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Published on: January 9, 2015
Obsessive-compulsive disorder: diagnostic and treatment issues
Dan J Stein1, Damiaan Denys, Andrew T Gloster
1Deparment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. dan.stein@uct.ac.za
This review covers obsessive-compulsive disorder (OCD) diagnosis and treatment, highlighting advances like SSRIs and CBT. It emphasizes improving OCD awareness and developing new strategies for treatment-resistant cases.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Obsessive-compulsive disorder (OCD) management has advanced with selective serotonin reuptake inhibitors (SSRIs) and cognitive-behavioral therapy (CBT).
- Despite advances, significant challenges remain in OCD awareness, management, and treatment for refractory patients.
Purpose of the Study:
- To review current issues in the diagnosis and treatment of obsessive-compulsive disorder (OCD).
- To discuss potential modifications to diagnostic criteria based on emerging evidence of OCD symptom dimensions and subtyping.
Main Methods:
- Literature review of current issues in OCD diagnosis and treatment.
- Analysis of evidence regarding OCD symptom dimensions and subtyping.
Main Results:
- Selective serotonin reuptake inhibitors (SSRIs) and cognitive-behavioral therapy (CBT) represent significant therapeutic advances for OCD.
- Current diagnostic criteria for OCD may benefit from revision.
- Growing evidence supports the utility of OCD symptom dimensions and subtyping.
Conclusions:
- There is a need to enhance public and clinical awareness of OCD.
- Novel treatment approaches are required for patients with treatment-refractory OCD.
- Incorporating emerging data on OCD symptom dimensions and subtyping into diagnostic systems is timely.
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