Sensorimotor OCD: 5 Effective Pathways to Treat it

What Is Sensorimotor OCD and How to Treat It

Sensorimotor OCD: 5 Effective Pathways to Treat it

Obsessive-compulsive disorder (OCD) is a multifaceted condition that can present in several forms, one of which is Sensorimotor OCD. For those living with it, the symptoms can feel overwhelming, making everyday life stressful and exhausting. Understanding what Sensorimotor OCD is, its symptoms and the treatments available can shed light on this condition and provide hope for those managing it.

This post will guide you through the key aspects of Sensorimotor OCD, including its symptoms, causes, diagnosis, treatment options, and self-help strategies. If you or someone you know struggles with Sensorimotor OCD, know that help is available, and effective management is possible.

What Is Sensorimotor OCD?

Sensorimotor OCD is a subtype of obsessive-compulsive disorder where individuals become hyper-aware of automatic bodily functions or sensations, such as breathing, blinking, or swallowing. These sensations, which most people experience unconsciously, become the centre of someone’s attention and provoke obsessive thoughts or compulsions.

For example, someone with Sensorimotor OCD may obsessively focus on their breathing pattern and try to control it deliberately, resulting in unease and distress. Unlike typical bodily awareness, this hyper-vigilance can disrupt daily living and lead to compulsive attempts to “correct” or “fix” the obsession.

Sensorimotor OCD can affect many aspects of life, including relationships, work, and overall mental health. Left untreated, it can spiral into significant distress, making it vital to understand its symptoms and treatment pathways.

Recognising the Symptoms of Sensorimotor OCD

Sensorimotor OCD manifests through both obsessions and compulsions. Here’s what to look for:

Common Obsessions:

  • Continuous focus on involuntary bodily functions such as:
    • Breathing patterns.
    • Swallowing or throat sensations.
    • Blinking or eye movements.
  • Fear that these functions will never return to “normal” automatic behaviour.
  • Anxiety-inducing thoughts about loss of control over bodily sensations.

Common Compulsions:

  • Monitoring or repeatedly checking bodily sensations.
  • Trying to control or adjust body functions (e.g., altering the pace of breathing).
  • Avoiding activities or environments that might “trigger” hyper-awareness (e.g., public speaking, quiet settings).
  • Seeking reassurance from others about the symptoms.

These symptoms can create a vicious cycle, as the more attention sufferers bring to their obsession, the more entrenched the behaviour becomes. Sensorimotor OCD can interfere with normal daily activities, causing distress and fatigue.

What Causes Sensorimotor OCD?

While the exact cause of Sensorimotor OCD isn’t fully understood, researchers believe a combination of environmental, psychological, and genetic factors contributes to its development. Here are a few potential triggers:

Underlying Causes:

  1. Neurobiological Factors

Changes in brain function, particularly in areas responsible for processing thoughts and impulses, are thought to play a role in OCD subtypes.

  1. Stress or Trauma

Periods of intense stress, significant life changes, or traumatic experiences may trigger the onset of OCD, including sensorimotor symptoms.

  1. Perfectionist Tendencies

Those with a strong focus on precision or control may be more prone to obsessive thoughts that lead to compulsive behaviours.

  1. Family History

Having close relatives with OCD or anxiety disorders may increase your susceptibility to developing Sensorimotor OCD.

Recognising these factors can help contextualise the condition and emphasise that obsessive thoughts do not reflect personal failure.

How Is Sensorimotor OCD Diagnosed?

Sensorimotor OCD is typically diagnosed by a mental health professional, such as a psychologist or psychiatrist, who specialises in anxiety disorders. Here’s what the process often includes:

  1. Clinical Interviews

The professional will ask about your experiences, thoughts, behaviours and how they impact your daily life.

  1. Diagnostic Criteria

Diagnoses follow the criteria outlined in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders), which identifies obsessive-compulsive behaviours and distinguishes them from other conditions.

  1. Rule Out Other Causes

A doctor might rule out other health conditions or neurological factors that might explain the symptoms, ensuring an accurate diagnosis.

Early diagnosis is essential to create a tailored treatment plan and improve quality of life.

Effective Treatment Options for Sensorimotor OCD

The good news is that Sensorimotor OCD is highly treatable. Here are evidence-based approaches proven to reduce symptoms:

1. Cognitive Behavioral Therapy (CBT)

CBT is a first-line treatment for OCD and involves identifying and challenging the thought patterns fueling obsessions. Techniques like cognitive restructuring help patients reframe their obsessive thoughts and manage anxious responses effectively.

2. Exposure and Response Prevention (ERP)

ERP is a specific form of CBT that is particularly effective for OCD. It involves exposing patients to situations that trigger obsessive thoughts (e.g., focusing on bodily sensations) while preventing the use of compulsive behaviours to relieve anxiety. Over time, this reduces the intensity of obsessive thoughts and compulsions.

3. Medication

Selective serotonin reuptake inhibitors (SSRIs), a type of antidepressant, are often prescribed to reduce OCD symptoms. These are commonly used in combination with therapy for optimal results.

4. Mindfulness-Based Approaches

Developing mindfulness skills can help individuals recognise obsessive thoughts without engaging in them. Learning to observe the thoughts without judgment encourages a more balanced response.

Self-Help Strategies to Try at Home

While professional treatment is crucial, self-help strategies can complement therapy and provide additional relief:

  • Practice Refocusing Techniques: Distract yourself with an engaging activity or conversation when obsessive thoughts arise.
  • Learn Breathing Exercises: Slow, controlled breaths can reduce anxiety tied to focusing on breathing-related obsessions.
  • Limit Reassurance-Seeking: Avoid relying on constant feedback from others about your symptoms, as this may unintentionally reinforce compulsions.
  • Journaling: Write down obsessive thoughts to externalise and better understand them.
  • Educate Yourself: Learning about OCD and Sensorimotor OCD can demystify symptoms and empower you to take charge of your recovery.

Finding Hope and Moving Forward

Living with Sensorimotor OCD can be challenging, but you don’t have to face it alone. Understanding the condition, seeking a professional diagnosis, and exploring treatments like CBT, ERP, or mindfulness-based strategies can significantly reduce symptoms over time.

If you’re ready to take the next step, reach out to a qualified therapist who specialises in OCD and anxiety. Remember, there is always a path to healing, no matter how overwhelming the condition may feel.

Your mental health matters and recovery is within reach. Take the first step today.

Further reading:
Russo, M., Naro, A., Mastroeni, C., Morgante, F., Terranova, C., Muscatello, M. R., … & Quartarone, A. (2014). Obsessive-compulsive disorder: a “sensory-motor” problem? International Journal of Psychophysiology, 92(2), 74-78.