In this episode 22 protocols
▶ 56:44 Exposure and Response Prevention (ERP) for OCD Behaviors “Cognitive behavioral therapy and exposure therapy in the context of OCD most often involves trying to get people to tolerate, not relieve their anxiety.” ▷ 1:02:39 Homework After CBT/ERP Sessions Behaviors “A very vital component of CBT and exposure therapy for people with OCD is that they have and perform what's called homework, is literally what they call. In the case of CBT therapy, the reason there's homework is that, when people go home, oftentimes that's when they relapse.” ▷ 1:06:09 Do Not Suppress OCD Anxiety With Alcohol or Drugs Behaviors “But needless to say, suppressing anxiety is exactly the wrong direction that one should take if the goal is to ultimately relapse.” ▷ 1:06:55 Home Visits During OCD Therapy Behaviors “And then a very unique feature of treatment of OCD that you don't see in many other psychiatric disorders are home visits.” ▷ 1:16:43 Selective Serotonin Reuptake Inhibitors Supplements “They had a significant effect in reducing the symptoms of OCD that showed up first at four weeks and then continued to eight weeks.” ▷ 1:19:07 Seek Evidence-Based Treatment for OCD Behaviors “One of the motivations for doing this podcast episode is to try and encourage people who think they may have persistent obsessions and compulsions to seek treatment, but most people don't for a variety of reasons we spelled out earlier, shame, et cetera.” ▷ 1:19:22 Neuroleptics Supplements “The first line of attack is typically a prescription, most often an SSRI, although not always just SSRIs, because soon we'll talk about the somewhat common use of also prescribing a low dose of a neuroleptic or an antipsychotic, not always, but often.” ▷ 1:21:03 Combine CBT With Existing SSRI Treatment Behaviors “The good news is when you add cognitive behavioral therapy to someone who's already taking SSRIs, that further improves their symptoms.” ▷ 1:22:09 Work Closely With a Licensed Psychiatrist or Physician on OCD Medication Changes Behaviors “Anytime you're going to add or remove a prescription drug or change dosage, you really want to do that in close discussion with, and on the advice of your physician. I don't just say that to protect me, I say that to protect you and because it's just the right thing to do.” ▷ 1:22:46 Clomipramine Supplements “So things like clomipramine, which is not entirely selective. I should say that that one generally falls into a category of less selective, so it can impair or can enhance some of the other neurotransmitter or neuromodulator systems like epinephrine, et cetera.” ▷ 1:27:57 Psilocybin Supplements “Currently, the exploration of psilocybin for the treatment of OCD has not yielded similar results, although the studies are ongoing. Again, it has not yielded similar effectiveness, but the studies are ongoing.” ▷ 1:39:34 Ketamine Supplements “One treatment that is a legal, L-E-G-A-L, right? ... at least by prescription in the United States, is ketamine. Ketamine therapies are being explored for OCD. As of now, the data look somewhat promising, but there's still a lot more work that needs to be done.” ▷ 1:41:43 Transcranial Magnetic Stimulation Tools “Another treatment that's becoming somewhat common, or at least people are commonly excited about, is transcranial magnetic stimulation.” ▷ 1:43:56 Combine TMS With CBT and/or Drug Therapy Behaviors “There's excitement about the commonality of TMS and the combination of TMS with drug treatments, or the combination of TMS with cognitive behavioral therapy.” ▷ 2:02:56 Mindfulness Meditation Behaviors “Turns out that mindfulness meditation can be useful in the treatment of OCD, but mainly by way of how it impacts the focus on and the ability to engage in cognitive behavioral therapies. Rather, it seems that meditation is increasing focus on things like cognitive behavioral therapy homework.” ▷ 2:04:16 Tryptophan Supplements “Here in this review, they describe effects of 5-HTP and tryptophan, so things that are in the serotonin pathway... What you find is that they do have significant effects in improving or reducing the symptoms of OCD in somewhat similar way to some of the SSRIs.” ▷ 2:04:16 5-HTP Supplements “Here in this review, they describe effects of 5-HTP and tryptophan, so things that are in the serotonin pathway... What you find is that they do have significant effects in improving or reducing the symptoms of OCD in somewhat similar way to some of the SSRIs.” ▷ 2:05:20 Myo-Inositol Supplements “And it does appear that 900 milligrams of inositol can improve sleep and can reduce anxiety, perhaps when taken at that dosage or higher dosages. Nonetheless, there's some interesting data about inositol leading to some alleviation of OCD symptoms or partial alleviation of OCD symptoms in as little as two weeks after initiating the supplement protocol.” ▷ 2:07:15 Apigenin Supplements “Consists of magnesium threonate, apigenin, and theanine.” ▷ 2:07:15 Theanine Supplements “Consists of magnesium threonate, apigenin, and theanine.” ▷ 2:07:15 Magnesium Threonate Supplements “Consists of magnesium threonate, apigenin, and theanine.” ▷ 2:08:37 Glycine Supplements “It's been explored that things like glycine, which is an amino acid, which also acts as an inhibitory neurotransmitter in the brain, taking it very high dosages, 60 grams per day. That is a absolutely astonishingly high amount of glycine. I would not recommend taking that much glycine unless you're part of a study where they tell you to and you know it's safe.”