Obsessive-Compulsive Disorder (OCD) Treatment in Wylie, TX

The symptoms of OCD typically include persistent, distressing obsessions and repetitive, ritualistic compulsions. Obsessions are intrusive and unwanted thoughts, images, or urges that cause intense anxiety. Compulsions are repetitive behaviors or mental acts performed in an attempt to reduce the distress caused by obsessions.

OCD significantly impacts patients’ lives by interfering with their daily functioning and overall quality of life. The time and energy devoted to obsessions and compulsions can be overwhelming, often leading to impaired social, occupational, and academic performance. Relationships may suffer, as the condition can make it challenging to engage in everyday activities and responsibilities. The chronic stress and anxiety associated with OCD can also lead to other mental health issues like depression.

Pathway Psychiatry provides comprehensive psychiatric care and counseling for adults at our psychiatric clinic. Led by Dr. Ashley Gardner, we pride ourselves on our ability to offer personalized treatment plans for individuals with conditions such as OCD. Learn more about OCD and call (214) 997-4459 to schedule your consultation with Dr. Gardner today!

Online Treatment Options for OCD

We offer telemedicine appointments, to allow you to receive treatment from the comfort of your own home. Learn more about our telehealth services!

What is an Obsession?

Obsessions in OCD are intrusive, persistent, and distressing thoughts, images, or urges that repeatedly and involuntarily enter an individual’s mind. These thoughts are often irrational and go against the person’s values or desires, causing significant anxiety and discomfort. Obsessions can take various forms and are highly individualized, but some common examples include:

  1. Fear of contamination: Excessive worries about germs, dirt, or illness, leading to compulsive cleaning or avoidance of certain situations.
  2. Harm-related obsessions: Fears of causing harm to oneself or others, which can lead to compulsive checking behaviors.
  3. Symmetry and order: A strong need for things to be arranged in a specific way, with obsessions related to imbalance or disorder.
  4. Unwanted sexual or aggressive thoughts: Intrusive and upsetting sexual or violent images or ideas that are contrary to a person’s moral values.
  5. Health-related obsessions: Excessive preoccupation with physical symptoms, diseases, or perceived body defects.

These obsessions are often beyond the individual’s control and cause significant distress. To alleviate this distress, individuals may engage in compulsive behaviors or rituals, which are aimed at reducing the anxiety associated with their obsessions.

What is a Compulsion?

Compulsions in OCD are repetitive behaviors or mental acts that individuals feel driven to perform in response to their distressing obsessions. Compulsions are intended to alleviate the anxiety or discomfort caused by obsessions, even though they are often excessive, time-consuming, and irrational. Common compulsions in OCD include:

  1. Checking: Repeatedly verifying things (e.g., doors, appliances, or personal items) to ensure they are secure or in proper order.
  2. Cleaning/Washing: Excessive cleaning, handwashing, or other hygiene-related rituals to remove perceived contamination.
  3. Counting: Counting objects, steps, or other items to reduce anxiety or prevent harm.
  4. Ordering/Arranging: A strong need to arrange items symmetrically or in a specific order.
  5. Mental Rituals: Engaging in mental acts like repeating words, phrases, or prayers as a way to neutralize obsessions.
  6. Avoidance: Avoiding specific places, people, or situations that trigger obsessions, which can lead to social or occupational impairment.

Compulsions can provide temporary relief, but they often perpetuate the cycle of obsessions and compulsions and can become time-consuming and disruptive to a person’s life. Treatment for OCD typically involves cognitive-behavioral therapy (CBT) techniques aimed at reducing the frequency and impact of these compulsive behaviors.

How is OCD Diagnosed?

The diagnosis of Obsessive-Compulsive Disorder (OCD) is typically made by a qualified mental health professional, such as a psychiatrist or psychologist. The diagnostic process involves several key steps:

  • Clinical Assessment: The first step involves a comprehensive clinical assessment. The mental health professional will conduct a thorough interview with the individual to gather information about their symptoms, medical history, and any potential triggers or stressors.
  • Diagnostic Criteria: The mental health professional will refer to the diagnostic criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a widely used guide in the field of mental health. To receive a diagnosis of OCD, an individual must meet specific criteria related to the presence of obsessions and compulsions that significantly interfere with their daily life.
  • Differential Diagnosis: The clinician will also consider other conditions that may present with similar symptoms, such as generalized anxiety disorder, specific phobias, or other anxiety-related disorders. It’s important to differentiate OCD from these other conditions.
  • Severity Assessment: The severity of OCD symptoms is also assessed, as it can vary widely from mild to severe. This information helps guide treatment decisions.
  • Duration and Functional Impact: The clinician will assess the duration of the symptoms (usually present for a significant portion of the day for at least two weeks) and their impact on the individual’s daily functioning, relationships, and overall quality of life.

Once the assessment is complete and the diagnosis is confirmed, the mental health professional will work with the individual to develop an appropriate treatment plan.

How Does Pathway Psychiatry Treat OCD?


Cognitive-Behavioral Therapy (CBT) is a highly effective and evidence-based treatment for Obsessive-Compulsive Disorder (OCD). In CBT for OCD, individuals work with a trained therapist to identify and challenge the irrational and distressing thoughts (obsessions) that drive their compulsive behaviors. Through cognitive restructuring techniques, individuals learn to reframe these thoughts, reducing their intensity and impact. Additionally, exposure and response prevention (ERP) is a fundamental component of CBT for OCD, where individuals gradually confront their fears and obsessions while intentionally resisting the urge to engage in compulsive rituals. This process helps individuals desensitize themselves to their fears, gain control over their symptoms, and ultimately lead more fulfilling lives with reduced OCD-related distress.

Medications for OCD

Medication can be a valuable component of the treatment plan for Obsessive-Compulsive Disorder (OCD), particularly for individuals with moderate to severe symptoms or when cognitive-behavioral therapy (CBT) alone is insufficient. Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine, sertraline, or paroxetine, are commonly prescribed for OCD. These medications work by increasing the availability of serotonin in the brain, which can help reduce the frequency and intensity of obsessions and compulsions. In some cases, doctors may also consider other medications, like tricyclic antidepressants or antipsychotic medications, when SSRIs do not provide adequate relief. Medication for OCD is often used in conjunction with CBT, and the specific choice of medication and dosage is determined on an individual basis, taking into account the patient’s unique symptoms and needs. Regular monitoring by a healthcare provider is essential to assess the medication’s effectiveness and manage any potential side effects.

Resources for those with OCD:

  • International OCD Foundation (IOCDF): The IOCDF is a valuable resource providing a wealth of information about OCD, treatment options, support groups, and online forums. They also offer educational webinars and conferences.
  • OCD Action (UK): While based in the UK, OCD Action provides a range of resources, including support groups, helplines, and online forums, which can be useful for individuals worldwide.
  • “The OCD Workbook: Your Guide to Breaking Free from Obsessive-Compulsive Disorder” by Bruce M. Hyman and Cherry Pedrick: This self-help workbook provides practical exercises, techniques, and strategies to help individuals manage their OCD symptoms and regain control over their lives.
  • “Brain Lock: Free Yourself from Obsessive-Compulsive Behavior” by Jeffrey M. Schwartz: In this book, Dr. Schwartz offers a four-step program that combines mindfulness with cognitive-behavioral techniques to help individuals with OCD change their thought patterns and behavior.

Schedule an Appointment with Pathway Psychiatry

If you believe you may be experiencing symptoms of OCD, or have been diagnosed with OCD, we can help. To schedule an appointment, you can contact our office by calling (214) 997-4459.

Request Appointment


Request an Appointment