بحسب معلوماتي المتواضعة فإن هذا النوع من الأمراض النفسية قد يطول أمده في العلاج. ويحتاج المريض فيه إلى نوعين من العلاج: الأدوية والعلاج النفسي من خلال عقد جلسات حوارية نفسية متواصلة مع المريض.
The advice you have given is accurate, the problem is that there is no real evidence any of it works. It is difficult to know its origin as the cause does not appear to fit psychodynamic arguments nor in fact somatic ones. The only treatment may be to concentrate on its frequency and intensity.
There are two types of effective treatments for obsessive-compulsive disorder.
Usually combining them helps you get the best results in the shortest time.
The first treatment is pharmacotherapy with serotonin reuptake inhibitors (SSRIs). These are family medications that help increase the amount of serotonin available in certain brain places related to obsessive-compulsive disorder.
The time spent in this class to affect OCD symptoms ranges from 8 to 12 weeks.
However, some patients do not feel better after receiving medication. In addition, only 20% of patients receiving medication are successful in eliminating all symptoms. With medication therapy stopped, symptoms often recur.
The second treatment is cognitive behavioral therapy. Unlike conventional psychotherapy, cognitive behavioral therapy is shorter, goal-specific, requires the patient to perform exercises and experiments and buys tools that are found to be effective in dealing with the disorder.
SSRI's can cause as much harm as good, especially over time. While I know their use is encouraged they should not be and really do not work. They have only a placebo effect.
The two main treatments for OCD are psychotherapy and medications. Often, treatment is most effective with a combination of these.
Psychotherapy
Cognitive behavioral therapy (CBT), a type of psychotherapy, is effective for many people with OCD. Exposure and response prevention (ERP), a type of CBT therapy, involves gradually exposing you to a feared object or obsession, such as dirt, and having you learn healthy ways to cope with your anxiety. ERP takes effort and practice, but you may enjoy a better quality of life once you learn to manage your obsessions and compulsions.
Therapy may take place in individual, family or group sessions.
Medications
Certain psychiatric medications can help control the obsessions and compulsions of OCD. Most commonly, antidepressants are tried first.
Antidepressants approved by the Food and Drug Administration (FDA) to treat OCD include:
Clomipramine (Anafranil) for adults and children 10 years and older
Fluoxetine (Prozac) for adults and children 7 years and older
Fluvoxamine for adults and children 8 years and older
Paroxetine (Paxil, Pexeva) for adults only
Sertraline (Zoloft) for adults and children 6 years and older
Just to add to my above assertions as SSRIs are routinely accepted. https://www.newscientist.com/article/mg23931980-100-nobody-can-agree-about-antidepressants-heres-what-you-need-to-know/
This paper raises the issues surrounding SSRIs and their routine acceptance.
It looks at both arguments. Nevertheless let me add-all the research is done on mice. Clinical testing on mice has created medical advances in physical conditions but the 80 million year evolutionary gap between rodents and us is otherwise, no matter what is claimed, too, too much for investigations into the mind. It requires a cognitive shift on behalf of researchers-what I call cognitive displacement.
The test methods are very, very poor and predictive. Looking for a certain result. The verification methods are even more disputable involving predictive research methods and ignoring of variables. On patients for example the patient's relationship with the doctor and environment are simply ignored and only the giving and taking of drugs is recognised. There might be a score of other reasons why then a patient's depression is relieved or not relieved by SSRIs and the evidence points to only 20% relief anyway.
Cognitive behavioral therapy (CBT), a type of psychotherapy, is effective for many people with OCD. Exposure and response prevention (ERP), a type of CBT therapy, involves gradually exposing you to a feared object or obsession, such as dirt, and having you learn healthy ways to cope with your anxiety.
Obsessive-compulsive disorder (OCD) - Diagnosis and treatment https://www.mayoclinic.org/.../obsessive-compulsive-disorder/...treatment/drc-20354438
Non pharmacological management include ERP (Exposure Response Prevention), in which the patient face the same triggers but try to do nothing, and gradually the symptoms will decrease.