[Practical guidelines for the treatment of obsessive-compulsive disorders]

Obsessive-compulsive disorders (OCD) are characterized by obsessions (recurrent, inappropriate thoughts or images) and/or compulsions (repetitive behaviours or mental acts) that cause marked impairment in functioning. This article summarizes the principles and recommendations of care for OCD. A "stepped care" approach is recommended, with increasing intensity of treatment according to severity and clinical complexity. The pillars of care articulate different components, starting with building a therapeutic alliance and psychoeducation, followed by psychotherapeutic and/or pharmacological approaches and, in cases of resistance, neuromodulation. The article integrates the need for an individualized strategy centered on an integrated brain health approach.