OCD involves obsessions — intrusive, unwanted thoughts, images or urges that cause anxiety — and compulsions, repeated behaviours or mental acts done to reduce that anxiety. Common examples include fears of contamination, doubts about having locked doors, a need for symmetry, or distressing thoughts that feel completely against one’s values. People with OCD usually know the thoughts are excessive, which can make it feel even more isolating.
Why does OCD happen?
OCD is linked to differences in certain brain circuits, and it often runs in families. Stress can make symptoms worse. It frequently begins in childhood or early adulthood, and many people live with it for years before seeking help.
Our approach
Dr. Sneha Sharma uses an evidence-based combination of exposure and response prevention (ERP) — a specific type of CBT — and medicines such as SSRIs when needed. Treatment is gradual and collaborative. Family members are often guided on how to support recovery without unknowingly reinforcing compulsions.
Common signs & symptoms
- Repeated, unwanted thoughts or images
- Excessive washing or cleaning
- Checking locks, switches or gas again and again
- Need for things to be in exact order or symmetry
- Counting, repeating words or mental rituals
- Seeking constant reassurance
- Spending an hour or more a day on thoughts or rituals
- Avoiding situations that trigger obsessions
How ocd is treated
Exposure & response prevention
The gold-standard therapy for OCD, done at your pace.
SSRI medicines
Reduce the intensity of obsessions and make therapy easier.
Family guidance
Helping families respond in ways that support recovery.
Relapse prevention
Skills to manage symptoms if they return under stress.
When should you see a psychiatrist?
Seek help if thoughts or rituals take up a lot of time, cause distress, or interfere with work, study or relationships. Early treatment makes recovery easier.
Frequently asked questions
Is OCD just being very neat or particular?
No. OCD involves intrusive, distressing thoughts and repeated actions done to relieve that distress. It takes up time and interferes with daily life — very different from simply liking things tidy.
What is the most effective treatment for OCD?
Exposure and response prevention (ERP), a form of CBT, together with medicines such as SSRIs when needed. Treatment is gradual and planned with you, so you are never pushed beyond what you can manage.
Related conditions
Medically reviewed by Dr. Sneha Sharma, MBBS, MD Psychiatry · Last updated 3 November 2026. This page is for information and does not replace a consultation.