About OCD
OCD (obsessive-compulsive disorder) involves intrusive thoughts that cause distress and repetitive behaviours or mental rituals to reduce it. Cognitive-behavioural therapy with exposure and response prevention is the first-line psychological treatment.
Clinical psychologists are psychologists with specialist training in assessing, diagnosing and treating mental health problems, from anxiety and depression to more complex conditions. In some countries it is a regulated health specialty; Therapy247 checks the registration.
Getting mental health care in Afghanistan
Public health system · Basic Package of Health Services (BPHS), Ministry of Public Health
Mental health is a component of the Basic Package of Health Services, so primary health care staff are expected to recognise and manage common mental disorders. Psychosocial counsellors work in most comprehensive health centres. WHO describes facilities treating mental health problems as scarce, with shortages of trained counsellors, especially female counsellors, and of psychotropic medicines. More information
How to check that a professional is licensed
- Medical Council of the Ministry of Public Health. The Medical Council of the Ministry of Public Health checks the academic credentials and professional licences of doctors and other health workers, including in private health centres. Ask for the practitioner's ministry licence.
Urgent help in Afghanistan
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 102 · Medical assistance
Information reviewed in November 2026 · Sources: emro.who.int, who.int
Signs to look out for
Many people have occasional intrusive thoughts or like things a certain way. OCD may be involved when unwanted thoughts, images or urges cause intense distress, and you feel driven to perform rituals, such as checking, washing, counting, seeking reassurance or mentally neutralising, to reduce the anxiety. These rituals take a lot of time, feel hard to resist and interfere with daily life.
What helps: treatments and professionals
Cognitive-behavioural therapy with exposure and response prevention (ERP) is the psychological treatment with the strongest evidence for OCD. It involves gradually facing feared thoughts or situations without performing rituals, at a pace agreed with the therapist. Clinical psychologists and psychologists trained in ERP usually lead treatment. A psychiatrist can assess whether medication may help, particularly when symptoms are severe.
When to seek urgent help
Having an intrusive thought about harm does not mean you want to act on it; this is common in OCD. However, if you feel hopeless, have thoughts of ending your life, or rituals prevent you from eating, drinking or caring for yourself, contact your local emergency services or go to the nearest emergency department. Sudden onset of OCD symptoms in a child should be checked by a doctor.
What you can do in the meantime
Learn from reliable sources how OCD works: trying to push thoughts away or seeking reassurance usually makes them stronger. Try to delay a ritual by a few minutes, or shorten it slightly, and notice that anxiety tends to fall on its own. Ask family members to support you without joining in rituals. Look after sleep and stress, which can intensify symptoms.
What does a clinical psychologist do?
A clinical psychologist assesses, diagnoses and treats mental health problems in children, adults or older people. Day to day they conduct clinical interviews, use validated questionnaires and tests, formulate what keeps the problem going, and deliver evidence-based therapies. They often work in hospitals, community mental health teams or private practice, and coordinate with psychiatrists, family doctors and social services.
When to see a clinical psychologist
A clinical psychologist is a good choice for moderate to severe or persistent difficulties: anxiety disorders, depression, obsessive-compulsive problems, trauma, eating disorders, personality difficulties, or when a formal diagnosis or report is needed. If medication may be needed or there is a risk to safety, a psychiatrist should also be involved. For coaching or personal growth, other professionals may fit better.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in Afghanistan cover psychological care?
Mental health is a component of the Basic Package of Health Services, so primary health care staff are expected to recognise and manage common mental disorders. Psychosocial counsellors work in most comprehensive health centres. WHO describes facilities treating mental health problems as scarce, with shortages of trained counsellors, especially female counsellors, and of psychotropic medicines.
How do I check that a clinical psychologist is licensed in Afghanistan?
Medical Council of the Ministry of Public Health: The Medical Council of the Ministry of Public Health checks the academic credentials and professional licences of doctors and other health workers, including in private health centres. Ask for the practitioner's ministry licence.