b'compulsive symptoms from others. An unfortunate consequence of this secrecy is that they generally do not receive professional help until years after the onset of their condition. What causes OCD? People from all walks of life can develop OCD. Theories of causality vary but suggest that individuals with OCD overestimate threats of harm and their likelihood of occurring, believe that having an unacceptable thought increases the likelihood of the thought actually occurring and have very strong negative psychological and physiological reactions to a feared event occurring or to the possibility of it occurring. What treatments are available for OCD? Exposure paired with ritual prevention and cognitive therapy have produced the best results for treating OCD. Exposure and ritual prevention expose the person to the thought or situation that produces the anxiety and then prevent the ritual response, while utilizing relaxation techniques. Cognitive therapy addresses beliefs often found in OCD like having a thought is the same as performing an action, failing to prevent harm is the same as causing harm, and that one can control ones thoughts. These approaches have been effective in 75- 85% of cases with strong relapse prevention. Medication has also been used to treat OCD. Clomipramine and selective serotonin reuptake inhibitors (SSRIs) haveMental Health Concerns187'