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John H. Greist, MD

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Obsessive Compulsive Disorder: A Guide

(below is the second excerpt from the guide)

Do anti-obsessive compulsive drugs cure obsessive compulsive disorder? No, but they are one effective way to control it. There is currently no cure for obsessive compulsive disorder, and its causes remain a mystery. For persons suffering from disabling obsessions and rituals, anti-obsessive compulsive drugs may be of help in two ways:

Gaining remission—anti-obsessive compulsive drugs can help a person out of a disabling obsessive compulsive state.
Preventing relapses
—anti-obsessive compulsive drugs can help prevent relapses of disabling obsessions and rituals.

The fact that anti-obsessive compulsive drugs act to control rather than cure obsessive compulsive disorder is important. It means that if people stop taking their anti-obsessive compulsive drug, obsessive compulsive symptoms and distress are likely to recur. Controlling rather than curing a disorder with a specific drug is actually a common practice. A well known example is the use of insulin to control certain forms of diabetes. Here, the insulin does not cure the underlying disease of diabetes, but it does help to control symptoms so that the diabetic patient is able to live a more normal life. If the insulin is stopped, symptoms of the disease reappear. Although insulin helps control many symptoms and prevents many of the damaging effects of the disease, the diabetes itself is still present. Other examples of diseases controlled with medication are high blood pressure, heart failure, and arthritis.

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