Understanding OCD
Obsessive-Compulsive Disorder (OCD) is widely misunderstood. It’s not about being organized or particular. OCD involves intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) that a person feels driven to perform to reduce distress. It can be deeply disabling when left untreated.
At MindMED, we understand that OCD is a neurobiological condition — not a personality quirk. With proper treatment, most people with OCD experience meaningful improvement.
Common OCD Presentations
OCD can manifest in many forms. Some common themes include:
- Contamination fears — Excessive concern about germs, dirt, or illness, with washing or cleaning rituals
- Harm obsessions — Intrusive thoughts about accidentally or intentionally harming oneself or others
- Symmetry and ordering — Need for things to be “just right,” with arranging or counting rituals
- Religious or moral scrupulosity — Excessive concern about blasphemy, sin, or moral wrongdoing
- Relationship OCD — Persistent doubt about relationships despite evidence of love and commitment
- Pure O — Predominantly obsessional OCD with mental (rather than visible) compulsions
Our Approach to OCD Treatment
The gold standard for OCD treatment combines medication with Exposure and Response Prevention (ERP) therapy. At MindMED, we manage the medication component and coordinate closely with therapists who specialize in ERP.
Medication Management
- SRI medications (SSRIs at therapeutic doses for OCD)
- Augmentation strategies when first-line treatments aren’t sufficient
- Careful, patient titration — OCD often requires higher doses
- Monitoring for side effects and treatment response
- Evidence-based combination approaches
Comprehensive Care
- Coordination with ERP therapists for optimal outcomes
- Assessment for co-occurring conditions (anxiety, depression, tics)
- Family education about OCD and accommodation patterns
- Integrative strategies including sleep and stress management
- Long-term management planning and relapse prevention
Important note: OCD treatment works best when medication is paired with ERP therapy from a specialized therapist. MindMED manages the medication side of treatment. If you need an ERP therapist referral, we can recommend specialists in the Southlake area.
Insurance & Pricing
We accept major insurance plans for OCD evaluation and treatment:
✓ Aetna
✓ BCBSTX
✓ Cigna
✓ Oscar Health
✓ United Healthcare
Self-pay and out-of-network options are also available. View full pricing details →