9 - OCD Flashcards
1
Q
What is 1st line for OCD?
A
specialized CBT with SSRIs
2
Q
When should we expect to see benefit with SSRIs for OCD?
A
80% of benefits happen within 6 weeks at therapeutic dose, but may take up to 12 weeks too see max benefit
3
Q
Lack of response at ___ weeks means low likelihood of improvement at 12 weeks
A
4
4
Q
What are some other drugs you can use?
A
-clomipramine, venlafaxine or mitrazapine
5
Q
What can you augment with?
A
SGAs
6
Q
When should you monitor for efficacy after starting an augmenting agent?
A
at 4 weeks
7
Q
How long should you treat for?
A
1 year
8
Q
Options for pregnancy?
A
CBT and SSRIs if necessary (not paroxetine)
9
Q
Options for breastfeeding?
A
CBT & paroxetine or sertraline if necessary (both have minimal concentration in breast milk)
