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[Behavior psychotherapy in obsessive-compulsive disorders].

I M Marks1

  • 1Institute of Psychiatry, London.

L'Encephale
|July 1, 1990
PubMed
Summary
This summary is machine-generated.

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Live exposure with response prevention is a highly effective, outpatient treatment for obsessive-compulsive disorder (OCD). This behavioral therapy, taking 1-6 months, offers enduring symptom improvement with minimal therapist time.

Area of Science:

  • Psychiatry
  • Behavioral Science

Context:

  • Obsessive-compulsive disorder (OCD) presents disabling symptoms, comparable to chronic schizophrenia.
  • Most OCD cases are treatable with behavioral interventions.

Purpose:

  • To outline the efficacy and methodology of live exposure with response prevention (ERP) for OCD treatment.
  • To detail the practical aspects of ERP, including duration, therapist involvement, and patient adherence.

Summary:

  • ERP involves prolonged exposure to anxiety-provoking cues without engaging in rituals, leading to habituation.
  • Treatment duration averages 1-6 months with approximately 8 hours of therapist time per patient, often on an outpatient basis.
  • Long-term improvement is observed, with occasional need for booster sessions; family involvement can enhance treatment outcomes.

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Impact:

  • ERP offers a highly effective, enduring treatment for OCD, manageable in outpatient settings.
  • This approach empowers patients and families, reducing reliance on therapist-intensive interventions.
  • Antidepressants may serve as an adjunct for OCD cases with comorbid dysphoria.