Skip to main content

What Keeps Obsessive Compulsive Disorder (OCD) Going?

The "What Keeps It Going?" series is a set of one-page diagrams explaining how common mental health conditions are maintained. Friendly and concise, they provide an easy way for clients to understand at a glance why their disorders persist, and how they might be interrupted. What Keeps Obsessive Compulsive Disorder (OCD) Going? is designed to help clients with OCD understand more about their condition.

Download or send

Choose your language

Notice: The 'Fillable PDF' format has been retired. For resources with form elements, both the 'Professional' and 'Client' versions are now available as fillable PDFs by default.

Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Translation Template

Are you a qualified therapist who would like to help with our translation project?

Tags

Languages this resource is available in

  • Albanian
  • Chinese (Simplified)
  • English (GB)
  • English (US)
  • Italian
  • Polish
  • Spanish (International)
  • Vietnamese

Problems this resource might be used to address

Techniques associated with this resource

Introduction & Theoretical Background

Obsessions are unwanted thoughts and images that pop into your mind which you find unacceptable, or which make you feel anxious. Compulsions are things that you do in response to your obsessions, often to stop harm from occurring, or to make you feel better. People whose obsessions and compulsions interfere significantly with their lives are said to have obsessive compulsive disorder (OCD). 

Research studies have shown that Cognitive Behavioral Therapy (CBT) is one of the most effective treatments for OCD (Ponniah, Magiato & Hollon, 2013). CBT therapists work a bit like firefighters: while the fire is burning they aren’t very interested in what caused it, but are more focused on what is keeping it going. This is because if they can work out what keeps a problem going, they can treat the problem by ‘removing the fuel’ and interrupting this maintaining cycle. 

In 1985, psychologist Paul Salkovskis described key components

Get access to this resource

View all plans and pricing options

Get Access

Therapist Guidance

“One interesting way of thinking about OCD is to look at why, for some people, it does not get better by itself. This handout shows some of the most common reasons why some people’s OCD persists. I wonder if we could look at it together and think about whether it describes some of what is happening for you?”

Get access to this resource

View all plans and pricing options

Get Access

References And Further Reading

  • Ponniah, K., Magiati, I., & Hollon, S. D. (2013). An update on the efficacy of psychological treatments for obsessive–compulsive disorder in adults. Journal of Obsessive-Compulsive and Related Disorders2(2), 207-218.
  • Salkovskis, P. M. (1985). Cognitive-behavioural problems: A cognitive-behavioural analysis. Behaviour Research and Therapy23, 571-583.

Get access to this resource

View all plans and pricing options

Get Access