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OCD Treatment

Table of Contents

Brian Aicher, LCSW Founder/Clinical Director

Medical Reviewer
Brian Aicher, LCSW

OCD Treatment Center

Obsessive-compulsive disorder (OCD) is more than quirks, preferences, or being “particular.” For many men, it looks like intrusive thoughts that will not let up and rituals that seem impossible to resist. 

At Firm Foundation in Woodstock, Georgia, we provide Christ-centered OCD treatment as part of our comprehensive addiction programming for men. Here, OCD treatment, trauma care, and substance use support come together so you can address the full picture of what you are facing.

We serve men only, which often makes it easier to be honest about intrusive thoughts, compulsive behaviors, and how they impact your faith, relationships, and daily life. Our levels of care include a Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), and Outpatient Program (OP). 

OCD treatment is integrated with substance use treatment and trauma-informed care rather than offered as a standalone primary mental health service. You are not expected to choose between working on your compulsions, your anxiety, or your sobriety. You can address all of it in a structured, faith-based environment.

What Is OCD and Why OCD Treatment Matters

How OCD Develops

OCD is a mental health condition marked by obsessions and compulsions. Obsessions are unwanted thoughts, images, or urges that feel intrusive and out of character, such as fears of contamination, doubt about whether you caused harm, or intense anxiety about breaking moral or religious rules. 

Compulsions are behaviors or mental rituals you do to try to relieve anxiety, such as checking, washing, repeating, counting, or seeking constant reassurance.

OCD can develop for many reasons, including genetics, brain chemistry, trauma, and chronic stress. It’s not simply a lack of self-control, willpower, or faith. Needing OCD treatment does not mean you are weak or that your relationship with God is defective. It means your brain is caught in a loop that needs specialized support to reset.

Common OCD Symptoms in Men

OCD symptoms can be loud or subtle. Some men notice clear patterns, like checking doors and stoves over and over, washing hands until they are raw, or repeating actions until things feel “just right.” 

Others struggle more with mental rituals, such as replaying conversations, silently praying in a certain way, or reviewing memories to prove they did not sin or hurt someone.

Emotionally, OCD often brings intense anxiety, irritability, and shame. It can be hard to focus at work or relax at home when your mind is busy tracking rules, threats, or potential disasters. You may hide your rituals from other people, pull away from relationships, or feel embarrassed by the content of your intrusive thoughts, especially if they are aggressive, sexual, or religious in nature.

Scrupulosity and Spiritual Distress

For some men, OCD shows up as scrupulosity, sometimes called religious or moral OCD. Intrusive thoughts may focus on sin, blasphemy, salvation, or fear of God’s judgment. You might find yourself confessing repeatedly, re-praying the same prayer, or constantly checking whether you “meant it enough” before God.

These experiences can be terrifying and confusing because the thoughts feel completely opposed to your values. It is important to know that intrusive thoughts are not the same as choices. 

OCD latches onto what matters most to you, including your faith. A key part of faith-based OCD treatment at Firm Foundation is helping you separate the voice of OCD from the voice of your conscience so you can rebuild a healthier walk with God.

Do You Need OCD Treatment? Signs It Is Time to Get Help

Red Flags You Should Not Ignore

You may not know exactly when OCD crossed the line from “annoying” to unmanageable. Clear signs it is time to consider OCD treatment include:

  • Rituals or routines that take up large parts of your day
  • Intense distress if you cannot complete rituals in a specific way
  • Avoidance of people, places, or activities because of obsessions or fear of contamination
  • Using alcohol or drugs to calm anxiety, quiet thoughts, or fall asleep

When OCD is shaping your life, relationships, and recovery, it is no longer just a personality trait. It is a condition that deserves real help.

When Faith Alone Does Not Feel Like Enough

You may love God and still feel tormented by intrusive thoughts and compulsions. You might feel like you never pray “right,” never confess enough, or never feel fully forgiven. Church, Bible reading, or prayer time can become triggers rather than comfort.

This doesn’t mean your faith has failed. It means OCD has taken hold in an area that matters deeply to you. 

At Firm Foundation, we offer faith-based OCD treatment that respects your relationship with Christ while helping you challenge OCD-driven fear and guilt. The goal is not to pull you away from faith but to help you experience it in a healthier, more grounded way.

Our Faith-Based OCD Treatment Approach for Men

Christ-Centered and Clinically Grounded Care

We don’t separate clinical care from spiritual care. At Firm Foundation, prayer, Scripture, and discipleship are integrated with evidence-based OCD treatment. You will have space to talk openly about intrusive thoughts that feel too shameful to share elsewhere and to hear clearly that having an idea is not the same as acting on it.

The men’s-only setting is intentional. Many men find it easier to be honest about anxiety, compulsions, and addiction in a room of peers who understand their struggles. Our team leads with grace rather than shame. We meet you where you are and walk with you step by step.

Trauma-Informed, Dual Diagnosis Perspective

OCD rarely exists in a vacuum. Trauma, anxiety, depression, and substance use often overlap and intensify each other. We recognize that many men with OCD have used drugs or alcohol to take the edge off the constant noise in their heads.

That is why we use a trauma-informed, dual diagnosis perspective. When trauma is present, we address it alongside OCD and addiction. When substance use has become its own problem, we treat it directly instead of viewing it as a side issue. You receive one integrated plan rather than juggling multiple disconnected services.

Daily Structure: Prayer, Groups, and Skills Practice

Structure helps loosen OCD’s grip. At Firm Foundation, your days include morning prayer and meditation, psychodynamic process groups, psychoeducation, and end-of-day reflection. Process groups give you a safe space to talk honestly about rituals, obsessions, and how they affect your life. Psychoeducation walks you through how OCD and addiction work, how they reinforce each other, and what change looks like.

Reflection groups help you review the day, plan for evenings and weekends, and practice new responses to triggers. Over time, this structure trains your mind and body to move away from compulsions and toward healthier patterns grounded in truth, community, and faith.

OCD Treatment Programs at Firm Foundation

Partial Hospitalization Program (PHP) for OCD and Addiction

Our Partial Hospitalization Program runs from 9 a.m. to 3 p.m. and provides the highest level of care outside of inpatient treatment. PHP is ideal for men who need intensive OCD treatment and addiction support while living in sober housing or at home.

A PHP day combines individual sessions, group therapy, skills practice, and spiritual programming. You will work directly on OCD symptoms, learn how they connect to your substance use, and build practical strategies for facing fears without defaulting to rituals or drugs and alcohol.

Intensive Outpatient Program (IOP) for OCD Treatment

The Intensive Outpatient Program meets from 9 a.m. to 12 p.m. IOP is a strong fit for men stepping down from PHP or for those who need structure while still managing work or family responsibilities.

In IOP, you continue working on obsessions, compulsions, and addictive patterns in a focused half-day format. 

The emphasis is on applying what you have learned to real-life situations, strengthening relapse prevention skills, and deepening your spiritual growth as you navigate daily stressors.

Outpatient OCD Support and Step-Down Care

Outpatient (OP) services offer a lighter schedule while keeping you connected to professional support. OP is designed for men who have made progress in higher levels of care and are ready to take more responsibility for their recovery.

Through OP, you receive ongoing help with OCD symptoms, addiction, and life transitions. Sessions focus on refining coping skills, maintaining spiritual disciplines, and staying connected to a supportive community and accountability.

Therapies We Use in OCD Treatment

Individual Therapy and Exposure-Based Work

In individual therapy, you work one-on-one with a clinician to understand your obsessions, compulsions, and the beliefs that drive them. You will explore how OCD shows up in your thoughts, behaviors, and faith life, and develop a plan for responding differently when anxiety rises.

When appropriate, we incorporate exposure-based strategies that help you face feared situations or thoughts while resisting rituals. This is done gradually and collaboratively, with a focus on safety and respect. The goal is to reduce the power OCD has over your choices and your schedule.

Group Therapy and Psychoeducation

Group therapy offers a place to discover that you are not alone. Men share honestly about their struggles with rituals, anxiety, and shame, and support one another in making small but important changes.

Psychoeducation groups explain how OCD, anxiety, and addiction operate, why compulsions feel so urgent, and how to disrupt the cycle. You will set goals to reduce rituals, tolerate uncertainty, and handle cravings without returning to old patterns.

Faith, Discipleship, and Spiritual Support

If you want it, we weave discipleship and spiritual support right into your clinical care. Together, we’ll look at Scripture, prayer, and Christian community in ways that actually calm your mind rather than feed OCD. We’ll talk through the difference between OCD-driven scrupulosity and genuine conviction, so your faith can feel like a steady anchor instead of a constant threat.

As part of your coping plan, we can build in simple, specific tools—short prayers, meditations, and key passages—that remind you of who God is and how He sees you when intrusive thoughts get loud.

Skills for Anxiety, Triggers, and Cravings

We teach CBT and mindfulness-based skills to help you notice obsessions without giving in to compulsions. You learn how to ride out urges, ground yourself in the present moment, and challenge distorted beliefs.

Relapse prevention planning connects OCD spikes, stress, and cravings. Instead of viewing substance use as separate from OCD, we look at how they interact and build a plan that protects both your mental health and your sobriety.

OCD Treatment and Co-Occurring Addiction at Firm Foundation

Why We Treat OCD and Substance Use Together

OCD-related anxiety and shame can easily drive substance use. Alcohol or drugs may seem like the only way to quiet your mind or escape the pressure of rituals. If OCD is left unaddressed, addiction treatment alone often falls short.

Our dual diagnosis approach addresses both conditions at once. We help you understand how OCD and addiction feed each other and give you tools to break that cycle.

Building a New Foundation for Long-Term Recovery

Lasting recovery requires more than short-term symptom relief. At Firm Foundation, we combine OCD-focused therapy, addiction education, and spiritual formation to help you build a new way of living.

You will develop routines for sleep, work, community, and faith that support stability. Over time, these habits become part of a new identity grounded in truth, responsibility, and hope.

Family Involvement in OCD Treatment

How We Work With Loved Ones

With your consent, we involve family on a case-by-case basis through planned bi-weekly contact and education. Loved ones learn what OCD is, why rituals are so compelling, and how addiction fits into the picture.

We help families understand how to support recovery without participating in rituals or enabling substance use. The aim is to strengthen the home environment so it becomes a safer, more stable place for healing.

Boundaries, Communication, and Faith at Home

Families receive guidance on setting clear, healthy boundaries around compulsions and substances. We also work on communication skills that allow for honest conversations about OCD and anxiety without constant reassurance or conflict.

For those who wish, we encourage shared faith practices such as prayer, church involvement, and Scripture reading that support healing rather than fueling compulsive patterns. When boundaries, communication, and faith grow together, home can become a strong ally in your recovery.

OCD Treatment FAQs

Do you treat OCD if I also struggle with addiction?

Yes. Firm Foundation specializes in dual diagnosis care, so OCD treatment is integrated with addiction treatment. We address intrusive thoughts, compulsions, cravings, and substance use in one coordinated plan.

Is Firm Foundation only for men?

Firm Foundation serves men only. Many men find this environment safer for sharing openly about intrusive thoughts, rituals, and trauma, and it often supports deeper honesty and accountability in treatment.

What does faith-based OCD treatment look like in practice?

Faith-based OCD treatment at Firm Foundation combines prayer, Scripture, and discipleship with clinical therapies like individual counseling, group work, and skills training. We respect your relationship with Christ while helping you challenge OCD-driven fear and guilt.

How long does OCD treatment take at Firm Foundation?

The length of OCD treatment depends on your level of care, the severity of your symptoms, and how you respond to treatment. Some men move from PHP to IOP to OP, while others may start at a lower level of care. Your team will regularly review your progress and make recommendations tailored to your needs.

Can my family be involved in my OCD treatment?

Yes, with your consent. We offer bi-weekly contact and education for families to help them understand OCD and addiction, and to support healthier communication and boundaries at home.

How do I get started with OCD treatment at Firm Foundation?

Getting started begins with a call to our admissions team. We will listen to your story, verify your insurance, and schedule a clinical assessment to determine the best level of care for your OCD treatment and addiction recovery. If you are ready to take the next step, reach out, and we will walk with you from there.