OCD_Flashcards
What is the first-line treatment for Obsessive Compulsive Disorder (OCD)?
The first-line treatment for OCD is low-intensity psychological therapies.
What are the components of low-intensity psychological therapies for OCD?
Components include brief individual CBT (including ERP) using structured self-help materials, brief individual CBT (including ERP) by telephone, and group CBT (including ERP) for up to 10 hours.
What does CBT with Exposure and Response Prevention (ERP) aim to achieve in OCD treatment?
CBT with ERP aims to prevent compulsive behavior, allowing the tolerated anxiety to habituate.
What should be done if the first-line treatment is unacceptable or ineffective for OCD?
Consider SSRI if the first-line treatment is unacceptable or ineffective or if there is moderate-to-severe functional impairment.
What is the second-line treatment for OCD?
The second-line treatment for OCD is an SSRI.
How long should SSRI treatment be continued after remission of symptoms in OCD?
SSRI treatment should be continued for at least 12 months after remission of symptoms.
What is the third-line treatment for OCD if the first SSRI is ineffective after 12 weeks?
The third-line treatment is clomipramine or an alternative SSRI.
What is the prognosis of OCD?
OCD has a chronic course with symptoms worsening at times of stress and is often disabling.
What is a common comorbidity with OCD?
Comorbid depression is common with OCD.
What is the summary of OCD management steps?
First-line: CBT with ERP; Second-line: SSRI (continue for 12 months after remission); Third-line (after 12 weeks): clomipramine or alternative SSRI.
