Recognizing Warning Signs in OCD Treatment

Important Indicators That Your OCD Treatment May Need Adjustment

Psychiatry

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Last updated: Mar 24, 2025

Key Warning Signs to Monitor

Treatment Response Issues

  • Symptoms remain severe after 12 weeks of consistent treatment
  • No improvement in Y-BOCS scores after 6-8 weeks
  • Increasing difficulty in completing ERP exercises
  • Development of new obsessions or compulsions

Medication-Related Concerns

  • Significant side effects affecting daily functioning
  • Missing medication doses frequently
  • Sudden changes in mood or anxiety levels
  • Sleep pattern disruptions

Behavioral Red Flags

  • Isolation from support system
  • Avoiding therapy appointments
  • Increased ritualistic behaviors
  • Difficulty maintaining work or school responsibilities

When to Seek Immediate Help

Emergency Situations

  • Suicidal thoughts or intentions
  • Severe panic attacks
  • Complete inability to perform daily activities
  • Physical symptoms from anxiety (chest pain, breathing difficulties)

Treatment Adjustments

  1. Contact your psychiatrist for medication review
  2. Schedule an urgent therapy session
  3. Consider intensive outpatient programs
  4. Review and adjust your treatment plan

Prevention Strategies

  • Keep a symptom diary
  • Maintain regular communication with your treatment team
  • Attend all scheduled appointments
  • Practice learned coping strategies consistently

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