[Approaches to cognitive-behavioral features in the treatment of obsessive-compulsive disorder]

The author has extensive clinical experience in the treatment of refractory obsessive-compulsive disorder (OCD). There appear to be numerous clinical factors affecting the treatment responses of OCD patients, but the cognitive-behavior features of these patients could also be contributory. In this article, the author reports a man with OCD who had cognitive-behavioral features affecting the severity of OCD. There was no definitive diagnosis of developmental disorder. However, approaches to cognitive-behavioral features were effective. It became much easier for the patient to suppress his compulsions. The author speculates that approaches to cognitive-behavioral features are both important and useful for the treatment of patients with OCD regardless of whether or not developmental disorders are present.