Selective serotonin reuptake inhibitors (SSRIs) SSRIs are a type of medication people may use as a treatment for depression. People may also use SSRIs to treat mental health conditions that can cause intrusive thoughts, such as: OCD. PTSD.
Antidepressants approved by the U.S. Food and Drug Administration (FDA) to treat OCD include: Clomipramine (Anafranil) for adults and children 10 years and older. Fluoxetine (Prozac) for adults and children 7 years and older. Fluvoxamine for adults and children 8 years and older.
It's thought that SSRIs work by blocking (“inhibiting”) reuptake, meaning more serotonin is available to pass further messages between nearby nerve cells. The job of your nerve cells is to send messages back and forth like a telephone wire.
Obsessive compulsive disorder, or OCD, is an anxiety disorder which, like many anxiety disorders, is marked by low levels of serotonin. Serotonin, a type of neurotransmitter, has a variety of functions that make a deficiency a serious and anxiety producing issue.
Zoloft (sertraline) "I have been taking 100mg Zoloft daily for almost 8 years and I find it really helps with OCD, especially the dulling of intrusive thoughts that would normally cause me a lot of distress, anxiety and were quite frankly, ruining my life.
Both Cognitive Behavioral Therapy and when necessary medications, like Selective Serotonin Reuptake Inhibitors (SSRI), have been shown to be effective in reducing or eliminating rumination.
Regular therapy sessions with a mental health professional are an effective way to reduce intrusive thoughts. Through Cognitive Behavioral Therapy (CBT), patients learn effective strategies for responding to intrusive thoughts and becoming less sensitive to them.
The only way to effectively deal with intrusive obsessive thoughts is by reducing one's sensitivity to them. Not by being reassured that it won't happen or is not true. Unwanted intrusive thoughts are reinforced by getting entangled with them, worrying about them, struggling against them, trying to reason them away.
They're usually harmless. But if you obsess about them so much that it interrupts your day-to-day life, this can be a sign of an underlying mental health problem. Intrusive thoughts can be a symptom of anxiety, depression, or obsessive-compulsive disorder (OCD).
This is why the American Psychiatric Association recommends fluoxetine, along with other SSRIs, as one of the first-choice medications that can be used to treat OCD. People taking fluoxetine may experience side effects such as: Trouble sleeping or feeling more tired than usual.
Obsessive-compulsive disorder (OCD) is characterized by repetitive, unwanted, intrusive thoughts (obsessions) and irrational, excessive urges to do certain actions (compulsions).
In addition, medications originally designed for depression, the SSRIs (Prozac, Paxil, Zoloft, Lexapro, Effexor, Cymbalta, and others), are also capable of lowering the underlying level of anxiety which takes a lot of steam out of this phenomenon.
Researchers know that OCD is triggered by communication problems between the brain's deeper structures and the front part of the brain. These parts of the brain primarily use serotonin to communicate. This is why increasing the levels of serotonin in the brain can help to alleviate OCD symptoms.
Usually it takes between 4 to 6 weeks to feel the full effect. You might feel worse during the first few weeks of treatment before you begin to feel better. Talk to your GP if you do not feel any better after 6 weeks.
The best first-line treatment for OCD is ERP plus SSRIs. Second-generation antipsychotics have positive trials; however, only risperidone, aripiprazole, olanzapine, and quetiapine are recommended. Other medications have little evidence and are not recommended.
These medications may include: antidepressants. antianxiety medications. antipsychotics.
Treatment for Rumination OCD
All types of OCD can be treated with Cognitive-Behavioral Therapy (CBT), specifically with treatment approaches called Exposure with Response Prevention (ERP), and Mindfulness-Based Cognitive-Behavioral Therapy.
Is OCD Caused by a Chemical Imbalance? Changes in the neurochemical serotonin, as well as in the neurochemicals dopamine and glutamate, are likely present in OCD. Indeed, medications like the antidepressants known as selective serotonin reuptake inhibitors (SSRIs) improve symptoms for many people.
“There are parts of the brain that are a bit disrupted, like the frontal cortex, in terms of brain function and we know that serotonin can reduce the intrusive thoughts,” Dozois says. “But the problem is it's a bit backwards — it doesn't mean that low serotonin is the cause [of intrusive thoughts].
Reduced dopamine D1 receptors and dopamine D2 receptors in the striatum have been reported in people with OCD, along with both increased and decreased reports of dopamine transporter (DAT) binding.
Nearly everyone has intrusive thoughts. All thoughts are the result of brain activity — the brain generates an estimated 6,200 thoughts per day. Not all those thoughts will be relevant or even accurate. You could even consider some of them “junk” thoughts, meaning they are random or meaningless.