Obsessive-Compulsive Disorder and Major Depressive Disorder are both common, and left untreated, potentially debilitating mental illnesses. While Obsessive-Compulsive Disorder (OCD) is widely categorized as an anxiety disorder, depression is a mood disorder. However, due to their biochemistry and most popular treatment recommendations, OCD and depression do share some relation to each other.
Difference Between Obsessions and Compulsions
Obsessive-compulsive disorder (OCD) presents primarily as patterns of unwanted and intrusive thoughts or fears that lead someone to perform repetitive or frequent behaviors. The thoughts and fears are considered the “obsessions” part of the namesake, and the repetitive behaviors are the “compulsions”. These obsessions and compulsions have the ability to interfere with daily activities and cause significant distress. Examples of common obsessions include:
Becoming ill or dying
Disturbing sexual thoughts, urges, images
Doubts about having done something right or forgetting things
Germs or contamination
Harming or having harmed someone
Anticipating something bad happening
Following experiencing the obsessions, compulsive behaviors can emerge. Examples of common compulsions can include:
Counting
Excessive checking that tasks were completed
Doing something over until it’s “right”
Excessive washing or cleaning
Repeatedly putting things in a certain order
Replicating routine behaviors
Seeking reassurance from others.
Breaking the OCD Cycle
Prior to seeking treatment, people often try to ignore or stop these obsessions or thoughts, but in a clinical case of OCD, ignoring them only increases distress and anxiety. As a result, there is often an overwhelming urge to perform the subsequent compulsive acts in an attempt to ease the distress. Despite efforts to ignore or get rid of bothersome thoughts or urges, they keep coming back. This leads to more ritualistic behaviors, which is ultimately the vicious cycle of OCD.
Depression
Major Depressive Disorder (MDD), on the other hand, is a common mood disorder that presents as any combination of the following symptoms that are present for at least a two week period of time:
Persistent sadness, anxiousness, “emptiness”, hopelessness, or pessimism
Irritability
Feelings of guilt, worthlessness, or helplessness
Loss of interest or pleasure in hobbies and activities
Decreased energy or fatigue
Moving or talking more slowly
Feeling restless or having trouble sitting still
Difficulty concentrating, remembering, or making decisions
Difficulty sleeping, early-morning awakening, or oversleeping
Appetite and/or weight changes
Thoughts of death or suicide, or suicide attempts
Aches or pains, headaches, cramps, or digestive problems
MDD can exist in one episode or as multiple episodes, lasting for periods of time up to months in length. There are a variety of other mood disorders that include varying degrees of depression as a symptom, such as Dysthymia or Postpartum Depression. The main difference between OCD and depression is that OCD is rooted in anxiety, and Major Depressive Disorder is a mood disorder. Although mood and anxiety are not the same, we know there is a link between the two conditions.
How Are OCD and Depression Connected?
It’s believed that up to two-thirds of people diagnosed with OCD will experience a depressive episode throughout the course of their mental illness. Up to 40% will also be diagnosed with Major Depressive Disorder, according to some studies. It is important to recognize how distressing intrusive and unwanted thoughts or obsessions are. Depression has been found to be mostly related to the obsessions rather than the compulsive behaviors. Compulsions tend to bring immediate relief to anxiety, which is why they are performed, but overall perpetuate the cycle of OCD. Other potential triggers for a depressive episode include stress and biochemical changes that can alter moods and behavior. Depression can also be especially serious in people with OCD because the presence of a depressive episode can negatively impact their ability to treat their OCD symptoms.
A similar chemical imbalance that can cause OCD, also impacts depression. OCD and depression are both impacted by activity of serotonin, a neurotransmitter that impacts processes such as mood, memory, and digestion. Since they are both characterized by disruptions of serotonin, a common medication that targets it can help both OCD and Major Depressive Disorder. Selective Serotonin Reuptake Inhibitors (more commonly known as SSRIs) are a common form of medication treatment for both OCD and depression. In addition, other non-medication related therapies, such as Cognitive-Behavioral Therapy and TMS therapy, can be highly effective in the treatment of both conditions.
While their initial symptom presentation may not be similar, the presence of OCD puts someone at higher risk of having a depressive episode or a diagnosis of Major Depressive Disorder. Each mental illness can cause significant distress in someone’s life. Untreated, they can negatively impact personal relationships, work, and family dynamics. Luckily, treatments such as SSRIs, talk therapy and TMS therapy can be helpful for both OCD and depression. These are often covered by insurance companies and accessible as referrals from your primary care provider. Taking the time and energy to heal from either or both OCD and depression are an investment, but absolutely worth the effort.
NeuroSpa offers advanced, science-backed treatments like TMS and SPRAVATO that have shown success even when other treatments haven’t. These innovative therapies target areas of the brain linked to mood regulation, often providing relief for those who haven’t found success with traditional methods.
Our team can verify your insurance and help clarify your coverage options before you commit to anything. Many insurance plans cover NeuroSpa treatments, making this an accessible option for mental health care. You can verify your benefits by clicking the button below.
Our treatments are designed with convenience in mind. For instance, TMS sessions typically last less than 20 minutes, and there’s no downtime afterward, so you can get back to your day quickly. We also offer flexible scheduling to fit into your routine.
Mental health is important at every stage. You don’t have to wait until you’re at your lowest to seek support. If you’re experiencing any level of anxiety, depression, or mental fatigue, our therapies can help you regain balance and prevent symptoms from worsening.
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