Psychiatrist for OCD Treatment in Glendale, AZ

Shamlock Behavioral Health provides OCD-Obsessive-compulsive disorder treatment in Glendale, Arizona and psychiatric care across Arizona, led by Dr. Kerubo Nyachieo, PhD, MSN, PMHNP-BC. Treatment may include psychiatric evaluation, medication management, cognitive behavioral therapy, and other appropriate approaches based on your symptoms and clinical needs.

Obsessive-compulsive disorder (OCD) can cause unwanted thoughts, intense fears, repetitive behaviors, and mental rituals that are difficult to control. When these symptoms begin to interfere with work, relationships, sleep, or daily activities, professional treatment can help.

OCD evaluation and treatment in Glendale Arizona

When OCD Symptoms May Need Treatment

OCD is more than occasionally worrying, double-checking something, or preferring things to be clean or organized. Therefore treatment for OCD symptoms can be required when things can become difficult to manage, unwanted thoughts or fears repeatedly return and lead to compulsive behaviors, mental rituals, avoidance, or reassurance seeking.

When OCD Symptoms May Need Treatment

  • Repeated intrusive or unwanted thoughts
  • Fear of contamination or germs
  • Excessive checking
  • Repeated reassurance seeking
  • Counting, repeating, or arranging things
  • Strong concerns about mistakes or responsibility
  • Fear of harming yourself or someone else
  • Persistent doubts about relationships or decisions
  • Religious, moral, or existential concerns
  • Distressing thoughts about sexuality
  • Excessive rumination or mental reviewing
  • A strong need for symmetry or things to feel “just right”

The thoughts themselves can be distressing, especially when they conflict with your values or beliefs. Compulsions may provide temporary relief but can become a repeating cycle. A psychiatric evaluation from Dr. Kerubo Nyachieo can help get relief from such symptoms.

OCD Intrusive Thoughts and Compulsive Behaviors

Intrusive thoughts are unwanted thoughts, images, fears, or urges that can repeatedly enter your mind. Having an intrusive thought does not mean you want it to happen or that you will act on it. Some people respond to intrusive thoughts through visible compulsions, such as checking, cleaning, counting, or repeating actions.

Others experience primarily mental compulsions, including analyzing, reviewing memories, comparing possibilities, praying repeatedly, or seeking reassurance.

OCD can focus on many different themes. Examples include contamination, harm, relationships, religion, morality, symmetry, sexuality, past events, or fear of making a serious mistake. The specific theme is less important than the overall pattern of obsessions, compulsions, distress, and interference with daily life.

OCD Evaluation and Diagnosis

During an OCD evaluation, our mental health care provider looks at how your thoughts and behaviors occur and how they affect your daily functioning.

A psychiatric evaluation may consider asking about the type and frequency of intrusive thoughts, compulsive behaviors and mental rituals, avoidance and reassurance seeking, how much time symptoms take each day, the level of distress caused by symptoms, effects on work, school, relationships, and daily activities, previous mental health treatment, current and past medications, and other psychiatric or medical conditions.

OCD can also occur alongside other mental health conditions. A careful evaluation helps distinguish OCD symptoms from anxiety, depression, ADHD, trauma-related symptoms, bipolar disorder, or other conditions that may require different treatment

1. Medication Management for OCD

Medications for OCD may be considered when symptoms are persistent, severe, or significantly interfere with daily functioning.

Medication management involves reviewing your symptoms, treatment history, response to previous medications, potential side effects, and other medications or health considerations. We aim is to develop an appropriate medication plan and monitor how you respond over time.

2. Cognitive Behavioral Therapy for OCD

Cognitive behavioral therapy (CBT) is a structured form of psychotherapy used to address unhelpful thought and behavior patterns.

CBT for OCD focuses on understanding the relationship between intrusive thoughts, anxiety, compulsions, and avoidance. Treatment can help patients develop healthier ways to respond to distressing thoughts rather than automatically engaging in compulsive behaviors.

3. Exposure and Response Prevention for OCD

Exposure and Response Prevention (ERP) is a specialized behavioral approach commonly used in OCD treatment that involves gradually facing feared thoughts, situations, or triggers while learning to reduce the compulsive response.

The process is structured around the individual’s symptoms and should be conducted appropriately by our qualified mental health professional.

OCD Treatment for Different Symptom Patterns

OCD can take many forms. Some people experience contamination or cleanliness concerns. Others struggle with harm-related thoughts, relationship doubts, religious or moral fears, symmetry, sexuality-related intrusive thoughts, or repeated concerns about past events. These experiences are sometimes described using terms such as harm OCD, relationship OCD, religious OCD, moral OCD, existential OCD, real-event OCD, or symmetry-related OCD.

These labels describe common OCD themes rather than separate diagnoses. Treatment focuses on the underlying obsessive-compulsive pattern and how it affects your life.

OCD and Anxiety

OCD and anxiety can occur together. Intrusive thoughts can create significant anxiety, while compulsions may become a way of temporarily reducing that distress.

When OCD and an anxiety disorder occur together, treatment should consider both conditions rather than focusing on only one set of symptoms.

OCD and Depression

Living with persistent intrusive thoughts and compulsive behaviors can become exhausting. Some people with OCD also experience depression, including low mood, loss of interest, low energy, hopelessness, or difficulty functioning.

When OCD and depression occur together, the treatment plan can address both conditions and consider how each affects the other.

OCD and ADHD

OCD and ADHD can occur in the same person, but they involve different symptom patterns. ADHD may involve difficulties with attention, impulsivity, organization, and executive functioning. OCD involves obsessions, compulsions, or both.

When symptoms overlap, a comprehensive psychiatric evaluation can help identify which symptoms are related to OCD, ADHD, another condition, or a combination of conditions.

OCD and Other Mental Health Conditions

OCD may occur alongside other psychiatric conditions, including anxiety disorders, depression, ADHD, autism spectrum disorder, bipolar disorder, and trauma-related conditions.

Some symptoms can look similar across different conditions. For example, repetitive thoughts may occur with OCD, anxiety, depression, or other mental health concerns.

A psychiatric evaluation considers the complete clinical picture rather than treating one symptom in isolation.

Treatment for Persistent or Severe OCD Symptoms

Some people continue to experience significant OCD symptoms after an initial treatment approach.

Persistent symptoms may require a review of the current diagnosis, previous medications, therapy history, treatment response, side effects, co-occurring conditions, and other factors that may affect progress.

Treatment can then be adjusted based on the clinical picture. This may involve changes to medication management, psychotherapy, or coordination with our OCD-focused provider.