OCD vs. GAD and How to Tell the Difference (2023)

OCD vs. GAD and How to Tell the Difference (1)

People struggling with Obsessive Compulsive Disorder (OCD) are often misdiagnosed as having other psychological conditions. One of the most common misdiagnoses for this population is Generalized Anxiety Disorder (GAD). This diagnostic problem arises for two reasons. First, the distinction between OCD and GAD is somewhat vague. And second, many treatment providers have only a limited understanding of the varying ways in which OCD can manifest. While this issue may seem like an esoteric concern to some, making a proper diagnosis is important for those struggling with either condition, as the primary treatment for OCD is different than the treatment for GAD.

The Difference Between OCD Thoughts and GAD Thoughts

There are two essential differences between GAD and OCD. First is the nature of the thoughts involved. While unwanted thoughts are central to the diagnosis of both GAD and OCD, the unwanted thoughts experienced by those with GAD tend to focus on common, real-life concerns such as work, school, family, relationships, health, and financial issues. These are issues that most people worry about to some degree, but people with GAD worry about to such an extent as to significantly interfere with their daily functioning.

While GAD thoughts are generally focused on reasonably plausible concerns (for example, losing money on investments, getting fired, or failing a class), people with OCD tend to obsess about less common issues that are often quite unrealistic. People in the OCD community have over the years developed a colloquial shorthand to describe some of the more common flavors of OCD:

  • Contamination OCDObsessions about dirt and germs, and their impact on the sufferer or others (i.e., getting a disease from incidental contact with a suspected contaminant, etc.). When most people think of OCD, this is what they think of.
  • Harm OCD– Obsessions about purposely or accidentally causing harm to others or one’s self.
  • Homosexual OCD (HOCD)– Also known as Sexual Orientation OCD, or SO-OCD. Obsessions in HOCD focus on the fear that your sexual orientation is not what you think it should be. For straight people, HOCD obsessions focus on the fear that they are secretly gay or bi. For gay people, SO-OCD obsessions focus on the possibility that they are secretly straightor bi.
  • Relationship OCD (ROCD)– Obsessions in ROCD focus on the fear of not actually loving one’s partner, or not actually being sexually attracted to their partner.
  • Scrupulosity OCD–Religious Scrupulosity focuses on obsessions that one is not living in accordance with their spiritual beliefs. Moral Scrupulosity focuses less on religious obsessions, and more on the fear of not living in a manner that meets their personal moral standards.

Note that this is notan exhaustive list of the many variations of OCD, and is meant only to demonstrate some of the more prevalent variants of the condition. People with OCD can (and do) obsess about just about anything. That said, OCD obsessions are often about things that are highly improbable, and are frequently founded on the flimsiest of evidence. For example, a person with Harm OCD may think, “I enjoyed that horror film about a serial killer, so I must secretly be a serial killer myself, while someone with POCD may think “I thought that child was cute –so I must be a pedophile!

The line between OCD and GAD may at times be somewhat grey, and is to a certain extent arbitrary. The simplest way of conceptualizing the difference is to think of it as being a matter of both content and degree. GAD obsessions are generally focused on common, everyday concerns, while OCD obsessions tend to be significantly more unrealistic. Also, while someone with GAD (or anyonefor that matter) may experience unwanted thoughts similar to those experienced by people with OCD, they are generally able to quickly write those thoughts off as being unrealistic. They are unlikely to become consumed by these thoughts, and will usually revert back to obsessing about more mundane concerns.

On the other hand, for people struggling with OCD, these atypical thoughts are not fleeting or incidental – they occur with great frequency, and are experienced as deeply intrusive and unwanted. Furthermore, these types of obsessions cause incredible amounts of distress in the sufferer, often because the thoughts directly conflict with how the individual sees him/her self. Someone with OCD may spend hours, or weeks, or even years tortured by the idea that these profoundly distressing thoughts may be a legitimate indicator of who they are as a person. For example, people with Religious Scrupulosity are often devoutly religious, and are devastated by the thought of acting or thinking in a manner that is contrary to their faith. Likewise, those struggling with POCD are universally horrified by the idea of sexually molesting a child.

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Behavioral Differences Between OCD and GAD

The second primary difference between GAD and OCD is the sufferer’s behavioralresponse to their obsessional thoughts. In GAD, the primary (but not the only) behavioral response is to excessively worry about the issues that are causing them to feel anxious (more on this later). While people with GAD often spend great amounts of time ruminating about issues that concern them, they do not generally exhibit the classic compulsive symptoms seen in OCD, such as hand washing and door checking. Instead, in GAD, worrying is often both the obsession and the primary compulsion.

For example, someone with GAD may repeatedly have the thought “What if I don’t get that job and I end up going broke”. The initial appearance of this thought could be conceptualized as an obsession. Someone with GAD might then respond to this obsession by compulsively ruminating about the possibility of not getting the job they want, and then going broke, all in an attempt to resolve the anxiety that arose in response to the initial obsessive thought.

Conversely, those with OCD exhibit numerous compulsive behavioral responses to their unwanted thoughts. Some of these responses are fairly obvious and overt, such as repeated hand washing or lock checking. These behaviors are done in an attempt to reduce or eliminate anxiety related to their unwanted obsessions. Additionally, many people with OCD, especially those with variants of OCD that are frequently (and misleadingly) called “Pure O”, also exhibit numerous compulsive behaviors that are far less obvious to those unfamiliar with the subtleties of OCD. These more covert compulsions may include the following:

  • Avoidant Compulsions– People with OCD often avoid doing mundane tasks that others do without hesitation, such as driving or shopping, or even touching certain items such as doorknobs or telephones. This avoidance behavior is done in an effort to prevent the onset of intrusive thoughts, and the unwanted feelings and sensations that come with them.
  • Reassurance Seeking Compulsions– Many OCD sufferers compulsively seek reassurance that they have not said or done anything that they fear would confirm the legitimacy of their unwanted thoughts. Compulsive reassurance seeking is frequently done by repeatedly asking others questions related to one’s obsessional thoughts, and may also include compulsive internet searching about their intrusive thoughts.
  • Mental CompulsionsIndividuals struggling with OCD often have elaborate mental rituals that nobody can see, as they are occurring solely in the mind of the sufferer. These can include such things as compulsively praying or counting, or compulsively reviewing and countering their unwanted thoughts, all in an attempt to reduce the anxiety caused by their obsessions.

Unfortunately, most people don’t realize that these behaviors are compulsions, and that all compulsions actually make obsessions worsein the long run. For many people struggling with OCD, these types of less obvious behavioral compulsions are repeated over and over again, and are the most time-consuming feature of their struggle. Their OCD is essentially a nonstop battle that is hidden in plain sight. Even those closest to them often have no idea just how much of their life is consumed by these covert, never-ending compulsions.

While those with GAD do not generally exhibit the more obvious compulsive behaviors such as hand washing and door checking, it is not unusual for them to perform some covert compulsions. For example, someone with GAD may avoid certain situations, or seek reassurance in an effort to tame their anxiety about a particular real-life concern. Likewise, an individual struggling with GAD may do mental compulsions in order to cope with unwanted anxiety-provoking thoughts. For example, they might compulsively conduct contingency planning in their mind in order to feel less anxious about a feared potential health crisis or job loss. But while people with GAD may display some of these sorts of behaviors, the impact on their daily functioning is generally not as pronounced as it is for those with OCD.

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(Video) Lecture 3 GAD and OCD

Can you have both OCD and GAD?

While most people with GAD do not have OCD, it is fairly common for people with OCD to also have GAD. The simplest way to conceptualize this is that some people with OCD tend to over-think “real-life”issues just as they overthink the mostly implausible obsessions that cause them so much distress.

It is also worth noting that the symptoms of both OCD and GAD tend to spike during times of stress. It is not uncommon for people with OCD and/or GAD to experience a significant increase in their obsessionality when faced with normal life stressors such as taking tests, graduating from college, dealing with coworker conflicts, managing relationship issues, getting married, having children, etc.

Misdiagnosing OCD as GAD, and Vice-Versa

GAD isoccasionallymisdiagnosed as OCD, but OCD isfrequentlymisdiagnosed as GAD, and one reason for this is fairly simple – most psychotherapists do not even remotely understand the various ways in which OCD is expressed in those suffering with the condition. Unfortunately, many mental health treatment providers conceptualize OCD as being solely about the more obvious outward manifestations of the disorder such as hand washing or door checking. But many people with OCD, especially those with the more obsessional “Pure O” variants, exhibit no externally observable compulsions whatsoever. When faced with a client reporting anxiety symptoms that they don’t understand, many psychotherapists simply use GAD as a sort of fallback diagnosis.

The real culprit here is that many graduate schools do a miserable job of teaching prospective psychotherapists about the complexities of OCD. Most graduate school psychotherapy programs provide nothing more than a cursory, extremely limited overview of the various psychological disorders, without providing an in-depth understanding of any specific condition, including OCD.

The only way that most psychotherapists can develop a more comprehensive understanding of OCD and its treatment is to consciously seek out specialized training beyond what they learn in graduate school. This can be done by taking post-graduate continuing education courses that are required to maintain one’s license. There are also advocacy organizations such as the International OCD Foundation that provide highly specialized training.

Unfortunately, most treatment providers never seek out this extra training because they don’t realize just how little they know about OCD – they don’t know what they don’t know. In lieu of having gained this sort of specialized training, the best thing that most therapists can do to ensure that their clients with unwanted thoughts are properly diagnosed is to refer them to a therapist who specializes in OCD. The bottom line is that an OCD specialist will be able to more accurately distinguish between GAD and OCD, while a more general therapist is unlikely to fully understand and identify certain OCD symptoms.

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(Video) Anxiety Disorders – GAD, PD, Phobias, and OCD

Treatment of OCD vs. Treatment of GAD

The most effective treatment for both OCD and GAD is Cognitive Behavioral Therapy (CBT). However, it is important to note here that CBT is not a singular technique, but rather a broad range of interventions. The specific CBT intervention that is usually best for GAD is substantively different than the CBT technique that is most effective for the treatment of OCD.

Because those with GAD generally do not have as significant of a behavioral reaction to their anxiety-producing thoughts, the primary treatment for GAD is usually a specific CBT technique called Cognitive Restructuring. Using this technique, the individual with GAD learns to more effectively identify their anxiety-producing thoughts, and to challenge their accuracy and importance. With Cognitive Restructuring, the individual develops their ability to not immediately buy into their irrational thinking, and to instead consider other more realistic possibilities.

While Cognitive Restructuring can also be helpful for some with OCD, it is crucial to realize that this technique has the potential to be problematic for this population. It is not unusual for those with OCD to use Cognitive Restructuring compulsively in an effort to reduce the anxiety they are experiencing in response to their obsessive thoughts. While this is both predictable and understandable, it is also entirely counterproductive. A compulsion is still a compulsion, even when done in the guise of treatment.

The most effective, evidence-based treatment for OCD is a specific form of Cognitive Behavioral Therapy called Exposure and Response Prevention, or ERP. This treatment focuses on gradually and repeatedly exposing OCD sufferers to the very thoughts and situations that they fear. This might include something as simple as having the person with OCD touch doorknobs over and over again without washing afterwards, or something more complex such as repeatedly driving on busy streets despite their fear that they will run someone over, or changing their child’s diapers on a regular basis, despite the fear that they are secretly a pedophile.

The reasoning behind ERP is that repeated exposure to uncomfortable thoughts and situations leads to habituation, and to learning a new ways to respond to your unwanted thoughts. Simply put, this just means that the more you face your fears, the less scary they become. If you struggle with OCD, Exposure and Response Prevention will assist you in learning four valuable lessons that help you better manage your obsessional anxiety:

1) If you face your anxiety instead of running from it, you discover that the feared outcome almost never occurs.

(Video) Obsessive compulsive disorder (OCD) - causes, symptoms & pathology

2) Even if the feared outcome does actually occur, it is unlikely to be anywhere close to catastrophic. Less than ideal perhaps, but not the end of the world.

3) If you don’t respond to anxiety by doing compulsions, your anxiety will usually decrease (or even disappear) anyway, just by virtue of letting yourself get used to its presence in your mind. In other words, you will learn that you don’t really need the compulsions.

4) Most importantly, you’ll learn that you are far more capable of tolerating your anxiety than you previously realized.

As noted earlier, the line between OCD and GAD may at times appear fuzzy or arbitrary. Some would even argue that GAD is essentially a variant of OCD in which the obsessions are simply more focused on “real life” concerns, or that GAD is “OCD Lite”. Further muddying the distinction between these two conditions is the fact that, while ERP is the treatment of choice for OCD, it sometimes has a place in the treatment of GAD as well.

Specifically, the more compulsive an individual’s GAD gets, the more it should be treated like OCD. If an individual with GAD exhibits any of the classic compulsive symptoms that are often seen in OCD (i.e., repetitive hand washing, door checking, etc.), it would be wise to treat those specific behaviors with the same ERP approach used for the treatment of OCD.

Likewise, if someone with GAD displays covert behavioral compulsions that are tangible, such as avoidance behaviors, reassurance seeking, and certain mental compulsions such as repetitive praying or counting, then ERP is appropriate. However, some mental compulsions may be extremely difficult to target with ERP. All of which brings us back to the lack of a perfect distinction between these two conditions, and between their respective treatments.

Finally, it is also worth noting that some more recently developed CBT techniques can be applied with equal value to both OCD and GAD. These newer techniques, such as Acceptance and Commitment Therapy (ACT)and Dialectical Behavior Therapy (DBT), are often described as Mindfulness Based CBT, or “third wave” CBT. These approaches are grounded on the premise that unpleasant thoughts and feelings are a normal part of the human experience, and that trying to control them actually makes them worse. This “third wave”approach focuses instead on accepting the presence of unwanted thoughts and feelings, without making an effort to reduce or eliminate them.

While we humans cannot control the thoughts that pop into our heads, the good news is that we don’t have to. Whether you struggle with OCD, GAD, or both, the various CBT techniques described above can provide you with a fuller, more realistic perspective towards any intrusive, distressing thoughts that you experience, while giving you the tools you need to more effectively respond to them.

(Video) OCD and Anxiety Disorders: Crash Course Psychology #29

•Tom Corboy, MFT, Lauren McMeikan, MFT, and Crystal Quater, MFT, arepsychotherapists at theOCD Center of Los Angeles,a private, outpatient clinic specializing in Cognitive-Behavioral Therapy (CBT) for the treatment of OCD and related anxiety-based conditions. In addition to individual therapy, the center offers five weekly therapy groups, as well as online therapy, telephone therapy, home visits, and intensive outpatient treatment. To contact the OCD Center of Los Angeles,click here.


How can you tell the difference between OCD and GAD? ›

Anxiety: Behavior. The primary behavioral difference between OCD and GAD involves the presence of compulsions. People with OCD engage in compulsive behaviors to cope with anxiety, while people with GAD do not.

Can GAD be confused with OCD? ›

While most people with GAD do not have OCD, it is fairly common for people with OCD to also have GAD. The simplest way to conceptualize this is that some people with OCD tend to over-think “real-life” issues just as they overthink the mostly implausible obsessions that cause them so much distress.

Can GAD become OCD? ›

The primary feature of OCD is the presence of obsessions and compulsions (repetitive behaviors or mental actions aimed at relieving distress), so if you identify with these descriptions — even if you have been diagnosed with GAD — it is possible that you have OCD.

Can anxiety mimic OCD? ›

Differential diagnosis

While the diagnostic criteria spell out differences between the categories, phenotypically, the presentations of OCD and anxiety disorders, such as social anxiety disorder and specific phobias, can appear very similar.

How often is OCD misdiagnosed? ›

Researchers founded that an average of 50.5% of the physicians misdiagnosed the OCD vignettes with rates up to 85% depending on the type of OCD vignette given. Vignettes with topics of homosexuality, aggression, pedophilia, and fear of saying things resulted in the highest rate of misidentification.

Are intrusive thoughts OCD or anxiety? ›

OCD obsessions are repeated, persistent and unwanted thoughts, urges or images that are intrusive and cause distress or anxiety. You might try to ignore them or get rid of them by performing a compulsive behavior or ritual.

What mimics generalized anxiety disorder? ›

People who have generalized anxiety disorder may also develop depression, alcoholism, or drug addiction. It's also common for people with GAD to have another anxiety disorder. These can include panic disorder, posttraumatic stress disorder, obsessive-compulsive disorder, and social phobia.

What are the 4 types of OCD? ›

OCD can manifest in four main ways: contamination/washing, doubt/checking, ordering/arranging, and unacceptable/taboo thoughts. Obsessions and compulsions that revolve about contamination and germs are the most common type of OCD, but OCD can cover a wide range of topics.

Is overthinking part of OCD? ›

While it is not uncommon for individuals to have disturbing thoughts from time to time, a person with OCD cannot escape their thoughts no matter how hard they try. These recurring thoughts are so severe that they can debilitate someone with OCD.

Is GAD a chemical imbalance? ›

An imbalance of naturally occurring brain chemicals — such as serotonin, dopamine and norepinephrine — is often seen in people with GAD and could be an indicator of a propensity to develop the disorder, according to the Mayo Clinic.

What is OCD confused with? ›

Schizophrenia. Schizophrenia is a complex chronic mental health condition that can be confused with OCD. There are several symptoms that must be present for a schizophrenia diagnosis, but the three primary symptoms are: hallucinations.

What is one symptom people with GAD can experience? ›

Psychological symptoms of GAD

restlessness. a sense of dread. feeling constantly "on edge" difficulty concentrating.

Can a brain scan show OCD? ›

Brain scans may be helpful in showing the differences in the structure and function of brain regions in individuals with OCD. Such studies can provide new targets for the treatment of OCD.

How are you tested for OCD? ›

There's no test for OCD. A healthcare provider makes the diagnosis after asking you about your symptoms. The provider uses criteria explained in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V).

Can GAD cause intrusive thoughts? ›

For GAD, the intrusive thoughts are rarely as graphic as those with OCD. Many with generalized anxiety disorder have worries that they cannot seem to get rid of, and often show themselves at unusual times.

What does undiagnosed OCD look like? ›

Signs and symptoms of OCD

Obsessive thoughts: These obsession symptoms typically intrude other thoughts when you're trying to do or think about other things and may include: Fear of being contaminated by germs or dirt. Intrusive sexually explicit or violent thoughts. Fear of having a serious illness.

How can you tell if OCD is false? ›

Physical Checking: People with False Memory OCD may try to recreate a scene they have in their minds. They may physically revisit the location they are concerned about, try to access recorded footage, spend hours researching news archives about an event they may have possibly been implicated in.

What will a psychiatrist do for OCD? ›

Psychiatrists can: make a diagnosis of OCD. diagnose and treat any depression or anxiety, which are common in people with OCD. provide treatments – ERP, other types of talking therapy and medication.

How can you tell the difference between intrusive thoughts and thoughts? ›

If a thought is disturbing and it's something you want to push out of your mind, it might be an intrusive thought. The thought feels hard to control. Intrusive thoughts are often repetitive and won't go away. "The more you think about it, the more anxious you get and the worse the thoughts get," says Dr.

What makes OCD flare up? ›

They can be triggered by a personal crisis, abuse, or something negative that affects you a lot, like the death of a loved one. It's more likely if people in your family have OCD or another mental health disorder, such as depression or anxiety. OCD symptoms include obsessions, compulsions, or both.

Is OCD a form of autism? ›

Autistic symptoms and OCD can look similar

Autism Spectrum Disorder (ASD) and OCD are two different conditions, however, it is true that some symptoms of autism overlap with those of other disorders, such as OCD, and can look similar (Højgaard et al. 2016).

What is the hallmark symptom of generalized anxiety disorder? ›

The hallmark of generalized anxiety disorder (GAD) is excessive, out-of-control worrying about everyday things. Symptoms include: Persistent fear, sometimes without any obvious cause, that is present everyday. Inability to concentrate.

What are the 5 symptoms of generalized anxiety disorder? ›

Generalized Anxiety Disorder
  • Feeling restless, wound-up, or on-edge.
  • Being easily fatigued.
  • Having difficulty concentrating.
  • Being irritable.
  • Having headaches, muscle aches, stomachaches, or unexplained pains.
  • Difficulty controlling feelings of worry.
  • Having sleep problems, such as difficulty falling or staying asleep.

Is there a test for generalized anxiety disorder? ›

Order blood or urine tests or other tests, if a medical condition is suspected. Ask detailed questions about your symptoms and medical history. Use psychological questionnaires to help determine a diagnosis.

What are the 9 symptoms of OCD? ›

Among kids and teens with OCD, the most common obsessions include:
  • Fear of dirt or germs.
  • Fear of contamination.
  • A need for symmetry, order, and precision.
  • Religious obsessions.
  • Preoccupation with body wastes.
  • Lucky and unlucky numbers.
  • Sexual or aggressive thoughts.
  • Fear of illness or harm coming to oneself or relatives.
26 Aug 2013

What are common OCD triggers? ›

Types of triggers
  • Stress. Everyone has some level of stress, be it from school, work or family life, and research has shown Americans are among the most stressed people in the world. ...
  • Trauma. ...
  • Life changes. ...
  • Take care of yourself. ...
  • Be aware. ...
  • Go to therapy.
24 Mar 2021

Is there a milder version of OCD? ›

People with obsessive compulsive disorder can have mild or severe symptoms. Those with mild obsessive compulsive disorder may be able to control their compulsive behaviors for certain periods of time (for example, at work) and may successfully hide their condition.

What does OCD thinking feel like? ›

Obsessions are unwelcome thoughts, images, urges, worries or doubts that repeatedly appear in your mind. They can make you feel very anxious (although some people describe it as 'mental discomfort' rather than anxiety).

Who is a famous person with OCD? ›

Howie Mandel

A longtime entertainer, host, and comedian, Howie Mandel is one of the most famous people with OCD and he has been incredibly open over the years about his struggle with the disorder.

Does OCD cause mood swings? ›

OCD may trick you into believing that any shift in mood, thought, or perception may be an indicator of their descent to “losing their mind.” Stress (like a pandemic) or significant changes (like being isolated from family and friends) exacerbate OCD symptoms, and naturally lead to increased irritability and moodiness, ...

Do people with GAD have low serotonin? ›

Patients with some anxiety disorders, including social anxiety, have been found to have higher, not lower, levels of serotonin. Some patients experience a temporary increase in anxiety when they begin SSRI and SNRI medications and serotonin levels go up.

Are people born with GAD? ›

Genetic factors: GAD may run in families. Just as a child can inherit parent's brown hair, green eyes, and nearsightedness, a child can also inherit that parent's tendency toward excessive anxiety. Current research suggests that one-third of the risk of experienced GAD is genetic.

What happens in the brain when you have GAD? ›

A new University of Wisconsin–Madison imaging study shows the brains of people with generalized anxiety disorder (GAD) have weaker connections between a brain structure that controls emotional response and the amygdala, which suggests the brain's “panic button” may stay on due to lack of regulation.

What is OCD most comorbid with? ›

The most common comorbid disorder in OCD is anxiety disorders with a prevalence of 75.8%, mood disorders with 63.3% specifically major depression disorder (MDD) with 40.7%, impulse control disorders 55.9%; and substance use disorders (SUDs) 38.6 % [7].

Why is OCD so often misdiagnosed? ›

As Dr. Jill Fenske, M.D. explains in Physician's Weekly, OCD is so often underdiagnosed and undertreated not only because people with OCD are often secretive about their symptoms, but also because “a lack of recognition of OCD symptoms by physicians often leads to a long delay in diagnosis and treatment.”

Is OCD mental or neurological? ›

Once thought to be psychodynamic in origin, OCD is now generally recognized as having a neurobiological cause. Although the exact pathophysiology of OCD in its pure form remains unknown, there are numerous reports of obsessive-compulsive symptoms arising in the setting of known neurological disease.

What happens if GAD goes untreated? ›

For the majority of people with undiagnosed or untreated anxiety disorder, there are many negative consequences, for both the individual and society. These include disability, reduced ability to work leading to loss of productivity, and a high risk of suicide.

Does GAD start suddenly? ›

GAD usually has a gradual onset, so you may not recognize the symptoms as they build up. GAD may fluctuate or change over time. If you have GAD, you may feel tense and worried more days than not.

What are the 3 risk factors for GAD? ›

History of Stressful Life Events

Poor or oppressed. Childhood abuse or neglect; exposure to parental abuse or drug use or physical discipline.

Is OCD caused by a chemical imbalance? ›

Is OCD Caused by a Chemical Imbalance? While studies in the past have shown possible links between chemical imbalances and deficiencies, including serotonin production issues, recent research has largely disproven any connection between an OCD diagnosis and chemical imbalances in the brain.

What part of the brain is damaged in OCD? ›

Imaging, surgical, and lesion studies suggest that the prefrontal cortex (orbitofrontal and anterior cingulate cortexes), basal ganglia, and thalamus are involved in the pathogenesis of obsessive-compulsive disorder (OCD).

Is OCD neurotic or psychotic? ›

Non-psychotic disorders, which used to be called neuroses, include depressive disorders and anxiety disorders like phobias, panic attacks, and obsessive-compulsive disorder (OCD).

When does OCD begin on average? ›

OCD usually begins before age 25 years and often in childhood or adolescence. In individuals seeking treatment, the mean age of onset appears to be somewhat earlier in men than women.

What are the 7 types of OCD? ›

Common Types of OCD
  • Aggressive or sexual thoughts. ...
  • Harm to loved ones. ...
  • Germs and contamination. ...
  • Doubt and incompleteness. ...
  • Sin, religion, and morality. ...
  • Order and symmetry. ...
  • Self-control.

Which SSRI is best for OCD? ›

This is why the American Psychiatric Association recommends fluoxetine, along with other SSRIs, as one of the first-choice medications that can be used to treat OCD.

Can GAD be confused with OCD? ›

While most people with GAD do not have OCD, it is fairly common for people with OCD to also have GAD. The simplest way to conceptualize this is that some people with OCD tend to over-think “real-life” issues just as they overthink the mostly implausible obsessions that cause them so much distress.

Do I have OCD or just anxiety? ›

Though distressing thoughts are a big part of both generalized anxiety disorder and OCD, the key difference is that OCD is characterized by obsessive thoughts and resulting compulsive actions. In contrast, someone with more general anxiety will experience worries without necessarily taking compulsive actions.

Can GAD make you think you have OCD? ›

The primary feature of OCD is the presence of obsessions and compulsions (repetitive behaviors or mental actions aimed at relieving distress), so if you identify with these descriptions — even if you have been diagnosed with GAD — it is possible that you have OCD.

How do you test for GAD? ›

Order blood or urine tests or other tests, if a medical condition is suspected. Ask detailed questions about your symptoms and medical history. Use psychological questionnaires to help determine a diagnosis.

Does the GAD 7 diagnose anxiety? ›

A score of 10 or greater on the GAD-7 represents a reasonable cut point for identifying cases of GAD. Cut points of 5, 10, and 15 might be interpreted as representing mild, moderate, and severe levels of anxiety on the GAD-7, similar to levels of depression on the PHQ-9.

What are the 6 symptoms of GAD? ›

Symptoms of GAD include:
  • Feeling restless, wound-up, or on-edge.
  • Being easily fatigued.
  • Having difficulty concentrating.
  • Being irritable.
  • Having headaches, muscle aches, stomachaches, or unexplained pains.
  • Difficulty controlling feelings of worry.
  • Having sleep problems, such as difficulty falling or staying asleep.

What does GAD feel like physically? ›

Physical symptoms of GAD

a noticeably strong, fast or irregular heartbeat (palpitations) muscle aches and tension. trembling or shaking. dry mouth.

Can you self diagnose GAD? ›

Knowing the signs and symptoms of anxiety can help you seek the appropriate treatment. While the internet is full of self-assessment tests to self-diagnose anxiety, only a thorough clinical examination by a doctor can accurately diagnose the condition.

Is GAD high functioning anxiety? ›

High-functioning anxiety is most likened to GAD because of its ambiguous but omnipresent nature. As with people with GAD, people with high-functioning anxiety may experience intense feelings of fear and impending doom and other symptoms associated with anxiety disorders.

Who is most diagnosed with Generalized Anxiety Disorder? ›

GAD develops slowly. It often starts around age 30, although it can occur in childhood. The disorder is more common in women than in men.

What is the most diagnosed anxiety disorder? ›

Generalized anxiety disorder (GAD) is the most common anxiety disorder among older adults, though anxiety disorders in this population are frequently associated with traumatic events such as a fall or acute illness. Read the best way to treat anxiety disorders in older adults.


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