top of page
Search

Medication and Therapy: Best Practices in OCD Treatment

Updated: Jan 28


Medication and therapy combined are some of the best practices for OCD treatment.

Obsessive-compulsive disorder (OCD) can be a life-altering condition, but effective treatments are available. The best outcomes often result from a combination of medication and therapy, tailored to the individual’s needs. In this guide, we’ll explore how medications complement therapy, highlight vitamins and supplements that may help manage symptoms, and outline the best practices for OCD treatment.


Disclaimer: The information in this article is for informational purposes only and should not be considered medical advice. Always consult a healthcare provider before starting, stopping, or changing any treatment plan.


The Role of Medication in OCD Treatment


For many people, medication can provide significant relief from the intrusive thoughts and compulsions associated with OCD. While therapy, particularly Exposure and Response Prevention (ERP), is considered the gold standard for OCD treatment, medications can enhance therapy’s effectiveness by reducing symptom intensity.


Commonly Prescribed Medications for OCD


The primary medications for OCD are selective serotonin reuptake inhibitors (SSRIs). These include:


  • Fluoxetine (Prozac)

  • Sertraline (Zoloft)

  • Fluvoxamine (Luvox)

  • Escitalopram (Lexapro)

  • Paroxetine (Paxil)


Higher doses of SSRIs are often required for OCD compared to other conditions like depression. It may take several weeks to notice significant improvements, so patience is key when starting or adjusting medication.


Benefits of Medication


  • Reduces Symptom Intensity: Medications can lessen the severity of obsessive thoughts and compulsive behaviors, making it easier to engage in therapy.

  • Supports Emotional Regulation: For some, SSRIs help reduce anxiety and improve mood, creating a foundation for long-term recovery.

  • Complements Therapy: By alleviating symptoms, medication allows individuals to fully participate in ERP or other therapeutic approaches.


Potential Side Effects


All medications come with potential side effects. Common ones for SSRIs include nausea, fatigue, sleep disturbances, reduced sexual drive, and gastrointestinal issues. Your healthcare provider will monitor for side effects and adjust your treatment plan as needed. However, your medical provider won't know if something is wrong unless you tell them, so you'll need to pay close attention to your body.


The Power of Therapy: Why It’s Essential


While medication can reduce symptoms, therapy addresses the root causes of OCD and provides tools for long-term management. The most effective therapeutic approach for OCD is Cognitive Behavioral Therapy (CBT), specifically Exposure and Response Prevention (ERP).


  • ERP: Gradual exposure to feared situations while resisting compulsions retrains your brain to tolerate discomfort and reduces OCD’s grip.

  • Cognitive Restructuring: Helps challenge and reframe unhelpful beliefs and thought patterns.


Combining medication with therapy ensures a comprehensive approach, tackling both the biological and behavioral aspects of OCD. Many people who engage fully in therapy for OCD find that they can reduce their medication dosage later on, or even stop taking medications altogether - though some continue taking a "maintenance dose" of medication even after therapy ends.


Alternative Support: Vitamins and Supplements for OCD


If you're looking for alternatives or complements to prescription medications, certain vitamins and supplements may offer benefits in managing OCD symptoms. While not a replacement for therapy or medication, these options can be part of a holistic approach.


1. L-Theanine

  • What It Does: Found in green tea, L-Theanine promotes relaxation and reduces anxiety without causing drowsiness.

  • How It Helps OCD: By calming the nervous system, it may ease the heightened anxiety associated with OCD.


2. Glycine

  • What It Does: Glycine is an amino acid that acts as a calming neurotransmitter.

  • How It Helps OCD: Preliminary research suggests it may support emotional regulation and reduce obsessive thoughts when used alongside other treatments.


3. N-Acetyl-Cysteine (NAC)

  • What It Does: NAC is a precursor to glutathione, an antioxidant that helps regulate glutamate levels in the brain.

  • How It Helps OCD: Studies indicate that NAC may reduce compulsive behaviors by modulating brain chemistry.


4. Magnesium Glycinate

  • What It Does: Magnesium plays a role in calming the nervous system and reducing stress.

  • How It Helps OCD: Magnesium glycinate, in particular, is easily absorbed and may help with sleep and relaxation, which are often disrupted in OCD.


5. Other Considerations

  • Vitamin D: Low levels of Vitamin D have been linked to mood disorders, including anxiety and depression.

  • Zinc: Emerging research suggests zinc may help regulate brain function and support mental health.


Important Note: While these supplements show promise, their effectiveness can vary from person to person. Always consult your healthcare provider before adding supplements to your routine, as interactions with medications or other conditions are possible.


Best Practices for OCD Treatment


  1. Collaborative Care: Work closely with your healthcare provider and therapist to create a treatment plan tailored to your needs.

  2. Consistency Is Key: Whether it’s therapy, medication, or supplements, consistency plays a crucial role in managing OCD symptoms.

  3. Track Your Progress: Keep a journal to monitor changes in your symptoms, side effects, or other factors influencing your treatment.

  4. Stay Informed: Educate yourself about OCD and its treatments to make empowered decisions.

  5. Seek Support: Joining OCD support groups can provide encouragement and shared experiences.


Finding the Right Help


At North Star Psychology, we understand that no two people experience OCD the same way. That’s why we offer personalized telehealth therapy services tailored to your unique needs. While we don't prescribe medications, we can work closely with your doctor to help you manage your OCD symptoms through a combination of medication and evidence-based therapy.


Contact North Star Psychology today to schedule a consultation about OCD and ERP therapy. Call us at (205) 797-1897 or email info@NorthStarPsyc.com to get started, we’ll usually respond within one business day.


Recovery is within reach—let us help you take that first step.


Disclaimer: Always consult a qualified healthcare provider before starting, stopping, or changing any medication, supplement, or therapy. This article is for informational purposes only and should not substitute for professional advice.

bottom of page