OCD: Symptoms, Treatment & UK Online Doctor
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- OCD is unwanted intrusive thoughts (obsessions) and repetitive behaviours (compulsions).
- Exposure and Response Prevention (ERP) is the gold-standard therapy.
- High-dose SSRIs are effective.
- Many sufferers wait years before seeking help — early treatment works better.
- An online GP can assess and start treatment.
Common themes
- Contamination and washing.
- Checking (locks, switches, harm).
- Symmetry and ordering.
- Forbidden or harmful intrusive thoughts.
- Hoarding (now classified separately).
Treatment
- ERP — gradual exposure to triggers without performing rituals.
- SSRIs at higher doses than for depression (e.g. sertraline 200 mg, fluoxetine 60 mg).
- Combination of therapy and medication is most effective for severe OCD.
- Specialist OCD services for treatment-resistant cases.
Frequently asked questions
Common questions UK patients ask about obsessive-compulsive disorder.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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