Do I Have Anxiety or OCD? How to Tell — and What Meds Help Each

If you’re struggling with persistent worries or repetitive behaviors, you might ask yourself: Do I have anxiety or obsessive-compulsive disorder (OCD)? Understanding the differences between these conditions is key to getting the right treatment — including medication management.

At Dignity Brain Health, we provide expert tele-psychiatry medication management for Massachusetts residents — including Boston, Brookline, Cambridge, Newton, Somerville, and Back Bay — as well as New Hampshire and Florida. Whether you’re searching for psychiatric medication near me, a mental health clinician online, or wondering how to get anxiety meds without therapy, this guide will help you understand your symptoms and medication options.

What Is Anxiety and How Does It Differ from OCD?

Anxiety and OCD are often confused but are distinct mental health disorders.

What Is Anxiety?

  • Characterized by excessive worry or fear

  • Common types: generalized anxiety disorder (GAD), panic disorder, social anxiety disorder

  • Symptoms include restlessness, rapid heartbeat, muscle tension, and difficulty concentrating

What Is OCD?

  • Involves intrusive, unwanted thoughts (obsessions) and repetitive behaviors (compulsions)

  • Compulsions are performed to reduce anxiety caused by obsessions

  • Symptoms often include rituals like repeated handwashing, checking, or counting

How to Tell If You Have Anxiety or OCD

Common Symptoms of Anxiety

  • Persistent and excessive worry

  • Feeling “on edge” or restless

  • Panic attacks or sudden intense fear

  • Physical symptoms like sweating, trembling, or heart palpitations

Common Symptoms of OCD

  • Intrusive, disturbing thoughts (e.g., contamination fears)

  • Repetitive rituals or mental acts (e.g., checking, counting)

  • Feeling compelled to perform compulsions despite knowing they’re excessive

  • Significant interference with daily life

Why Getting the Right Diagnosis Matters

Correct diagnosis is essential because:

  • Treatment approaches differ — especially medication choices

  • Misdiagnosis can delay effective relief

  • Tailored treatment leads to better long-term outcomes

Licensed providers, such as psychiatrists and psychiatric nurse practitioners, can distinguish anxiety from OCD through careful assessment.

Medications That Help: Anxiety vs. OCD

Medications Commonly Used for Anxiety

  • SSRIs (Selective Serotonin Reuptake Inhibitors): Sertraline, escitalopram, fluoxetine

  • SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors): Venlafaxine, duloxetine

  • Benzodiazepines: Short-term use only (e.g., lorazepam)

  • Buspirone: Non-benzodiazepine anxiolytic

Medications Commonly Used for OCD

  • SSRIs: Higher doses of fluoxetine, sertraline, fluvoxamine

  • Clomipramine: A tricyclic antidepressant effective for OCD

  • Antipsychotic augmentation: For treatment-resistant OCD (e.g., risperidone)

How Medication Works

Psychiatric medications help balance brain chemicals linked to mood and anxiety regulation. For OCD, higher doses and longer treatment duration are often required.

Tele-Psychiatry Medication Management at Dignity Brain Health

At Dignity Brain Health, we provide:

  • Comprehensive evaluations through secure video sessions

  • Personalized diagnosis and treatment plans

  • Medication options explained clearly with side effect management

  • Ongoing follow-up and dose adjustments

  • Genetic testing to optimize medication choice (Learn More)

Our providers serve patients throughout Florida and Massachusetts—including Boston, Brookline, Cambridge, Newton, Somerville, and Back Bay—via convenient telehealth.

Common Patient Questions

Can I get anxiety meds without therapy?

Yes. While therapy is beneficial, many patients receive medication-only treatment through telehealth with our licensed providers.

How do I find a psychiatrist online near me?

Our Massachusetts-licensed team provides tele-psychiatry medication management statewide.

Will medication change my personality?

Medications aim to reduce symptoms while preserving your true self. Most patients report feeling more balanced, not “numb.”

Local Mental Health Resources in Massachusetts

  • NAMI Massachusetts: Support and education (NAMI Mass)

  • Massachusetts Department of Mental Health: Public mental health programs

  • Harvard Medical School, Mass General, McLean Hospital: Leading psychiatric research and care

If you live in Boston, Brookline, Cambridge, Newton, or Somerville, you have access to top-tier care and resources.

Why Choose Dignity Brain Health?

  • Expert psychiatric medication management across MA, NH, and FL

  • Convenient telehealth care—no commute, flexible scheduling

  • Personalized care informed by latest research and genetic testing

  • Compassionate support for anxiety, OCD, depression, ADHD, and more

Visit our About Us page to learn more.

Take the Next Step: Book Your Appointment Online

If you’re experiencing symptoms of anxiety or OCD, or wondering if medication can help, get expert tele-psychiatry care today.

👉 Start your your online psychiatric medication consultation process now

References

  1. Abramowitz, J. S., Taylor, S., & McKay, D. (2009). Obsessive-compulsive disorder. The Lancet, 374(9688), 491–499. https://doi.org/10.1016/S0140-6736(09)60240-3

  2. Baldwin, D. S., Anderson, I. M., Nutt, D. J., Bandelow, B., Bond, A., Davidson, J. R., ... & Wittchen, H. U. (2014). Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder: A revision of the 2005 guidelines from the British Association for Psychopharmacology. Journal of Psychopharmacology, 28(5), 403-439. https://doi.org/10.1177/0269881114525674

  3. Fineberg, N. A., Dell'Osso, B., Albert, U., et al. (2020). Early intervention for obsessive compulsive disorder: An expert consensus statement. European Neuropsychopharmacology, 33, 33-43. https://doi.org/10.1016/j.euroneuro.2020.02.007

  4. Stein, D. J., Craske, M. G., Friedman, M. J., et al. (2021). Treatment of anxiety disorders. Nature Reviews Disease Primers, 7(1), 1-21. https://doi.org/10.1038/s41572-021-00262-9