Understanding OCD
Intrusive thoughts and compulsive rituals that loop without relief.
OCD is highly treatable but often under-recognized. We use exposure and response prevention (ERP) alongside medication when appropriate, and address the neurochemical and behavioral loops that keep the cycle running.
How it shows up
OCD is intrusive, unwanted thoughts paired with compulsive rituals — mental or physical — that you perform to relieve the anxiety. The relief is temporary and the loop returns, often consuming significant time each day. It's frequently misdiagnosed as generalized anxiety or missed entirely.
What's driving it
OCD is a distinct neurobiological condition, not a quirk or a preference for order. It responds to a specific approach — exposure and response prevention (ERP) — more than to generic therapy, with medication support when the symptoms are severe.
When to seek help
If intrusive thoughts and rituals are taking significant time, driving your decisions through fear, or limiting your life, specialized treatment helps. OCD is highly treatable with the right approach, but the right approach is specific.
The evidence
OCD affects roughly 1–2% of the population; ERP is the first-line, best-supported psychotherapy for it.
Source: Fenske & Petersen, 2015; NICE
Quick Self-Check
Could it be OCD?
Answer a few questions to see whether your responses point toward OCD or toward something else. Either way, we'll help you take the next step.
Over the past two weeks, how often have you experienced each of the following?
01Unwanted intrusive thoughts or images that keep returning
02Feeling driven to repeat certain behaviors or mental rituals
03Spending significant time each day on these thoughts or rituals
04Anxiety when you try to resist the thoughts or rituals
05The patterns interfering with your daily life or relationships
OCD — Frequently Asked
Common questions about OCD.
What is the best treatment for OCD?
Exposure and response prevention (ERP) is the first-line, best-supported therapy for OCD, often paired with medication when symptoms are moderate to severe.
How is OCD different from anxiety?
OCD involves intrusive, unwanted thoughts paired with compulsions performed to relieve distress. It needs a specific approach — ERP — rather than generic anxiety therapy.
Can OCD be treated via telehealth?
Yes. ERP and psychiatric care work well via telehealth, and we also see patients in person in Scottsdale, AZ.
Medically reviewed by
Clay Hall, NP, PhD, MBA
PRX Founder · Primary Care & Psychiatry
Double-board certified in Primary Care and Psychiatry, with post-graduate training in Psychiatry and Neuroscience from Purdue University.
Take the next step.
Whether the screening pointed here or somewhere else, the right next move is a conversation. Reach out and we'll help you find your path.
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