Authors: Finn Hughes; Peter Kinderman · Research

How Does Getting an OCD Diagnosis Impact Patients?

A study explores how receiving an OCD diagnosis affects patients' understanding of their symptoms and access to treatment.

Source: Hughes, F., & Kinderman, P. (2023). 'Finally, I could breathe': the utility and impact of a diagnosis of obsessive compulsive disorder. Behavioural and Cognitive Psychotherapy, 51, 246–258. https://doi.org/10.1017/S1352465822000637

What you need to know

  • Receiving an OCD diagnosis often provides patients with relief and hope by giving a name to their symptoms
  • The diagnosis can help patients better understand their experiences and access appropriate treatment
  • While some stigma exists around OCD, patients generally found the benefits of diagnosis outweighed potential negatives

Understanding the Impact of an OCD Diagnosis

Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurring, intrusive thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that a person feels compelled to perform. But how does actually receiving this diagnosis impact patients? Researchers at the University of Liverpool set out to explore this question by interviewing 12 individuals who had been diagnosed with OCD.

Providing Tangibility and Answers

One of the main themes that emerged was that getting an OCD diagnosis provided patients with something tangible to grasp onto. Many participants described feeling relieved to finally have a name for what they were experiencing. As one participant put it, “It was like…finally I could breathe and put a name to why I’m feeling this way.”

The diagnosis helped make their symptoms feel more “real” and valid. It gave them an answer and explanation for the distressing thoughts and behaviors they had been struggling with, often for years. This sense of validation was important for many participants.

Increased Understanding and Self-Awareness

Beyond just putting a label on their experiences, the OCD diagnosis helped many patients better understand themselves and their symptoms. It provided a framework for making sense of their thoughts and behaviors.

Participants described how learning about OCD allowed them to recognize their obsessions and compulsions for what they were. As one person noted, “Breaking down that diagnosis into two separate parts of…there’s obsessions and then there is these compulsions.” This increased awareness and understanding was empowering for many.

The diagnosis also facilitated self-education, with many participants researching OCD to learn more. This knowledge helped them feel more in control and better equipped to manage their symptoms.

Access to Treatment

Another key benefit of receiving an OCD diagnosis was improved access to treatment. Many participants felt the diagnosis was necessary to be taken seriously by the healthcare system and receive appropriate care. As one person stated, “It’s very much if you don’t get a label, they don’t do anything basically.”

The diagnosis opened doors to specialized OCD treatments, both therapy and medication. It provided a pathway forward and next steps for getting help. For many, this instilled a sense of hope that recovery was possible.

Relief and Hope

The overwhelming emotional response to receiving an OCD diagnosis was one of relief. Participants described feeling like a weight had been lifted once they had a name for their experiences. This relief was often accompanied by a newfound sense of hope.

Having the diagnosis helped patients feel less alone in their struggles. It showed them that others had similar experiences and that effective treatments existed. As one participant expressed, “I definitely felt more confident, and you know gave me the hope I could actually get through this…horrible period in my life.”

Identity and Self-Perception

Receiving an OCD diagnosis did impact how some participants viewed themselves, though reactions were mixed. Some found that the diagnosis became a core part of their identity, at least initially. As one person described, “When I was younger definitely you know I have OCD like I really identified with my diagnosis and in a big way.”

However, others found that as they went through treatment, OCD became less central to how they saw themselves. The diagnosis “phased into, like a background part of my identity” as symptoms improved.

Importantly, many participants felt the diagnosis allowed them to see themselves as survivors and recognize their own strength and resilience in coping with OCD. This shift in self-perception was largely viewed as positive.

Stigma and Misconceptions

While the diagnosis was overwhelmingly seen as beneficial, some participants did encounter stigma or misunderstanding from others. This often stemmed from common misconceptions about OCD, like the idea that it just means being very neat and organized.

Some participants worried about not being taken seriously when disclosing their diagnosis. As one person noted, “Are you sure it’s OCD like that doesn’t sound like OCD”, and I thought they were going to doubt the diagnosis.”

However, most felt the benefits of having the diagnosis far outweighed any stigma they encountered. Many even felt empowered to educate others and raise awareness about the realities of living with OCD.

Changed Roles and Relationships

For some participants, receiving the OCD diagnosis led to shifts in their relationships and social roles. This was often viewed positively, as it helped others understand their needs and behaviors better.

Some found it changed family dynamics in helpful ways. As one participant explained, “Other people’s expectations of me it’s not ‘sure just get on with it’, it’s let’s share the load more.” The diagnosis facilitated more understanding and support from loved ones.

Conclusions

  • Receiving an OCD diagnosis provides many patients with a sense of relief, validation, and hope
  • The diagnosis facilitates better understanding of symptoms and access to appropriate treatment
  • While some stigma exists, patients generally found the benefits of diagnosis far outweighed potential negatives
  • Healthcare providers should be aware of the largely positive impact of OCD diagnosis when evaluating and discussing it with patients

This research highlights the importance of accurate diagnosis in helping individuals with OCD make sense of their experiences and get appropriate support. While concerns exist about over-diagnosing mental health conditions, for many OCD patients, receiving that official diagnosis marks an important turning point in their journey toward recovery and improved quality of life.

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