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Behavior therapy for obsessive compulsive disorder.

R Dar1, J H Greist

  • 1Department of Psychology, Tel Aviv University, Ramat Aviv, Israel.

The Psychiatric Clinics of North America
|December 1, 1992
PubMed
Summary
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Exposure and response prevention therapy effectively treats Obsessive-Compulsive Disorder (OCD) by reducing obsessions and rituals. Modifications and medication can help patients who struggle with this effective behavioral therapy.

Area of Science:

  • Psychiatry
  • Behavioral Science
  • Clinical Psychology

Background:

  • Obsessive-Compulsive Disorder (OCD) is a disabling mental health condition characterized by obsessions and compulsive rituals.
  • Behavior therapy, specifically exposure and response prevention (ERP), is a primary treatment modality for OCD.

Observation:

  • ERP is effective for at least 50% of individuals with OCD, often requiring active patient participation in designing homework assignments.
  • Therapist support may be necessary for patients who have difficulty completing ERP homework independently.

Findings:

  • Treatment adherence challenges, severe co-occurring conditions, and central nervous system (CNS) depressants can impede the efficacy of behavior therapy for OCD.
  • Modifications to ERP and the integration of serotonin reuptake inhibitors (SRIs) can significantly enhance treatment responsiveness.

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Implications:

  • Behavior therapy, particularly ERP, offers a viable treatment for OCD, with strategies available to overcome common obstacles.
  • Combining modified ERP techniques with pharmacotherapy (SRIs) broadens the applicability and success rate of behavioral interventions for OCD patients.