Can OCD cause psychosis? A women looks confused and upset while talking to a man.

Can OCD Cause Psychosis? Understanding Overlap, Insight, and Treatment

TL;DR: Key Takeaways

  • OCD does not cause primary psychosis: The two conditions are clinically distinct. Severe OCD can produce poor insight, quasi-hallucinations, and transient psychotic-like experiences, but these differ mechanically and clinically from primary psychotic disorders.
  • Poor insight affects 10-30% of people with OCD: When insight is absent, obsessions can feel as convincing as delusional beliefs. The DSM-5-TR acknowledges this with an “absent insight/delusional beliefs” specifier.
  • Antipsychotics can worsen OCD; SSRIs can worsen psychosis: Medication sequencing in this population requires specialist oversight. The wrong first treatment can actively aggravate the condition being targeted.
  • ERP remains effective with low insight when adapted: Motivational interviewing, graduated exposures, in-vivo coaching, and family involvement make exposure and response prevention viable for poor-insight presentations, though active psychosis or safety risk requires stabilization first.

OCD and psychosis share overlapping symptoms, but OCD does not cause primary psychotic disorders. The two conditions diverge in ways that directly determine whether treatment should start with an SSRI, an antipsychotic, or an adapted combination of both. 

Up to 30% of people with OCD experience poor or absent insight, which can make obsessions feel as fixed and certain as delusional beliefs, creating real diagnostic complexity that affects medication choices, supervision levels, and safety planning.

When insight is poor, the gap between an obsessive belief and a delusion can be difficult to locate clinically, with consequences for every treatment decision that follows. Understanding where the two conditions meet, where they diverge, and how treatment is sequenced when symptoms overlap is what this resource covers. It draws on current clinical evidence and outlines what good care looks like in the context of residential mental health treatment.

OCD and Psychosis: Clinical Background and Why the Distinction Matters

Obsessive-compulsive disorder presents ego-dystonic intrusive thoughts and repetitive behaviors driven by anxiety. Psychosis involves impaired reality testing: hallucinations, firmly held delusions, and disorganized thought or speech that disconnect a person from shared reality.

The distinction matters clinically because the two conditions require different first-line treatments, and the wrong treatment first can worsen the other condition. Selective serotonin reuptake inhibitors (SSRIs) can exacerbate psychotic symptoms in some patients; antipsychotics, particularly second-generation agents, can induce or worsen obsessive-compulsive symptoms. Getting the diagnosis right is not academic: it shapes medication, therapy type, level of supervision, and safety planning from day one.

OCD can show very poor insight that looks like psychosis but remains phenomenologically different. In OCD, distressing thoughts are ego-dystonic, meaning the person recognizes, at least sometimes, that these thoughts are products of their own mind and wants to be free of them. The person is usually arguing with their thoughts rather than acting on a belief about objective reality. A thorough overview of how OCD presents, including its less-recognized subtypes, is available in D’Amore’s OCD self-assessment and overview.

Key Clinical Features

OCD: Intrusive, ego-dystonic obsessions and repetitive compulsions aimed at reducing anxiety. The person typically finds the thoughts distressing and unwanted.

Psychosis: Auditory or visual hallucinations, firmly held delusions, and disorganized thought or speech. Beliefs tend to feel ego-syntonic: real, consistent, and not experienced as intrusive.

Insight, Delusions, and the DSM-5-TR Specifier

Poor insight in OCD means the person believes their obsessional fears are probably true and resists evidence to the contrary. The DSM-5-TR acknowledges this with an “absent insight/delusional beliefs” specifier, recognizing that some OCD presentations blur the clinical boundary. 

Treatment at D’Amore’s OCD program accounts for poor insight presentations, using cognitive behavioral therapy and SSRIs even when beliefs feel fixed. True delusional beliefs that meet criteria for a primary psychotic disorder typically require antipsychotic treatment and a different supervision model.

Prevalence and Why Accurate Diagnosis Is Critical

Primary psychotic disorders are less common than OCD but carry higher safety risks and require different care pathways. The National Institute of Mental Health reports schizophrenia affects about 1% of people worldwide. Research suggests 12-25% of people with schizophrenia also meet criteria for OCD, meaning both diagnoses can coexist and must be assessed independently.

Accurate diagnosis guides medication choices, therapy selection, supervision levels, and safety planning. It determines whether someone is best served in an outpatient setting or in a residential program with 24/7 clinical oversight.

Factors That Influence Whether OCD Looks Psychotic

OCD can look psychotic when insight weakens or when obsessions become relentless and feel like fixed beliefs. Several clinical factors drive this overlap:

  • Insight level: Lower insight makes obsessions feel self-evident rather than self-generated. When the person no longer recognizes their fears as irrational, the clinical picture can closely resemble a delusional disorder, even though the underlying mechanism remains OCD.
  • Severity and chronicity: Longstanding, intense obsessions can harden into delusion-like certainty and cause major functional decline. Years of unmanaged OCD can blur the clinical line between obsession and delusion, particularly when reassurance-seeking has reinforced the beliefs over time.
  • Sensory phenomena and quasi-hallucinations: People with OCD can experience vivid sensory phenomena tied to their obsessional fears: briefly seeing germs, hearing an intrusive voice, sensing contamination. Unlike true hallucinations, these quasi-hallucinations usually retain partial insight; the person suspects or knows the perception is not real, even when it feels intensely real. This retained insight is a key differentiating feature from primary psychosis.
  • Substance use, medical illness, and medication effects: Stimulants and cannabis are the most clinically significant triggers. Both can produce true psychosis or dramatically amplify obsessive symptoms. Neurological illness and medication changes, particularly new or adjusted antipsychotics, can also complicate the picture. When substance use is a contributing factor, a dual diagnosis evaluation is the appropriate first step.
  • Acute stress and family history: Severe stress can provoke brief psychotic-like breaks in vulnerable individuals. A family history of psychosis meaningfully raises the baseline probability that psychotic symptoms reflect a primary disorder rather than OCD with poor insight.

These clinical patterns shape targeted assessment and determine whether treatment should emphasize intensive OCD protocols, antipsychotic strategies, or integrated residential care.

“Psychosis OCD”: When the Fear of Going Crazy Is the Obsession Itself

One presentation that is underrecognized but clinically important: OCD where the obsession is the fear of developing psychosis. Clinicians sometimes call this “going crazy OCD,” “losing control OCD,” or informally, “psychosis OCD.”

In this subtype, intrusive thoughts like “What if I’m losing my mind?” or “What if I snap and lose touch with reality?” become the core obsession. The person compulsively checks their own thoughts for signs of psychosis, seeks reassurance from others that they are still sane, and avoids situations they believe might trigger a mental break.

This presentation is clinically important for two reasons:

  1. A person presenting with psychosis-themed distress may have OCD, not an emerging psychotic disorder. Misidentifying it leads to the wrong treatment.
  2. Reassurance-seeking and mental checking are compulsions that reinforce the obsession, so the correct treatment response is exposure and response prevention rather than reassurance.

How to Tell OCD With Poor Insight From a Primary Psychotic Disorder

Differentiating these two presentations is the most consequential clinical decision in this population. Getting it wrong means a medication that helps one condition can worsen the other.

Clinically, OCD thoughts are usually ego-dystonic, repetitive, and anxiety-driven, while psychotic beliefs tend to feel ego-syntonic and fixed. OCD commonly causes ritualized behaviors tied to specific fears. Primary psychosis more often produces disorganized thought, pervasive bizarre delusions, negative symptoms, or hallucinations not explainable by an underlying obsessional fear.

Clinical Marker Points Toward OCD Points Toward Primary Psychosis
Insight into symptoms Present; fluctuates with stress Persistently absent
Ego relationship to thoughts Ego-dystonic: unwanted, resisted Ego-syntonic: feels real and consistent
Thought content Repetitive, fear-driven, tied to specific theme Bizarre, pervasive, not anchored to a fear
Compulsive rituals Present; linked to specific obsession Absent or disorganized
Response to reassurance Temporarily reduces distress Typically no effect
Negative symptoms Absent May be prominent (flat affect, alogia)
Disorganized speech or behavior Absent May be present
Response to exposure-based therapy Can improve, even with low insight Not applicable as primary treatment
Family history OCD or anxiety disorders Schizophrenia or schizoaffective disorder

How They Compare Overall

Timing, content, and response to reassurance help separate the two. Obsessions may respond variably to logic or exposure-based techniques. Delusions typically do not shift with evidence or behavioral experiments. The presence or absence of compulsive rituals, and whether those rituals are tied to a specific fear, is often the fastest clinical differentiator.

Urgent Red Flags Requiring Immediate Escalation

  • Rapid decline in function
  • Self-harm intent or active suicidal ideation
  • Persistent command hallucinations
  • Acute disorganization that prevents basic self-care

Signs Favoring OCD

  • Intrusive images or urges the person finds distressing and unwanted
  • Rituals, avoidance, or repetitive checking tied to a specific fear
  • Insight that fluctuates and improves with cognitive behavioral strategies
  • Any response, even partial, to gentle exposure techniques

Signs Favoring Primary Psychosis

  • Bizarre, pervasive delusions unrelated to a specific fear
  • Pronounced disorganization, flat affect, or prominent negative symptoms
  • Hallucinations without retained insight
  • Persistent absence of doubt about the reality of beliefs

When these signs are present, refer for psychiatry or neuropsychiatry evaluation and arrange a medical, toxicology, and neurological workup. Residential treatment for schizophrenia and related psychotic disorders is available when primary psychosis is confirmed.

Can OCD Cause Hallucinations or Delusions? What “Poor Insight” Means in Practice

OCD can produce experiences that resemble hallucinations and delusions, but the underlying mechanism differs from primary psychosis, and that difference determines treatment.

Quasi-Hallucinations in OCD

A person with contamination OCD might briefly see germs on their hands that others cannot see. Someone with harm OCD might hear an intrusive voice saying they want to hurt someone. These sensory phenomena are tied directly to obsessional content and almost always retain partial insight; the person knows, or suspects, that the perception is not real. This retained insight, however fragile, is what distinguishes an OCD quasi-hallucination from a true hallucination in primary psychosis, where the experience is accepted as real with no doubt.

Delusion-Like Beliefs in OCD

When insight is poor or absent, obsessional beliefs can look clinically indistinguishable from delusions. A person may insist their home is contaminated beyond what any evidence could refute, or believe with complete certainty that touching a surface will cause harm to a family member. The Brown Assessment of Beliefs Scale (BABS) is the validated instrument clinicians use to quantify conviction and insight, helping separate OCD-driven certainty from true delusional thinking.

What “Poor Insight” Looks Like Day to Day

Poor insight means you treat an obsessive belief as probably true and push back against evidence that it is unreasonable. Common examples include feeling permanently contaminated after contact others would view as harmless, or interpreting intrusive moral thoughts as proof of a criminal character. Estimates of poor insight in OCD range from 10-30%, and it tends to correlate with greater illness severity and worse treatment outcomes when not accounted for in the therapy plan.

The Medication Risk Both Conditions Share

One of the least-discussed clinical hazards in this population: the medications that help one condition can worsen the other.

SSRIs, the first-line treatment for OCD, can exacerbate psychotic symptoms in some patients, particularly at higher doses or when psychosis is already present. Antipsychotics, the first-line treatment for schizophrenia, can induce or worsen obsessive-compulsive symptoms, a well-documented side effect of second-generation antipsychotics including clozapine, risperidone, and olanzapine. If the first evidence of obsessive-compulsive symptoms appears after initiating an antipsychotic, medication-induced OCD should be considered. If psychotic symptoms worsen after starting or titrating an SSRI, medication-induced psychosis must be ruled out.

The standard approach starts with SSRI optimization over 8 to 12 weeks before adding antipsychotic augmentation. Low-dose risperidone and aripiprazole are the most studied augmentation agents for treatment-resistant OCD with poor insight. D’Amore’s medication management program provides the specialist oversight this sequencing requires, with ongoing monitoring for metabolic markers, extrapyramidal signs, QTc interval, and serotonin syndrome risk.

Common Clinical Scenarios and How They Are Managed

Four presentations account for most of the diagnostic complexity when OCD and psychotic symptoms appear together.

Scenario 1: Stress-Triggered Psychotic-Like Episode in a Person With OCD

A student under exam stress experiences intrusive violent images and briefly doubts reality. Prioritize safety, clarify reality testing, begin CBT with graduated exposure, and consider short-term antipsychotic medication if risk is high. The episode often resolves once stress is reduced and the OCD is treated directly.

Scenario 2: Long-Standing OCD Misdiagnosed as Schizophrenia

A person with years of rituals insists their beliefs are true after prior schizophrenia treatment. Re-evaluate for OCD with poor insight and review medication history carefully, particularly whether obsessive-compulsive symptoms started or worsened after antipsychotic initiation. D’Amore’s residential program provides the extended assessment and adapted ERP this presentation requires.

Scenario 3: Established Schizophrenia With New OCD Symptoms

Someone with schizophrenia develops new contamination rituals. Assess for co-occurring OCD and consider whether antipsychotic-induced obsessive-compulsive symptoms are a factor. Antipsychotic optimization and OCD-directed therapy must be coordinated carefully. A dual diagnosis program that manages both conditions within a single treatment plan is often the most effective structure.

Scenario 4: Substance-Triggered Psychosis in a Person With Chronic OCD

A person with chronic OCD has a brief psychotic episode after stimulant use. Treat intoxication first, reassess after detox, and plan integrated substance-use and OCD care in a setting that can address both presentations simultaneously.

Key Assessment Priorities Across All Scenarios

Focus on timeline, insight level, substance use, medication history, and safety. Use serial assessments to determine whether psychosis is primary or secondary to OCD, medication, or substances. Clarifying these elements allows for a treatment plan matched to acuity, supervision needs, and the specific interaction between conditions.

When Residential Care Is the Right Level

Consider high-intensity residential treatment when safety is at risk, function is severely impaired, outpatient care has failed, or substance use complicates the presentation. A small, high-touch program provides the structure needed to safely reassess diagnosis, stabilize medication, and begin integrated therapy.

Treatment When OCD and Psychotic Symptoms Overlap

When OCD and psychotic symptoms overlap, begin with a focused assessment to separate obsessions from delusions, stabilize immediate safety, and assemble a coordinated care team that includes family and outpatient providers.

Step 1: Assess and Stabilize Risk and Diagnosis

Clarify whether beliefs are ego-dystonic or fixed. Document suicidality and risk to others. Plan urgent stabilization if needed. Accurate differentiation matters because treatment paths diverge, and the wrong first step can worsen the condition being treated.

Step 2: Psychotherapy With Adaptations

Offer exposure and response prevention with lowered exposure intensity and motivational supports when insight is poor. Add CBT for psychosis to address delusional conviction directly. Involve family coaching to support exposures between sessions, and work to reduce accommodation of rituals that reinforces the obsessional cycle.

Step 3: Medication Sequencing and Monitoring

Start an SSRI at OCD-appropriate doses and monitor tolerability carefully. Add antipsychotic augmentation only if psychotic symptoms or severely poor insight persist after SSRI optimization. Antipsychotics require ongoing monitoring for metabolic markers, extrapyramidal signs, and QTc interval changes. D’Amore’s medication management approach guides dosing principles and evidence-based monitoring for this population.

Step 4: Higher-Acuity Care and Collaborative Planning

Escalate to residential or inpatient care when safety concerns arise, functional decline is significant, or therapy engagement fails. These settings provide 24/7 supervision, medication stabilization, and intensified ERP practice within a structured daily schedule. A clear discharge plan with specific goals, follow-up appointments, and a defined step-down level of care should be in place before transition.

Step 5: Outcomes, Monitoring, and Transition

Track symptom scales, side effects, and function weekly for the first 8 to 12 weeks. When psychotic features remit and safety is stable, shift emphasis back to adapted ERP and relapse prevention planning. Step down to an intensive outpatient program once residential goals are met and community support is in place.

Is ERP Appropriate When Insight Is Low, and How Should It Be Adapted?

Exposure and response prevention remains a viable and evidence-based treatment for OCD even when insight is poor, but it requires meaningful adaptation. Understanding how exposure therapy works provides helpful grounding before exploring the adaptations this population requires.

When adapting ERP for low-insight presentations, the approach should include:

  • Motivational interviewing to build treatment engagement before beginning formal exposures
  • Tiny, graduated exposures paired with cognitive supports to build tolerance and reduce resistance gradually
  • Increased session frequency and in-vivo coaching rather than relying on between-session practice alone
  • Family involvement to stop accommodation of rituals, since accommodation reinforces the obsessional cycle regardless of the person’s insight level
  • Behavioral experiments designed to test beliefs directly, rather than arguing against them logically

If active psychosis, severe suicidality, or imminent safety concerns are present, stabilization takes priority. Return to adapted ERP once safety and stability are established.

Medications: SSRIs, Antipsychotics, Interactions, and When to Use Them

Start with SSRIs as first-line pharmacotherapy for OCD and assess clinical response over 8 to 12 weeks. SSRIs are the recommended initial treatment and should be optimized before switching or adding medications.

When to Add a Low-Dose Antipsychotic

If there is only a partial SSRI response or clear psychotic-like symptoms develop, consider low-dose antipsychotic augmentation. Risperidone and aripiprazole are the most studied options for treatment-resistant OCD. Augmentation should follow SSRI optimization, not precede it.

Safety and Monitoring

Monitor metabolic markers, extrapyramidal signs, QTc interval, and serotonin syndrome risk throughout. Track substance use, as it affects both medication safety and response. When substance use intersects with OCD or psychosis, a dual diagnosis treatment approach provides integrated oversight of both conditions simultaneously. Be cautious with polypharmacy and confirm medication changes with a psychiatrist, as diagnostic complexity and interaction risks require specialist-level oversight.

Assessment Pathway and When to Seek Professional or Urgent Help

When OCD and psychosis overlap, a focused psychiatric evaluation and clear safety planning are the appropriate starting point. If there is imminent danger, call emergency services immediately.

Step 1: Initial Clinical Assessment

Begin with a structured psychiatric interview and collateral history to establish onset, severity, timeline, and reality testing. Determine whether intrusive thoughts are recognized as irrational or whether beliefs are held with conviction. Document findings and communicate them to the full care team for continuity across levels of care.

Step 2: Use Validated Screening Tools

Use clinician-rated measures to quantify symptoms and track change:

  • Yale-Brown Obsessive Compulsive Scale (Y-BOCS): the standard for OCD severity and treatment tracking
  • Brown Assessment of Beliefs Scale (BABS): quantifies insight and separates obsessional certainty from true delusional conviction
  • PANSS subscales: added when primary psychosis remains on the differential after initial assessment

Step 3: Medical, Toxicology Workup, and Referral Timeline

Order basic labs — CBC, CMP, thyroid stimulating hormone, vitamin B12 — and urine toxicology to rule out medical or substance contributors. Coordinate care across levels: primary care for medical optimization, outpatient psychiatry for ongoing management, and residential or inpatient programs when safety or severe functional decline prevents outpatient treatment.

Step 4: Urgent Indicators and Local Contacts

Escalate immediately for active suicidal intent, command hallucinations, severe disorganization, or inability to meet basic needs. For local support in Orange County, the team at D’Amore Mental Health admissions is available to coordinate evaluation and possible residential stabilization.

When symptoms are complex but not emergent, a coordinated assessment and medical workup will reveal specific risk factors and treatment priorities, informing the right level of supervision and which therapies to begin.

Risk Factors, Prognosis, and Outcomes

Obsessive thoughts or rituals that look like delusions or hallucinations can delay correct diagnosis and treatment. A systematic review found higher rates of psychosis-related experiences in OCD samples, with the degree of overlap depending on illness severity, age of onset, and substance use.

Risk Factors That Increase the Likelihood of Overlap

  • Family history of psychosis or severe OCD
  • Early onset in childhood or adolescence
  • Prominent sensory phenomena or poor insight
  • Substance use including stimulants and cannabis
  • Significant trauma or acute stress

Typical Prognosis and Predictors

Early, integrated care combining medication management, psychotherapy, and close monitoring significantly improves stabilization and long-term functioning. Delayed treatment, ongoing substance use, and persistent poor insight predict greater risk of functional disability. Early coordination between psychiatric care and addiction services reduces crisis risk and supports clearer recovery pathways.

How Clinicians and Residential Programs Support People With Overlapping OCD and Psychotic Symptoms

When clinicians determine whether intrusive obsessive thoughts or true psychosis is primary, they match treatment to that diagnosis and safety needs. Clinical teams combine medication management, adapted CBT with exposure and response prevention, and frequent monitoring to reduce risk and restore daily functioning.

How High-Intensity Residential Care Helps

Residential programs stabilize people through continuous observation, timely medication adjustments, and structured therapy schedules. High staffing ratios and multidisciplinary input support rapid clinical response and create a calmer environment for people whose symptoms are complex and overlapping. The combination of 24/7 support and individualized therapy planning means both conditions can be assessed and addressed simultaneously rather than sequentially.

Key Benefits Families See

  • 24/7 supervision that reduces immediate safety concerns and family burden
  • Integrated care for co-occurring substance use and mental health needs through dual diagnosis treatment
  • Family education, structured visiting, and clear transition planning to outpatient supports
  • Structured ERP and CBT adaptations delivered within a coordinated, team-based setting

Having around-the-clock supervision and a clear plan eases family distress and creates the stability needed to begin longer-term recovery. Call (714) 375-1110 to discuss admissions and next steps.

Frequently Asked Questions

Can OCD cause psychosis? 

OCD does not typically cause a primary psychotic disorder, but severe OCD can present with poor or absent insight and occasionally produce transient psychotic-like experiences. When beliefs become fixed and drive dangerous behavior, that requires urgent evaluation and safety planning regardless of whether the underlying cause is OCD or a primary psychotic disorder.

How are OCD and psychosis different? 

Obsessions in OCD are ego-dystonic, linked to distressing doubts or fears the person wants to resist. Psychosis typically involves ego-syntonic false beliefs or disorganized thinking not experienced as intrusive. The key practical difference is whether the person finds their thoughts distressing and unwanted, or real and consistent with their worldview.

Can OCD cause hallucinations or delusions? 

OCD can include quasi-hallucinations — sensory experiences tied to obsessional content where partial insight is retained — and delusion-like beliefs when insight is poor or absent. True psychotic hallucinations and fixed delusions are more characteristic of primary psychotic disorders and warrant independent evaluation.

What does “poor insight” mean in OCD? 

Poor insight means the person cannot recognize that their obsessive fears or rituals are unreasonable or excessive. They treat the obsessional belief as probably true and resist corrective evidence. Studies report that up to 30% of people with OCD show poor or absent insight at some point, and this correlates with greater illness severity and more complex treatment needs.

How can you tell OCD with psychotic features apart from schizophrenia or another primary psychotic disorder? 

Look for fear-driven, repetitive content with linked rituals, checking or avoidance behaviors, and fluctuating insight; these favor OCD. Pervasive bizarre delusions, disorganized speech or behavior, prominent negative symptoms, and persistently absent insight favor schizophrenia. Include toxicology and medical workup when the picture is ambiguous.

Can severe stress or chronic OCD symptoms trigger a brief psychotic episode? 

Yes. Intense stress, sleep deprivation, substance use, or chronic untreated symptoms can precipitate a short-lived psychotic episode in vulnerable individuals. Anyone who develops rapid-onset psychosis should receive an urgent clinical evaluation that includes a full medical and toxicology workup.

What treatments are used when OCD and psychotic symptoms overlap? 

Treatment combines adapted cognitive behavioral approaches with carefully sequenced medication. SSRIs remain first-line for OCD; low-dose antipsychotic augmentation is added when psychotic symptoms persist or insight is severely impaired. Higher levels of care may be needed for safety or when outpatient treatment has not been sufficient.

Is exposure and response prevention (ERP) appropriate when insight is low? 

ERP often remains effective but requires adaptation: motivational interviewing, graduated exposures, increased session frequency, in-vivo coaching, and family involvement. If the person is acutely psychotic or a safety risk, medication stabilization or inpatient care should come first, with ERP reintroduced once stability is established.

Do SSRIs help when psychotic symptoms are present? 

Selective serotonin reuptake inhibitors (SSRIs) target obsessive symptoms and can reduce distress even when insight is low. When psychotic symptoms persist after SSRI optimization, clinicians typically add a low-dose antipsychotic under psychiatric supervision.

When should someone with OCD-like or psychotic symptoms seek professional help? 

Seek professional assessment whenever symptoms cause functional decline, significant distress, or interference with work, relationships, or daily activities. Seek emergency help immediately for suicidal thoughts, command hallucinations, or rapidly worsening disorganization.

Can people have both OCD and a separate psychotic or mood disorder? 

Yes. OCD commonly co-occurs with other psychiatric disorders, and research estimates 12-25% of people with schizophrenia also meet criteria for OCD. Having both an independent psychotic or mood disorder changes treatment planning significantly and requires coordinated psychiatric and psychological care.

Get Help Now

If you or a loved one are experiencing overlapping OCD and psychotic symptoms, evaluation and treatment are available. D’Amore Mental Health’s admissions team is available around the clock to discuss residential options, level of care, and next steps.

Call (714) 375-1110 or start the admissions process online. For an immediate safety emergency, call 911 or go to your nearest emergency room.

Edited For Accuracy By:

Picture of Jennifer Carpenter

Jennifer Carpenter

Jennifer is a Certified Treatment Executive (CTE) and holds credentials in the behavioral health field to include certifications as a Qualified Mental Health Specialist and a Certified Admissions and Marketing Specialist with CCAPP.

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D'Amore Healthcare holds a special place in my heart. When I walked through their doors I was at the most vulnerable point of my life. I'm leaving with the confidence that I can overcome the depression and anxiety that has been crippling me for the past several years.. My therapist Paul was a critical part of this journey and I'm grateful to have been in his care. Also, I can't say enough about the entire staff at this facilify. It's obvious they truly care about what they do and I felt that from the very first day in treatment. I would recommend D'Amore to anyone that is suffering in silence and doesn't know how to find a way through the pain.read more
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Steve Klein
19:46 10 Mar 20
D'Amore provided our 18-year old son with the care and support he needed during a very difficult time. The support provided during his 6-week stay was very effective. His assigned therapist was excellent and provided the appropriate personalized care and treatment he needed. I would recommend D'Amore to others.read more
Donnette Alexander-Jeffers
Donnette Alexander-Jeffers
21:32 10 Jan 20
I wasn't sure what to expect when I was told that I needed assistance from a residential facility. The thought of being in a residential facility was intimidating. I am so glad I had the opportunity to go to D'Amore. The staff were caring, concerned, kind, and dedicated to helping me get better. Celebrating victories with house members and BHAs as well as working through things that looked like defeats (in individual and group therapy) was the support I truly needed to move forward.The psychiatrist, his assistant, and the nurse took great care to make sure that the medication I was receiving was actually effective and moving me in the right direction.The implementation of a schedule and the need to adhere to it were so helpful in assisting me to get back into a routine. I am beyond thankful for morning wakeup, daily activities, and lights out. My life had become so far from normal in terms of daily routine, that this was a huge help in transitioning me back into a productive and healthy lifestyle once I left D'Amore.The desire to help and care doesn't stop once you leave. The staff continues to be available for encouragement and assistance. They truly want to see you succeed beyond your stay in the facility.What looked like the worst thing in the world to me, when I was told I would have to stay in a residential facility for 6 weeks, became one of the greatest blessings in my recovery.I'm truly thankful to D'Amore for the help they provided.read more
Ann Amaral
Ann Amaral
21:41 08 Jan 20
I highly recommend these folks- they tailored a specific program to help my daughter and she loved her time with them. They are very caring professionals.read more
Courtney Nickels
Courtney Nickels
22:27 06 Jan 20
I was a patient at D’amore back in May 2019. To be honest I probably would have died if I didn’t make the leap to go in-patient somewhere. I chose D’amore because of how “home-like” it seemed and the fact that it wasn’t like a hospital number one and number two because of reviews. Once I got there I was terrified because I was leaving home, my three kids and husband. Day 2 another girl showed up and we clicked. It was nice having someone right along with me. The house was super clean and nice. Easy to follow program and great staff. Everyone is pulling for you and are there with a shoulder to cry on (which I did a lot). If you’re needing an in-patient facility to go to consider D’amore.read more
Lauren Danielle
Lauren Danielle
23:53 03 Jan 20
D'Amore was an amazing place. I was treated with kindness and compassion. I never felt like I was being ignored or was a nuisance. They took the time to care for me, especially when I couldn't care for myself. For those who need this care, there is no better place.read more
Berkeley Bennett
Berkeley Bennett
01:55 17 Oct 19
D'Amore honestly changed my life. The staff/therapists/clinical are all amazing people that truly care about each individual. They gave me the tools to change the way I see the world. They never gave up on me and I cannot thank them enough.read more
Max Block
Max Block
22:51 04 Oct 19
D’Amore Healthcare led me to a path of recovery. I am so grateful to the entire staff for being patient with me and my mental health issues. I will always remember the lessons I learned in the time spent at their facilities. UPDATE: Thanks to the wonderful staff at D'Amore, I was able to recover from something as scary as schizo-affective disorder. I am now a functioning member of society with a full time job and many friends in recovery. I'm not sure where I would be without this facility, but most likely dead or in a long-term psych ward. Chris is an amazing counselor who I knew cared about me. Joe, my therapist, helped me with my delusions, depression, and serious anxiety. Blaine was a lead technician when I was there and was extremely friendly and downright amazing at crisis intervention. Jennifer was able to convince me to come to treatment and start a new life. Thank you D'Amore, without treatment centers like yours, the world would be a much darker place.read more
Sarah Murrin
Sarah Murrin
18:03 27 Sep 19
The services at D’Amore are top-notch. They’ve helped me for years and years to come. The staff are knowledgeable, receptive, and trustworthy. Thank you to everyone in the D’Amore family for changing lives one day at a time.read more
Scott Hurst
Scott Hurst
15:25 13 Aug 19
After receiving treatment from many other facilities, D’Amore, by a very large margin, far exceeds what others offer and provide. The staff, clinicians and doctors are far superior and are on top of the needs of all patients at all times.In my opinion, D’Amore is the place to come for a great start at recovery. Thank you D’Amore!read more
michael jann
michael jann
04:04 02 Jul 19
My son did great there. I don't know how else to say it, but I feel like they saved a life... maybe more than one, if you know what I mean. I'll never forget the night I called them, scared to death, and Jennifer talked me both down, and up, into hope. And they delivered what they promised.read more
tim harris
tim harris
06:16 06 Jun 19
Just as with any other illness, mental health and addiction had left my family with wounds which we were near helpless in healing ourselves. D’Amore Healthcare played a crucial role in our recovery process through it’s informative staff, caring technicians, and knowledgeable clinicians. After dealing with numerous other facilities, it is clear that D’Amore’s approach to tackling the multifaceted problem of mental illness is superiorly effective. Thank you D’Amore!read more
Pacific Solstice Behavioral Health
Pacific Solstice Behavioral Health
02:00 29 Mar 19
I have been working in the behavioral health field for 15 years. It is so rare to really feel supported and connected with a referral partner or when referring a client for care outside of your facility.It truly takes a village for us to help those in need and our friends and partners at D’Amore are an exemplary example of clinical excellence, client care, and collaboration!Thank you Team D'Amore Healthcare for helping us provide the absolute best care for our clients and their family members.Sincerely,Doc, Tom, Rachel, and the Pacific Solstice Behavioral Health family.read more
Benjamin Smith
Benjamin Smith
00:57 06 Mar 19
I have been an employee since 2016 and want to share my experience with D'Amore Healthcare. It is a very supportive environment for employees and opportunities abound here for those who want to blaze a new path for themselves! Because of the industry we are in it is a challenging work environment at times but it's remarkably stimulating and there is all the encouragement one could possibly ask for to help in meeting and surmounting those challenges so that one can reach their goals and leave work each day feeling they had made a positive difference. I have worn several hats at this company, both working with patients and working in the office, both overnight and during the day. I have always felt supported in everything I have tried to do, from the CEO and other Administration all the way down, and anytime I have been open with them about my needs they have worked with me in a way no other employer ever has to help me thrive despite whatever challenges may develop. I will forever be grateful for the opportunities I have been given here. Learning how to meet new challenges in a career is always an ongoing process, and I still have much to learn, but I am confident that I will continue to be shown the support and help that I've always found here.read more
Heather Saunders
Heather Saunders
01:00 01 Mar 19
D'Amore helped me in many ways it helped me build my confidence and learn skills to help me though my psychiatric problem and craving to feed my addiction I think my experience with the staff was amazing they challenged me when I was holding back and praised my accomplishments I am grateful I had the experience of getting help from this place I am still working on staying clean I have not given up I just keep going. I have a job now too I also got help from them to get treatment after I finish at D'Amore I really appreciate that because I'm doing very well right now.read more
Heather Saunders
Heather Saunders
01:00 01 Mar 19
D'Amore helped me in many ways it helped me build my confidence and learn skills to help me though my psychiatric problem and craving to feed my addiction I think my experience with the staff was amazing they challenged me when I was holding back and praised my accomplishments I am grateful I had the experience of getting help from this place I am still working on staying clean I have not given up I just keep going. I have a job now too I also got help from them to get treatment after I finish at D'Amore I really appreciate that because I'm doing very well right now.read more
Benjamin Smith
Benjamin Smith
02:02 28 Feb 19
I have been an employee since 2016 and want to share my experience with D'Amore Healthcare. It is a very supportive environment for employees and opportunities abound here for those who want to blaze a new path for themselves! Because of the industry we are in it is a challenging work environment at times but it's remarkably stimulating and there is all the encouragement one could possibly ask for to help in meeting and surmounting those challenges so that one can reach their goals and leave work each day feeling they had made a positive difference. I have worn several hats at this company, both working with patients and working in the office, both overnight and during the day. I have always felt supported in everything I have tried to do, from the CEO and other Administration all the way down, and anytime I have been open with them about my needs they have worked with me in a way no other employer ever has to help me thrive despite whatever challenges may develop. I will forever be grateful for the opportunities I have been given here. Learning how to meet new challenges in a career is always an ongoing process, and I still have much to learn, but I am confident that I will continue to be shown the support and help that I've always found here.read more
Thomas Ternus
Thomas Ternus
23:37 29 Jan 19
D'Amore changed my life. I have been to many other treatment facilities and D'Amore takes the cake. The staff are very friendly and attentive to your needs. The substance abuse education is top notch, and individual therapy sessions are very thorough. I am a better husband and father thanks to D'Amore, thank you to you all.read more
david demille
david demille
03:41 10 Jan 19
As a clinician who works in treatment, I appreciate the fine work of D'Amore. The care and support they provide to their clients is excellent. I hear from some of their past clients who consistently speak highly of the quality of their program and staff. They are a credit to the field of mental health and substance abuse treatment!read more
Sulabha Abhyankar
Sulabha Abhyankar
19:15 09 Jan 19
As a professional in the recovery behavioral health field for over 30 years, I would absolutely recommend D’Amore Healthcare. When referring patients, I know that they will receive the best care for primary mental health treatment, as well as detoxification and dual diagnosis/substance abuse treatment. D’Amore delivers kindness, structure and hope to their patients 24 hours a day and the individualized, 1:1 attention they provide to each patient allows them to grow as empowered individuals. The treatment team is amazing and the program is dynamic while integrating today’s best practices to provide the best care to their patients.read more
Meg Wheeler
Meg Wheeler
05:13 07 Jan 19
I came to work at D'Amore in September 2017. At the time I was strongly against working in an inpatient setting due to standard poor treatment of individuals while in this level of care. I was convinced-due to past experience-all residential settings were the same. D'Amore proved me wrong on day one and continues to prove me wrong each and every day. Starting from management and administration, staff are constantly trained and reminded to be compassionate, empathetic, and kind, and they truly embody these attributes. We are also treated well as employees, which is part of the reason why the love for those in our care is so genuine. I am thankful for everything D'Amore continues to provide me with everyday. We all truly care for your loved ones as if they were our own. We will keep doing this amazing work!read more
Ivy Moon
Ivy Moon
07:40 06 Jan 19
D’Amore Healthcare was an absolute blessing for our family! My husband needed mental health treatment and I came across D’Amore Healthcare. Jennifer in the office was amazing, so patient and caring for the needs of my husband (and still is!). She got him admitted right away and assured me D’Amore was the right place for him to treat his needs. The 30-day program he was in was rough on our family, but so worth the treatment he received. He came out a better person, better father, and better husband!He still struggles at times with his mental health, but the program has given him the tools to overcome it and not let it overcome him. He’s also been attending the alumni meetings which help him with additional therapy and regain confidence in himself. I know my husband thanks the program for his treatment, but I thank D’Amore for giving me my husband back!read more
KAREN JAFFE
KAREN JAFFE
20:35 18 Dec 18
D’Amore is saving my granddaughter’s life! She has mental illness problems and drug addiction. She has been to 2 addiction rehabs, 1 other co-occurring rehab and now D’Amore. The other co-occurring place did very little to help her mental illness and they ended up kicking her out. D’Amore has worked so hard on both of her problem areas and have never given up on her. The staff is exceptional and they really do care! My beautiful granddaughter has told me, “Nana, This is the first place I feel comfortable in so I have opened up and talked about bad things that have happened in my life. Stuff I have never told anyone, not even you.” I cried when she said that because I know she’s on her way to recovery. I have to thank Jennifer, Kristen, Erin, Drew and all of the staff (I can’t remember everyone’s name.) D’Amore, you are in my prayers to continue saving women and men. God Bless you all!read more
Chantal Lessard
Chantal Lessard
00:11 04 Dec 18
D’Amore has been so incredible with helping men and women who struggle with depression, anxiety, PTSD, trauma, etc. I work in the recovery field and we have sent clients who we thought were primary substance abuse but ended up showing signs of needing a primary mental health facility and have come back to us stable and happy and ready to become productive members of society. We are so grateful that there is a safe place out there that we can trust with saving our clients lives. The staff goes above and beyond and they do amazing clinical work.read more
Michael Yamashiro
Michael Yamashiro
20:37 28 Nov 18
I am the program manager at D'Amore Healthcare and couldn't be more proud of the work we do here. Each staff member at D'Amore comes into shift with an open heart and mind. We never judge or stigmatize, instead we empathize and educate. Having co-workers that believe in this framework, ensures that patients are approached with dignity and respect. Working at a company that values human dignity and emphasizes this approach is not only refreshing, but empowering. We are making differences in peoples lives here. The work is not easy, but with dedicated and knowledgeable staff, change is possible.read more
Ailana Saria Donato
Ailana Saria Donato
18:58 26 Nov 18
Working at D'Amore Healthcare is such a fulfilling experience. One thing I admire about the company is that D'Amore Healthcare values self-care, which makes sense as how can we (staff) share love and care to our patients if we can't provide that for ourselves first? Another thing I admire is the constant checks and balances. We make sure that we are on top of everything we do. Lastly, it makes my heart smile when not only patients say, "This is WAY DIFFERENT from the previous places I've been!", but staff mentioning this as well. It's such a blessing to work at D'Amore Healthcare and watch people grow and bloom from day 1.read more
Michael Yamashiro
Michael Yamashiro
22:54 23 Nov 18
I am the program manager at D'Amore Healthcare and couldn't be more proud of the work we do here. Each staff member at D'Amore comes into shift with an open heart and mind. We never judge or stigmatize, instead we empathize and educate. Having co-workers that believe in this framework, ensures that patients are approached with dignity and respect. Working at a company that values human dignity and emphasizes this approach is not only refreshing, but empowering. We are making differences in peoples lives here. The work is not easy, but with dedicated and knowledgeable staff, change is possible.read more
Joshua Saurbier
Joshua Saurbier
01:21 20 Nov 18
I was here for 60 days and it was a great experience. I Learned a lot They have a really good clinical team they does groups and individual therapy. Also you get to go on outings Things like the gym,meetings the park. There is a chef that cooks really amazing food every night for dinner. The staff is all very nice they do their job and listen when you need to talk, specially Julie she was really helpful and amazing at her jobread more
Jim Gane
Jim Gane
21:59 19 Nov 18
A family member of mine wet in for mental health care. The facility, the staff, the treatment were all quite beneficial. Working with office and finance staff was quite easy and helpful as well!read more
Alexandra Stuart
Alexandra Stuart
01:40 14 Nov 18
If you're looking of short-term care, D'Amore is the place to go! The staff are kind, compassionate, and honest. They work to relate to you, and are people you can turn to. You get a chef prepared dinner every night- and the Chef is an awesome human being as well as a great human being. If structure is what you seek, this is the place for you. It can take a bit of reminding sometimes if you make a request, so your stay will provide an excellent opportunity to learn to advocate for yourself!! I felt community and belonging here. I learned to start trusting again. The staff truly cares about their clients and you can feel it. You may feel stifled and overprotected, but when you leave the world seems a bit colder. D'Amore lives up to it's name as well as it's denote 'foundling'; an abandoned infant discovered and cared for by others. You WILL find a sense of home and family here!!read more
Elizabeth Stipher
Elizabeth Stipher
20:55 24 Oct 18
As a professional in the recovery field, I wholeheartedly recommend D’Amore Healthcare as one of the top and most trusted primary mental health and dual diagnosis treatment programs in the recovery community today. D’Amore takes great pride in their Build Me Up program which fosters behavioral and cognitive change through gracious redundancy of positive reinforcement, meditative work (a program focused on recalibrating the circadian rhythm), intensive group work and interdisciplinary treatment team as well as their conservative, phased approach to medication. D’Amore offers engaging outings that challenge the patient's on a daily basis, individualized treatment plans and nutritious chef prepared meals that cater to those with special dietary needs. D'Amore is a professional yet nurturing and warm environment.read more
Donnie Moon
Donnie Moon
13:22 22 Aug 18
I was a patient at D'Amore for 30 days. Over those 30 days, I participated in the best treatment program and made lasting relationships that I'll never forget.If you suffer from mental-health, dependency or substance abuse issues, D'Amore can help. I've personally witnessed countless patients enter the program a figment of their past selves, and conclude the program a completely changed (for the better) individual. Able to re-enter the world a changed, more confident self. Myself being one of them.I owe a great deal to this program. I have found the tools and gained the knowledge to overcome my mental-health concerns while in treatment here. The staff is first-class, the activities are fun and engaging, the environment safe and clean, and group therapy really helps conquer whatever it is you're dealing with.There is zero doubt, I made the right decision to seek help at D'Amore. Thank you D'Amore, and thank you Erin, and Jennifer for your continued support! Even after treatment.read more
Renee Ritter
Renee Ritter
21:00 03 Aug 18
Everything from different types of groups to the atmosphere, to meeting with the psychiatrist made D'Amore unlike any other mental health care facility that I have ever been to. Dr El was honestly the best psychiatrist. I feel like he really listened to me as an individual rather then just another patient and that made me feel so much more comfortable every time I met with him. I love all the medical staff which were very helpful and always educated me on my medications and checked up on me to make sure I was doing well. I can't thank D'Amore enough for giving me that extra love and attention I needed to bring myself back from the dark place I was in. Thank you again so much D'Amore!!!read more
J.D. W
J.D. W
20:48 29 Jun 18
D’Amore – What a blessing! From in-take to discharge – great experience. In a time of need, they have gone above & beyond to assist our family, provide lifelong tools, answer questions, explain everything in great detail & have wonderful medical care. Each & every staff member, I have been in contact has been kind & compassionate willing to help & guide me through each situation. The staff is knowledgeable, organized, qualified professionals that show genuine concern for each patient. The facilities are clean, well-organized, great food & are a safe environment. D’Amore thank you for all of your help, we wouldn’t be where we are today, with out you all.read more
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