Distinguishing Compulsive Behaviors: OCD Vs. Addiction

OCD affects 2.5 million adults in the US. 23% of people who have OCD also have drug or alcohol-related disorders. Both OCD and addiction deal with compulsive behaviors and actions. However, the causes and effects of giving into these behaviors are drastically different between OCD and addiction. People who have OCD don’t feel pleasure when they engage in their compulsion, whereas someone who has an addiction does. 

Understanding OCD

If you have OCD, then there is a high chance that you will experience frequent and obsessive thoughts. You can also experience compulsive behaviors. These behaviors vary from person to person in severity and action and are often triggered by fears, both rational and irrational. 

If you would like help managing your OCD, then getting a clinical assessment is generally the best option. Clinical evaluations, such as the Y-BOCS, can help you identify the frequency and severity of your thoughts or behaviors. Receiving a diagnosis can help you have clarity about how to move forward.

In the instance of OCD, compulsions are driven by the sole need to relieve anxiety. Some researchers believe that an anomaly within the neuronal loop causes it. Medications are often used to treat this condition by increasing the serotonin levels in the brain, which can also help to stabilize the brain circuits that are affected by OCD.

Understanding Addiction

Addictive substances are rarely used with the intent to become dependent on them. Instead, addiction often emerges as an unintended consequence in the pursuit of the desired effects these substances provide. Unfortunately, the allure of these short-term benefits can lead to a heavy price—addiction. Below are some common substances that can lead to addiction:

• Alcohol
• Anxiolytics
• Caffeine
• Cannabis
• Hypnotics
• Inhalants
• Opioids
• Sedatives
• Stimulants 
• Tobacco

Addiction is often marked by specific behaviors, including cravings, withdrawal symptoms, increased tolerance, and continued use despite negative consequences. As addiction takes hold, it triggers changes in the brain, altering synaptic connections and strengthening the pathways that reinforce addictive behaviors. These neuroplastic changes train the brain to seek out the substance repeatedly to experience the pleasurable sensations it provides. Over time, this leads to the development of tolerance and deepens the cycle of addiction.

Treatment Approaches for OCD

OCD can be treated in several ways. One of the most extensive treatment options is cognitive behavioral therapy or exposure and response prevention. This generally has the most substantial impact on OCD symptoms, mainly when used in tandem with medication.

A psychiatrist or a physician can prescribe you medication. They will work with you to ensure you can develop a treatment plan that works for you. Finding the proper medication can be a process of trial and error, but it’s worthwhile in the long run.

Treatment Approaches for Addiction

If you believe you have an addiction, several effective treatment options are available to help you on your recovery journey. Behavioral therapies, such as cognitive-behavioral therapy (CBT) and contingency management, play an important role in treating addiction. CBT focuses on changing the thought patterns and behaviors that contribute to substance use, helping you approach situations in healthier ways. Contingency management offers positive reinforcement, rewarding you for staying abstinent and progressing in your recovery.

In addition to behavioral therapies, support groups like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) provide a strong network of peers who understand your challenges. These groups offer ongoing support, encouragement, and accountability, which can be vital in maintaining long-term sobriety.

Addiction treatment varies widely from person to person, but you can find comfort in knowing that there are many ways to get the help you need.

Dual Diagnosis: OCD and Addiction

When dealing with both OCD and addiction, it’s important to understand that this is known as a dual diagnosis. Addressing both conditions simultaneously can be challenging, as symptoms of OCD, addiction, anxiety, and depression often overlap, which can sometimes lead to misdiagnosis. To achieve the best outcomes during treatment, seeking specialized care that addresses both OCD and addiction is crucial.

Find a Treatment Center Near You

If you’re ready to seek treatment for OCD and addiction, contact Jackson House Recovery Center today. Our specialists are equipped to address both conditions and provide a comprehensive treatment plan tailored to your needs. Whether you’re dealing with OCD, addiction, or both, we’re here to support you.