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What we treat

Support for obsessive compulsive disorder (OCD)
in Surrey

Obsessive-Compulsive Disorder (OCD) is a common anxiety-related condition involving patterns of unwanted thoughts and fears (obsessions) that lead to repetitive behaviours (compulsions). While it can begin in childhood, it usually develops in early adulthood.

If you are aged 17 and over, and registered with a GP in Surrey, you can self-refer for free typed cognitive behavioural therapy (CBT) without needing to see your GP first.

Symptoms of OCD

There are two main types of symptoms: obsessions and compulsions.

Obsessions

Obsessions are persistent and uncontrollable thoughts, images, urges, worries, fears or doubts that repeatedly appear in your mind. They can make you feel very anxious.

Obsessions tend to have themes to them, for example:

  • Fear of contamination or dirt
  • Needing things to be orderly and symmetrical
  • Aggressive or horrific thoughts about losing control and harming yourself or others
  • Doubting yourself excessively and having difficulty tolerating uncertainty

Examples of obsession signs and symptoms include:

  • Fear of being contaminated by touching objects others have touched
  • Intense stress when objects aren't orderly or facing a certain way
  • Thoughts about shouting obscenities or acting inappropriately in public
  • Doubts that you've locked the door or turned off the stove
Compulsions

Compulsions are repetitive physical behaviours or thought rituals that are performed over and over again in an attempt to relieve the anxiety caused by obsessional thoughts. These compulsions are excessive and often are not realistically related to the problem they're intended to fix.

As with obsessions, compulsions typically have themes, such as:

  • Washing and cleaning
  • Checking
  • Counting
  • Orderliness
  • Demanding reassurance

Examples of compulsion signs and symptoms include:

  • Hand-washing until your skin becomes chapped and raw
  • Checking doors repeatedly to make sure they're locked
  • Checking the stove repeatedly to make sure it's off
  • Counting in certain patterns
  • Silently repeating a prayer, word or phrase
  • Arranging your canned goods to face the same way
Types of thought patterns
  • Because I thought it, I either did it or was the reason it happened
  • Because I thought it, I either want to do it or want it to happen

This way of interpreting thoughts produces the anxiety that sufferers of OCD feel, and the anxiety generates behaviours that are an attempt to cope: repetitive or compulsive acts you feel driven to perform to control your anxiety.

OCD and Intrusive thoughts

Intrusive thoughts are unwanted thoughts that can pop into our heads without warning at any time. They are often repetitive and can take the form of images, sounds, or statements. These thoughts can be disturbing or distressing and can have a negative effect on our mental health and the way we behave.

Although intrusive thoughts are perfectly normal, people who have symptoms of anxiety or depression are most likely to experience unwelcome thoughts.‍

What people say

We’ve helped thousands of people feel better. Here are their stories of recovery and growth.

CBT has helped me become much more self aware in many areas of my life, over and above the difficulty that prompted me to apply, so even though sessions have ended I use what I have learned to help me navigate life every single day. Do try this. It may not be for everyone but you may be surprised how much it can help you and even change your life!

Al

I cannot praise ieso highly enough... I have learnt so much and have many tools that I can now use to remind me of all I have learnt. You need to, and are expected to, put in effort to try and help yourself, along with so much help, empathy and kindness from your therapist.

Janet

Following instructions, I started exercises and after two or three sessions started to feel the benefit. All I can say is, give it a go, it can't make you feel worse only better.

Neil

After 12 sessions with my amazing therapist I left with a variety of tools to help me manage my anxieties going forward. It’s helped me more than I thought and I have a strong well-being plan in place for the future.

Kirsty

I found the format - online text based - very easy to do and clarifying. The structure of the sessions enabled me to better frame my issues, understand my behaviour and find new ways to behave.

Damian

I could download the whole therapy session afterwards to re-read it and think about it. I had a good number of sessions and felt at the end that I had made real positive progress!

Ruth

Supporting people in Surrey

ieso is working in partnership with the NHS Talking Therapies in Surrey providing free and confidential talking therapy to adults aged 17 and over across Surrey. It’s quick and easy to access our service, with no need to see your GP first.
Simply click on the Self-refer button to answer a few questions via our online referral chat, and you can have your first session within days.

Self-refer