you, and different approaches may help you at different times. The team can offer medication, basic counselling or other mental health treatments like cognitive behaviour therapy (CBT). For example, if you fear that you will harm someone and avoid sharp objects as a result, you might build up to a therapy session where you hold a knife while sitting in a room with other people. The British Association for Behavioural and Cognitive Psychotherapies maintains a register of accredited CBT therapists.
They should also be able to help with you with wider issues you have as a result of your OCD, such as difficulties around housing, benefits or everyday living. There is considerable evidence to suggest that this therapy is especially effective in dealing with OCD. This technique needs to be carefully managed to avoid causing distress and anxiety, so it is important that you understand the treatment fully and feel comfortable with your therapist.
The tricyclic antidepressant clomipramine (Anafranil) is also licensed for the treatment of obsessional states in adults. Even if you are not referred to a CMHT, or if you feel you are not receiving the support you need, you may be entitled to have a social care assessment to see if you are eligible for social care support.

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