Treatment Intrusive thought
1 treatment
1.1 exposure therapy
1.2 cognitive behavioral therapy
1.3 medication
treatment
treatment intrusive thoughts similar treatment ocd. exposure , response prevention therapy—also referred habituation or desensitization—is useful in treating intrusive thoughts. mild cases can treated cognitive behavioral therapy, helps patients identify , manage unwanted thoughts.
exposure therapy
exposure therapy treatment of choice intrusive thoughts. according deborah osgood-hynes, psy.d. director of psychological services , training @ mgh/mclean ocd institute, in order reduce fear, have face fear. true of types of anxiety , fear reactions, not ocd. because uncomfortable experience bad thoughts , urges, shame, doubt or fear, initial reaction make feelings diminish. engaging in ritual or compulsion diminish anxiety or bad feeling, action strengthened via process called negative reinforcement—the mind learns way avoid bad feeling engaging in ritual or compulsions. when ocd becomes severe, leads more interference in life , continues frequency , severity of thoughts person sought avoid.
exposure therapy (or exposure , response prevention) practice of staying in anxiety-provoking or feared situation until distress or anxiety diminishes. goal reduce fear reaction, learning not react bad thoughts. effective way reduce frequency , severity of intrusive thoughts. goal able expose thing triggers fear or discomfort 1 2 hours @ time, without leaving situation, or doing else distract or comfort you. exposure therapy not eliminate intrusive thoughts—everyone has bad thoughts—but patients find can decrease thoughts sufficiently intrusive thoughts no longer interfere lives.
cognitive behavioral therapy
cognitive behavioral therapy (cbt) newer therapy exposure therapy, available unable or unwilling undergo exposure therapy. cognitive therapy has been shown useful in reducing intrusive thoughts, developing conceptualization of obsessions , compulsions patient important.
medication
antidepressants or antipsychotic medications may used more severe cases if intrusive thoughts not respond cognitive behavioral or exposure therapy alone. whether cause of intrusive thoughts ocd, depression, or post-traumatic stress disorder, selective serotonin reuptake inhibitor (ssri) drugs (a class of antidepressants) commonly prescribed. intrusive thoughts may occur in persons tourette syndrome (ts) have ocd; obsessions in ts-related ocd thought respond ssri drugs well.
antidepressants have been shown effective in treating ocd include fluvoxamine (trade name luvox), fluoxetine (prozac), sertraline (zoloft), paroxetine (paxil), citalopram (celexa), , clomipramine (anafranil). although ssris known effective ocd in general, there have been fewer studies on effectiveness intrusive thoughts. retrospective chart review of patients sexual symptoms treated ssris showed greatest improvement in intrusive sexual obsessions typical of ocd. study of ten patients religious or blasphemous obsessions found patients responded treatment fluoxetine or clomipramine. women postpartum depression have anxiety well, , may need lower starting doses of ssris; may not respond medication, , may benefit adding cognitive behavioral or response prevention therapy.
patients intense intrusive thoughts not respond ssris or other antidepressants may prescribed typical , atypical neuroleptics including risperidone (trade name risperdal), ziprasidone (geodon), haloperidol (haldol), , pimozide (orap).
studies suggest therapeutic doses of inositol may useful in treatment of obsessive thoughts.
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