Obsessive-compulsive disorder
Understanding, evidence-based care for OCD, without judgement and at a pace that feels manageable.
OCD is not about being tidy
OCD is not a preference for order or a personality quirk. It is a recognised mental health condition, in which unwanted, intrusive thoughts create real anxiety, and repetitive actions or mental rituals are used to try to relieve it. Those actions can bring brief relief, but over time they tend to strengthen the very worry they were meant to quiet. It can be exhausting to live with, and it is treatable.
The pattern behind OCD
Obsessions
Unwanted, intrusive thoughts, images or urges that feel distressing and hard to dismiss.
Compulsions
Repetitive behaviours or mental acts carried out to ease the anxiety, from checking and washing to silent reassurance.
The cycle
Each compulsion offers brief relief, then reinforces the worry, which is what makes OCD so hard to break alone.
Care grounded in evidence
Care begins with an unhurried assessment to understand how OCD is affecting you. The most established talking therapy for OCD is a form of CBT called Exposure and Response Prevention (ERP), which gently helps you face triggers without carrying out the usual compulsions, so their grip loosens over time. Where clinically appropriate, medication may also form part of your plan. Everything is discussed with you fully, and shaped around your life.
Seen the way that suits you
At Harley Street
- Private appointments in a calm consulting room.
- Consultant-led care from our specialist team.
- In a discreet setting in the medical district of London.
Online
- The same consultant-led care, by secure video.
- Appointments that fit around your day, wherever you are.
- A private, confidential space to talk.
Simple, steady steps
Enquiry
Get in touch and arrange a first appointment at a time that suits you.
Assessment
A thorough consultation to understand your symptoms and how OCD affects you.
Your plan
A personalised plan, which may include ERP therapy and, where appropriate, medication.
Review
Ongoing review with Dr. Saal, adjusting as you progress.
Common questions
Do I need a GP referral?
No referral is needed to book a private consultation. With your consent, we can liaise with your GP.
What therapy is used for OCD?
The most established therapy for OCD is a form of CBT called Exposure and Response Prevention (ERP). Your plan is tailored to you following assessment.
Will I need medication?
Not necessarily. Any plan is discussed with you fully, and medication is only considered where it's clinically appropriate.
Are appointments in person or online?
Both are available, at 10 Harley Street or by secure video wherever you are.
A clearer path forward
Your first step is an unhurried consultation. Session fees are shared on enquiry.
Request a consultation