Tag Archives: PTSD

Is there a relationship between trauma and obsessive compulsive disorder?

Very interesting study came out this month in the European Journal of Psychotraumatology. It studied patients who were diagnosed both with obsessive-compulsive disorder (OCD) and posttraumatic stress disorder. (PTSD) For these people, repetitive behavior patterns, rituals and compulsions may ward off anxiety and may serve as a coping mechanism to control reminders of traumatic events. So, if a person was raped at a young age, that person may have obsessions related to being dirty or unclean and may cope with those obsessions by washing his hands several times a day. Some patients suffer so severely that she may wash her hands raw enough to make them bleed. These patients are truly in a lot of distress.
This study was a case report of a 49 years old Dutch man who was raped as a child by an unknown man. The patient was treated with Paxil (an antidepressant) as well as with 9 sessions of psychotherapy, particularly eye movement desensitization and reprocenssing (EMDR), and an exposure type of therapy. It was observed that the PTSD symptoms went away before the OCD symptoms did.
This studies conclusion found that there is a connection between PTSD and OCD and by treating the PTSD first, one may be able to subsequently cure the OCD as well.
It is my belief that for many people, EMDR can be a faster route to get relief in those who have experienced trauma and also suffer from OCD symptoms.

EMDR reduces the subjective vividness and objective memory accessibility.

We’ve heard a lot about EMDR or Eye Movement Desensitization and Reprocessing. There have been much research supporting its efficacy, many books written, even U-tube videos made demonstrating its usefulness. What does it do exactly? The mechanism isn’t completely clear.
In eye movement desensitization and reprocessing (EMDR), a treatment for post-traumatic stress disorder (PTSD), patients make eye movements (EM) during trauma recall. A recent study in Cogn Emot. 2012 Jul 6 showed that EMDR apparently reduces the subjective vividness of the memories, making the memories easier to deal with and handle. Thereby making the memory fade faster in susequent visits.