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Q&A 145: MS and Obsessive Compulsive Disorder or OCD
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Q&A 145: MS and Obsessive Compulsive Disorder or OCD

Comorbid OCD is commoner than you realise in people with MS. Do you want to know more about it?

Question

I am 44 years of age and have had MS for 16 years. I was fingolimod before switching to ocrelizumab. I have weakness in both legs and can manage about 200 yards with a stick. I also have bladder and bowel problems. Over the last few years, I have developed obsessive-compulsive symptoms. I have developed a germ phobia and can’t touch anything; I have to wash my hands, so my hands are raw from using soap and alcohol spray. As a solution, I have started using latex gloves when I go out. I also started worrying about my ocrelizumab infusion being contaminated, and this caused me to have a panic attack. My family doctor has started me on fluoxetine and has made a referral to see a psychiatrist.

Is OCD common in people with MS? Would you recommend I do something else to treat the condition?

Many thanks

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Prof G’s response

Is OCD common in people with MS? YES

Would you recommend I do something else to treat the condition? YES, CBT and ERP

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