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Distinguishing the Negative Thought Patterns of OCD
Jules Washington
The negative thought patterns associated with OCD are often similar to those associated with depression. Additionally, while we're all prone to occasionally ruminating on negative events or obsessing over issues, that doesn't necessarily indicate OCD. So how can we distinguish between OCD and depression? And when is rumination or obsession an indicator of OCD?
Negative Thoughts Tied to OCD Are More Severe and Frequent
Obsessions are recurrent intrusive thoughts, images, or urges that typically cause anxiety or distress. For example, some people with OCD report being overwhelmed by a fear of harming someone else. Others are preoccupied with thoughts of contamination from germs or household chemicals, while others repeatedly imagine violent or taboo scenes.
Recurrent negative thoughts occur in both depression and OCD, but there are some key differences:
- Negative thoughts caused by OCD tend to be more frequent, more severe, and more intrusive than those caused by depression.
- Negative thoughts caused by OCD may seem more illogical or irrational than negative thoughts associated with depression. Someone with depression might ruminate over a real-life concern, such as an elderly parent becoming unwell. In contrast, a person with OCD might develop an obsession with the notion that all of their neighbors will die unless they step over cracks in the sidewalk.
- Finally, negative thoughts associated with OCD are often linked to compulsions, which is not usually the case with depression.
Compulsions Are Not Typically Seen in Depression
Compulsions are repetitive behaviors or acts that people with OCD perform to neutralize or get rid of obsessions and reduce the emotional distress associated with their obsessions. Some people tap or touch objects, often a specific number of times, while others check things repeatedly (e.g. locks, switches), excessively clean or wash their hands, count to a specific number constantly, or repeat words silently. These behaviors are typically not associated with depression.
A person with OCD may feel disgusted about their obsessions and know that their compulsions are extreme or illogical. Nonetheless, they might feel uneasy, incomplete, or overwhelmed by anxiety and distress until they have satisfied certain compulsions.
If you are experiencing symptoms of OCD, you may be inclined to judge yourself too harshly. But remember that obsessions and compulsions do not define you. They do not reflect who you truly are.
Is Rumination OCD? Are All Obsessions OCD?
Rumination and obsession are not necessarily indicative of OCD. These behaviors can be maladaptive at times, but occasionally they might also feel enjoyable or bring relief. If you have certain quirks or idiosyncrasies, such as the desire to organize books by color or line up stationary in a certain way, that doesn't mean you have OCD. Instead, you may have simply identified approaches that bring order to your environment and give you a sense of control.
In contrast, people with OCD experience extreme anxiety and distress about their obsessions and compulsions. These intrusive fixations can consume hours of their day, even if they try to ignore them, and they can interfere with their daily lives.
Your Next Steps to Positive Health
Treatment for OCD usually starts with cognitive behavioral therapy and medication, with
40 to 60 percent
of patients achieving a partial response to these treatment approaches.
Transcranial magnetic stimulation (TMS) is an
FDA-cleared treatment choice for when OCD symptoms do not respond fully to psychological therapy and medication. TMS is a
non-invasive treatment that applies gentle magnetic pulses to brain regions associated with OCD. TMS has been shown to
improve the negative thought patterns of OCD significantly.
Whichever empowering treatment avenue you choose to follow, know that there is hope.
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Starting any medical treatment for the first time can leave you with questions, especially if you’re looking forward to the benefits it may bring. It’s no different when you’re preparing for your nasal esketamine treatment. Your previous mental health treatments may have consisted solely of taking antidepressants at home or visiting a therapist’s office for cognitive behavioral therapy (CBT), so nasal esketamine is probably a new treatment experience for you. If you're wondering what it's like to start nasal esketamine and get ready for your first session, keep reading. Getting Started with the Nasal Esketamine Treatment As with any new treatment, you’ll first talk to your primary care provider or psychiatrist about whether nasal esketamine is a good fit for you. Alternatively, you can schedule your esketamine nasal spray consultation with a treatment center (such as Greenbrook) that has certification by the FDA’s Risk Evaluation and Mitigation Strategy (REMS). 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Schedule A Free Consultation To get started with nasal esketamine, schedule your free consultation today.
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