OCD and Addiction

If you are dealing with OCD, you know how exhausting it can be to wrestle with your thoughts constantly. When addiction is also a part of the picture, everyday life can become a daunting challenge, with both conditions making it hard to keep your head above water. But at Oasis Runcorn, we understand what you’re going through. We offer a safe space where you can start to heal with the guidance you need to find your way forward.

OCD Text as image

What is OCD?

OCD stands for Obsessive-Compulsive Disorder, a mental health condition where your brain gets stuck in a pattern of unwanted thoughts and repetitive actions. These obsessions are not like the everyday worries that we all have. They are persistent thoughts that can cause a lot of stress.

To try to get some relief, you might constantly perform certain rituals or behaviours, but these compulsions only provide temporary comfort. The cycle can be draining, making it hard to focus on anything other than the need to repeat these ritualistic behaviours. OCD can make everyday tasks feel like monumental challenges, taking a toll on your mental and emotional well-being.

OCD symptoms appear in people in different ways. For some, it is about checking things repeatedly, like whether the door is locked or the stove is off. For others, it is more about needing things to be perfectly ordered or symmetrical.

Some people also have OCD tics, which are sudden, repetitive actions like blinking, throat clearing or shoulder shrugging. OCD tics are thought to be the body responding to the anxiety that comes with OCD.

OCD affects approximately 1-2% of the global population, which means millions of people are living with this condition every day. It tends to develop in childhood, adolescence or early adulthood and often begins at a younger age in males.

What are the 4 types of OCD?

OCD comes in different forms, but OCD symptoms often fall into one of four main types. Understanding these can help you make sense of what you are going through:

1. Contamination and cleaning OCD

OCD symptoms for this type include always worrying about germs, getting sick or touching something dirty. People with this type of OCD often feel the need to wash their hands, clean surfaces or avoid certain places to keep themselves or others safe from harm.

2. Harm and checking OCD

This type of OCD is all about the fear of causing harm, either to yourself or to someone else. You might find yourself double- or triple-checking things like doors, hobs, car brakes or anything else that could potentially cause danger.

3. Symmetry and ordering OCD

Do you feel like everything needs to be perfectly balanced or in a specific order? This OCD type can create terrible anxiety if things aren’t lined up the way they should be and can lead to an obsession with arranging or counting things or repeating actions until they feel “right.”

4. Forbidden thoughts and mental rituals OCD

This one is really tough because it involves thoughts or images that feel wrong or disturbing to you. You might have violent, sexual or blasphemous thoughts that you can’t get out of your head. To deal with these thoughts, you might create mental rituals like counting, praying or repeating certain phrases to try and make the thoughts go away.

What is the relationship between OCD and addiction?

When you are dealing with OCD and addiction, it is called a dual diagnosis. This means that you have both mental health and addiction disorders simultaneously. This is incredibly common as research shows that about 1 in 4 people with OCD will also deal with some form of substance addiction during their lives.

OCD can be exhausting, with the unrelenting thoughts and the rituals really taking their toll.  Sometimes, people turn to drugs, alcohol or even prescription medicines to try to quiet their minds or escape the stress that OCD brings. It might feel like it helps for a bit, but in reality, it can make your OCD symptoms even tougher to handle.

It is also important to be aware that certain types of OCD medication, like benzodiazepines or certain sleep aids, can be habit-forming if not used carefully. These medications can provide short-term relief, but they carry a risk of dependence if taken for too long or at higher doses than your prescription.

Confused child

What does OCD and addiction treatment entail?

At Oasis Runcorn, we know that when you are facing a dual diagnosis, you need a treatment plan that looks at the whole picture. Our rehab treatment plans help to tackle the causes and consequences of addiction while considering the unique recovery needs of those with OCD. Our medical team will make sure you receive any OCD medication you need while our therapists help you understand how the condition is fuelling your addiction.

Here are some of the most important treatment approaches delivered by both centres:

Holistic therapies
With OCD, sometimes what you need most is a way to quiet the noise in your mind. Holistic therapies like mindfulness meditation, sound therapy and guided art can offer that sense of peace and grounding. These practices help you reconnect with your body and mind in a positive way, building resilience for the challenges ahead.
Family therapy
OCD and addiction can both have a huge impact on your loved ones. Family therapy offers a chance for you to share your recovery with those closest to you and repair any harm that has been done. It is all about opening up communication, healing old wounds and bringing you together again.
Group therapy
Group therapy is a space where you don’t have to explain yourself because everyone’s been there. You will share stories, lift each other up and learn how to face tough times together.
One-on-one counselling
When OCD and addiction feel like they are taking over, one-on-one counselling is your chance to push back. These private sessions are your time to dig deep, talk through what’s really going on and figure out how to take back control.
Behavioural therapy
Living with OCD means dealing with thoughts that can take over your mind. When addiction is also involved, it can feel like you are trapped in a maze of negativity. Therapies like CBT and DBT are designed to help you break out of those mental patterns and start living life on your own terms.
Ongoing support after rehab
Continued support is key to maintaining your progress after the first stages of treatment are finished. Oasis Runcorn provides ongoing care to help you stay on track. This includes weekly group sessions, a personalised relapse prevention plan and exclusive events and resources with our amazing Alumni Network.

Get help for OCD and addiction today

You are stronger than OCD and addiction, and with the right support, you can defeat both. Every day is an opportunity to start fresh, and Oasis Runcorn can help you do just that. If OCD and addiction are holding you back, let Oasis Runcorn guide you on a new path. Contact us today, and we will be by your side as you discover peace and renewed health.

Frequently Asked Questions

What causes OCD?
OCD is caused by a mix of things, including genetics, brain chemistry and life experiences. If someone in your family has OCD or another mental health condition, you might be more likely to develop it, too. Stressful or traumatic events can also play a role. For example, the loss of a loved one, abuse or even a major illness can act as triggers, bringing OCD symptoms to the surface or making existing symptoms worse.
What is the difference between obsessions and compulsions?
Obsessions are the unwanted, intrusive thoughts, images or urges that pop into your head and won’t go away. They create a lot of anxiety and discomfort, which can become unbearable. Compulsions, on the other hand, are the actions or mental rituals you feel driven to perform to try to get rid of that anxiety. While the compulsions might give you a bit of temporary relief, they often end up reinforcing the obsessions, keeping the cycle going.
What addictions are commonly associated with OCD?
People with OCD often struggle with addictions as they try to cope with their overwhelming thoughts and feelings. Common addictions linked to OCD include alcohol, drugs and certain behavioural addictions. These can include co-existing OCD and porn addiction or OCD and sex addiction, where these activities develop as a way to manage the intense anxiety caused by OCD.

(Click here to see works cited)

  • Johns Hopkins Medicine. “Obsessive-Compulsive Disorder (OCD).” Johns Hopkins Medicine, https://www.hopkinsmedicine.org/health/conditions-and-diseases/obsessivecompulsive-disorder-ocd. Accessed 30 August 2024.
  • OCD-UK. “Types of OCD.” OCD-UK, https://www.ocduk.org/ocd/types/. Accessed 30 August 2024.
  • UK Rehab. “Dual Diagnosis | Co-Occurring Disorders.” UK Rehab, https://www.uk-rehab.com/mental-health/dual-diagonosis/. Accessed 30 August 2024.
  • UK Rehab. “OCD and Addiction | Mental Health and Addiction.” UK Rehab, https://www.uk-rehab.com/mental-health/ocd-and-addiction/. Accessed 30 August 2024.
  • Virtanen, Suvi et al. “Association of Obsessive-Compulsive Disorder and Obsessive-Compulsive Symptoms With Substance Misuse in 2 Longitudinal Cohorts in Sweden.” JAMA network open vol. 5,6 e2214779. 1 Jun. 2022, doi:10.1001/jamanetworkopen.2022.14779. Accessed 30 August 2024.
  • Mancebo, Maria C et al. “Substance use disorders in an obsessive compulsive disorder clinical sample.” Journal of anxiety disorders vol. 23,4 (2009): 429-35. doi:10.1016/j.janxdis.2008.08.008. Accessed 30 August 2024.
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