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Somatic OCD: Causes, Symptoms, and Treatment
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Somatic OCD: Causes, Symptoms, and Treatment

Somatic OCD, a sub-type of obsessive-compulsive disorder (OCD), involves obsessions and compulsions related to the body and bodily functions. Somatic OCD can cause a person to ignore important parts of his life and ruin their work life, relationships, and friendships. A person’s life can be affected by this type of OCD as it influences the way our body reacts to particular situations. The obsessions and compulsions caused by somatic OCD can affect your life in various ways. People who suffer from somatic OCD most of the time have health concerns of OCD. In this blog, we will see what somatic OCD is, its symptoms, causes, and treatment plans.

What is Somatic OCD?

A person who has obsessions and compulsions surrounding their automatic bodily functions is one suffering from somatic OCD. An individual with somatic OCD has no control over his body functions like the pace of breathing, the speed of their heart rate, or the number of times they blink in a minute. They will then begin to worry about whether they will ever be able to notice the sensation. Alternatively, they may feel anxious that something is wrong with the sensation known as somatic OCD breathing: What if I forget how to breathe?

Somatic OCD is also called sensorimotor OCD. Living with somatic OCD can be extremely stressful and uncomfortable, but exposure therapy is an effective way to manage your symptoms. Obsessions and compulsions both can be seen in somatic OCD that comes straight out of your intrusive thoughts.

Read More: A Brief Guide to different types of OCD

Other Common Subtypes of OCD

It is not uncommon for an individual suffering from one OCD subtype to also suffer from other subtypes. Treating co-occurring sub-types simultaneously is indispensable in finding out the right way to manage both types. The subtypes of OCD include the following:

  • Harm OCD
  • Health Concern OCD
  • Pure Obsessional OCD
  • Relationship OCD
  • Sexual OCD

Example of Somatic OCD Symptoms

If we have to discuss somatic OCD symptoms, we need to understand what obsessions and compulsions are in OCD. Unwanted and recurring intrusive thoughts, ideas, feelings, and cravings that are frequently connected to particular themes are called obsessions. Compulsions are actions taken in an attempt to counteract or lessen the tension that obsessions generate.

Read More: OCD in children: Signs, Causes and Treatment

Somatic Obsessions

While somatic OCD symptoms differ from person to person, they are characterized by obsessions with one or more body functions that lead to elevated degrees of anxiety, guilt, humiliation, or embarrassment. Here are some common somatic OCD obsessions:

  • Why is my breathing so loud?
  • How many times is my heart beating every minute?
  • What if I have a heart attack?
  • Why can’t I stop focusing on how my nose moves when I talk?
  • How often am I blinking?
  • How do I know when to swallow? I’ve never thought about this, but now I’m worried I’m not going to swallow correctly.
  • Am I making eye contact when I’m speaking?
  • Am I blinking the normal amount of times?
  • My breath doesn’t feel deep enough. I’m not breathing correctly. This is a sign of somatic OCD breathing symptoms.
  • Am I chewing the right way? What if I forget how to chew?
  • Where are my eyes looking?
  • I can’t stop noticing my breath(can cause somatic OCD shortness of breath).
  • How will I ever live a normal life if I can’t stop thinking about my breathing?

These are the OCD somatic symptoms. Now, somatic compulsions provide more danger to the sufferer’s brain.

Read More: OCD And Depression: Understanding The Connection

Somatic OCD Compulsions

This subtype of OCD affects different people in different ways. People with somatic OCD perform behaviors known as compulsions, which are any mental or physical acts meant to counteract the obsessions and the anxiety they cause because somatic OCD obsessions can be very upsetting and cause a great deal of depression and acute stress for the person experiencing them.

Some of the feelings of compulsions include:

  • Constantly think about why I am having these obsessions.
  • Is it normal to think about this?
  • Finding a distraction to avoid thinking about these obsessions.
  • Count the number of times you are having these sensations.
  • Asking for reassurance that what you are feeling is normal.

Read More: Is OCD Ruining My Life? – What To Do?

What Causes Somatic OCD?

No exact cause has been found for somatic OCD, but some factors are found to be the reason for the development of this subtype of OCD. There are always two reasons for OCD triggers. One is what causes OCD, and the other is what triggers the symptoms of OCD in a person. Research is still going on to find the causes of OCD, but one thing is clear: The main cause is a stressful or traumatic event.

Some of the events that cause the development of somatic OCD in a person include serious illness of a loved one, death of a loved one, serious personal illness, or hospitalization. Some of the events include a new relationship, engagement or marriage, a breakup, separation, or divorce. It can also develop because of pregnancy, childbirth, pregnancy loss, difficulties at home, work, or school, neglect, abuse, or assault. It rarely develops because of starting a new job, but it can be caused by losing a job.

Read More: What Causes OCD in The Brain’s Neurobiology?

Is Somatic OCD Dangerous?

Focusing on normal body sensations is not necessarily harmful, even though somatic OCD can bring a person a great deal of anguish. However, if someone tried to change these feelings unnaturally, like making themselves breathe quickly for long periods, somatic OCD might become harmful. The illness may also be harmful if there are other behavioral compulsions, such as taking drugs to change bodily feelings (it can cause addiction and ultimately substance use disorder). Furthermore, if somatic OCD is not treated, a person may experience elevated stress levels, which are associated with several detrimental health consequences, including bipolar disorder.

Risk Factors of Somatic OCD

Somatic OCD can cause many other mental health issues if it remains untreated. It will ultimately affect your daily life. Risk factors for somatic OCD include:

  • Having anxiety or depression
  • Being at risk of having a medical condition, like having a family history of a disease
  • Having a lower socioeconomic status and educational attainment
  • Having stressful life events, trauma, or violence
  • Having experienced past trauma, such as childhood sexual abuse
  • Having a medical condition or recovering from one

Read More: Can OCD Be Caused By A Traumatic Event?

How to Stop Somatic OCD?

It is recommended that individuals with Somatic OCD seek therapy from a mental health professional who specializes in treating OCD. Somatic OCD is one of the several OCD subtypes that can be stopped and handled with treatment. Cognitive-behavioral therapy (CBT) is the basic option for managing somatic OCD. If you want special and specific treatment, then there is Exposure to Response Prevention (ERP) and Mindfulness-Based Cognitive-Behavioral Therapy, which can be used to treat Somatic OCD, as it does all other forms of OCD.

Therapeutic Approach

Psychotherapy or talk therapy is usually used to treat OCD, while medication is a rare solution. Cognitive behavioral therapy can be used for somatic OCD treatment in which you can find out about your negative thought patterns and manage your emotions and feelings that worsen the symptoms.

Then, there is exposure and prevention therapy (ERP), which focuses on using exposure therapy to reduce the indications of somatic OCD. In this, when you are exposed to your triggers, you learn the coping mechanism to control your sensations and feelings.

Psychiatric Medication Management 

Medication is another effective treatment for somatic OCD. The medicine that is used to manage depression is somatic OCD medication. All the medications that are selective serotonin reuptake inhibitors (SSRIs) are for somatic OCD. They can reduce the symptoms by affecting serotonin levels in the brain. However, some people also see benefits with other types of medications, including serotonin-norepinephrine reuptake inhibitors (SNRIs) and tricyclic antidepressants (also used for depression).

When to Seek Medical Help

The only way to get rid of this disorder is by getting medical help. Whenever you feel like having symptoms, talking to a psychiatrist is the decision to make. Now, telepsychiatry and telehealth services are available all over the world, so you can get help easily. If you are looking for professional help, Inland Empire Behavioral Group provides the best telehealth services for mental health-related issues, including somatic OCD. Contact us now and receive the care you deserve.

Read More: Overcoming Harm OCD: Signs, Treatment and Recovery

Conclusion

Although somatic OCD is not very common among people, many people with OCD experience somatic obsessions in some form. And like other types of OCD, the obsessions and compulsions in somatic OCD can impact your life far more severely than you can imagine. If you find it difficult to carry out your daily activities because of your somatic OCD symptoms, it can be helpful to reach out to a therapist to discuss your concerns. With the right treatment from Inland Empire Behavioral Group, you can learn how to manage your symptoms and improve your quality of life.

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Frequently Asked Questions

Common symptoms of OCD include focusing on the amount of time one chews, concentrating on how one is breathing, monitoring one’s heartbeat, and trying to control the times one blinks.

Common core fears of OCD include guilt, abandonment, and shame.

Yes, somatic OCD can be treated with medication and therapies. Therapies that are used to manage somatic OCD include exposure and prevention therapy and cognitive behavioral therapy. Medications used for this subtype of OCD are SSRIs and SNRIs.

Yes, it can be genetic, but most of the time, it is triggered by some traumatic event like the death of a close one or a breakup.

Yes, depression is commonly associated with somatic OCD.

  1. Ms, E. L. (2024, January 12). Your guide to somatic OCD and its treatment. Healthline. https://www.healthline.com/health/ocd/your-guide-to-somatic-ocd-and-its-treatment#takeaway
  2. Arifi, F. (2025, February 14). What is Somatic OCD? Signs, Symptoms, and Treatment. NOCD. https://www.treatmyocd.com/blog/what-is-somatic-ocd
  3. The Gateway Institute. (2023, June 16). Somatic OCD – Symptoms and Treatment – The Gateway Institute. https://www.gatewayocd.com/somatic-ocd-symptoms-and-treatment/
  4. Peace of Mind Foundation. (n.d.). Somatic OCD. Peace of Mind Foundation – Part of the International OCD Foundation. https://peaceofmind.com/education/types-of-ocd/somatic-ocd/
  5. International OCD Foundation. (2017, December 28). International OCD Foundation | When Automatic Bodily Processes Become Conscious: How to Disengage from “Sensorimotor Obsessions.” https://iocdf.org/expert-opinions/when-automatic-bodily-processes-become-conscious-how-to-disengage-from-sensorimotor-obsessions/
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