Our working methodology is grounded in a comprehensive and in-depth understanding of OCD (Obsessive Compulsive Disorder). We do not see it merely as a set of isolated symptoms, but as the visible expression of a broader psychological conflict. The principles on which it is based are set out below.
- OCD does not arise out of nowhere
We believe that, in all cases, beyond a possible genetic predisposition, there are traumatic circumstances or highly anxiety-provoking life situations that act as triggers. OCD emerges as a psychological response to experiences that the individual has been unable to process in any other way. - The role of parental overprotection
Parental overprotection, especially in early stages of life, can generate fears, insecurities and a growing difficulty in tolerating uncertainty. In many cases of OCD, we observe life histories marked by a lack of exposure to risk, error or frustration, leaving the individual poorly equipped to face the complexity of adult life. - OCD as an anxiety disorder
OCD is, above all, an anxiety disorder. From this perspective, obsessive manifestations serve a function similar to that of fever in an organic illness: they are a symptom, not the underlying cause of the problem. Just as a doctor does not simply reduce a fever without investigating its origin, we understand that the treatment of OCD must go beyond controlling obsessive thoughts. - Treating the cause, not only the symptom
This approach means that we do not focus exclusively on the obsessive symptom, but on what generates and sustains it. OCD acts as an alarm signal, pointing to deeper emotional conflicts that need to be understood and worked through within the therapeutic setting. - Fear and guilt as central factors
In our clinical experience, fear and/or guilt lie behind every obsessive disorder. OCD is organised as an unsuccessful attempt to neutralise these affects through mental or behavioural rituals that provide momentary relief, but reinforce the problem in the long term. - The therapeutic aim
The aim of therapy is not to teach the patient how to manage OCD, but to help them regain an active and meaningful life. To achieve this, we work on developing activities and concrete actions in real life which, together with therapeutic dialogue, gradually reduce the symptoms of OCD. - Returning the patient to life
In summary, our methodology does not seek to teach the person to live indefinitely with OCD, but to return them to life, to their capacity to decide, act and tolerate uncertainty. The goal is not to adapt to the disorder, but for the disorder to lose its function and its reason for being.
This approach places OCD within its human and existential context, rather than solely within a framework of symptom control, which we consider insufficient for deep and lasting recovery.
Damian Ruiz
www.ipitia.com
Barcelona, January 22, 2025
