Antipsychotics For OCD – Things To Look Out For Treatment

Antipsychotics For OCD

If you are struggling with OCD, you may be wondering if antipsychotics are a good treatment option for you. There is a lot of information out there about antipsychotic medications, and it can be difficult to know what to believe. In this blog post, we will discuss the pros and cons of using antipsychotics for OCD, as well as some things to look out for when considering this type of treatment.

What Is OCD?

Obsessive-Compulsive Disorder (OCD) is an anxiety disorder that causes sufferers to have uncontrollable thoughts or behaviors. People with OCD may experience intrusive thoughts, compulsive behaviors, and difficulty managing the intensity of their symptoms. Additionally, they often have difficulty functioning in everyday life due to the stress of their symptoms. It includes some signs which are:

  • Having persistent, intrusive thoughts over a long period of time.
  • Having difficulty managing and controlling these thoughts.
  • Engaging in certain behaviors or rituals to manage the anxiety associated with the intrusive thoughts.
  • Engaging in ritualistic behaviors to alleviate anxiety.
  • Avoiding certain activities or situations due to fear or guilt.
  • Experiencing severe distress over the inability to control their thoughts and behaviors.

What Are Antipsychotics?


Antipsychotics are a type of psychiatric medication used to treat conditions such as schizophrenia, bipolar disorder, and depression. They work by blocking certain neurotransmitters in the brain that control mental processes like mood, thinking, and behavior. The most commonly prescribed antipsychotic medications are aripiprazole (Abilify), risperidone (Risperdal), quetiapine (Seroquel), olanzapine (Zyprexa), and haloperidol (Haldol).

Antipsychotics for OCD

Recent research has shown that antipsychotics can be effective in treating OCD. Here are some of them:

  • Aripiprazole (Abilify): This medication is believed to help reduce the intensity of obsessive-compulsive symptoms by blocking dopamine receptors in the brain. There are some side effects associated with this medication, such as weight gain and drowsiness.
  • Risperidone (Risperdal): This drug is thought to act on both serotonin and dopamine receptors in the brain, reducing anxiety levels and decreasing compulsive behavior. It can also cause some side effects such as fatigue, dizziness, and restlessness.
  • Quetiapine (Seroquel) – This antipsychotic works by targeting serotonin and dopamine receptors in the brain to reduce OCD symptoms. Side effects may include nausea, trembling, and weight gain.
  • Olanzapine (Zyprexa) – This medication is believed to help reduce the intensity of intrusive thoughts and compulsive behaviors by blocking serotonin receptors in the brain. It can also cause side effects like dry mouth, dizziness, and drowsiness.

Do Antipsychotics Worsen OCD?

While antipsychotics can be beneficial in treating OCD, there have been some reports of people experiencing worsening OCD symptoms when taking antipsychotics. This could be a result of the medication not being effective enough or because the dosage was too high. It is important to speak to your doctor if you are concerned about any potential side effects from taking these medications.

What Are The Benefits Of Antipsychotics For OCD?

Benefits Of Antipsychotics For OCD

The main benefit of using antipsychotics for OCD is that they can help reduce the severity and frequency of obsessive-compulsive thoughts and behaviors. They can also be used to treat co-occurring conditions such as depression and anxiety, which can further improve a person’s overall mental health. Additionally, they may help lessen the need for additional medications or therapies. They are typically used as part of a comprehensive treatment plan that includes therapy and lifestyle changes.

The SSRI and SNRI medications are the primary medications used to treat OCD, but some people may find that the antipsychotics provide a better response.

Antipsychotics for OCD can be a helpful tool in managing the symptoms of this disorder.

What Is The Right Dosage For OCD Antipsychotics?

The right dosage of antipsychotics for OCD will vary depending on the person and their individual symptoms. For Abilify, it is typically recommended to start at a low dose of 15-30 mg per day and gradually increase it if needed. The Risperidone consider 1-2 mg per day and can also be gradually increased if needed. Seroquel is usually prescribed at 25-50 mg per day and the Zyprexa dosage typically starts at 5-10 mg per day and can be increased if needed.

It is important to work with a psychiatrist or doctor to determine the best dose for you.

What Are The Best Antipsychotics For OCD?

The best antipsychotics for OCD will depend on the individual and their specific symptoms. Aripiprazole, Risperidone, Quetiapine, and Olanzapine are all medications that have been found to be effective in treating OCD symptoms.

Side Effect Of Antipsychotics

Side Effect Of Antipsychotics

Antipsychotics can cause a range of side effects, including weight gain, drowsiness, restlessness, dizziness, and trembling. It is important to discuss any potential side effects with your doctor before beginning any medication. Here are some more common side effects of antipsychotics:

  • A change in blood sugar level is also something to be aware of, as some antipsychotics can cause changes in blood sugar levels. It is essential to speak to your doctor about any concerns you might have before starting any medication.
  • It is important to regularly monitor for side effects and report them to your doctor if they occur.
  • Nausea, Insomnia, and sexual problem are some of the common side effects associated with antipsychotics.
  • They may lead to Akathisia, which is a condition characterized by inner restlessness, agitation, and a compulsion to move. This can be especially difficult for people with OCD who may already struggle with feeling agitated or restless.
  • Antipsychotics can also cause certain thinking issues such as slowed reaction time, confusion, and difficulty concentrating. It is important to talk to your doctor about any cognitive side effects you may experience while taking these medications.

How Long Should You Be On Antipsychotics?

The length of time you should be on antipsychotics will depend on your individual situation and the severity of your symptoms. Generally, it is recommended to start at a low dose and increase it as needed for upto 1-2 years. It is important to speak to your doctor before changing or stopping any medication.


Antipsychotics can be a useful tool for treating OCD, but it is important to know the potential side effects and work with your doctor to determine the best dose and medication for you. It is also important to monitor for any changes in your symptoms or side effects while taking antipsychotics. Remember to always follow your doctor’s instructions when taking these medications.

If you are concerned about any of the side effects, be sure to speak to your doctor right away. They can help adjust the dosage or switch medications if necessary.

Take care, and don’t forget that you are not alone! OCD is a mental health disorder characterized by obsessions and compulsions. If you have any queries regarding OCD treatmentERP therapy experienced therapists at OCDMantra can help: Book a trial OCD therapy session

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