Patient Perceptions of OCD Care in General Psychiatric Inpatient Units
Benjamin J Mitchell1, Katharine D Wojcik, Caitlin M Pinciotti
1Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX.
Journal of Psychiatric Practice
|July 20, 2026
Summary
Patients with obsessive-compulsive disorder (OCD) often receive inpatient psychiatric care. However, many report negative experiences and dissatisfaction with OCD-specific treatment from providers in general psychiatric units.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- A significant number of patients with obsessive-compulsive disorder (OCD) require inpatient hospitalization.
- General psychiatric units are the most common setting for these admissions due to a lack of specialized OCD facilities.
Purpose of the Study:
- To explore patient perceptions of OCD-related care within general inpatient psychiatric settings.
- To identify potential limitations in the current standard of care for OCD patients during hospitalization.
Main Methods:
- A survey was administered to 69 adults with self-reported OCD who had prior inpatient hospitalizations.
- Participants shared their views on provider attention to OCD-specific needs and treatment satisfaction.
Main Results:
- Overall, participants reported negative perceptions of their providers' understanding and management of OCD.
- Nearly half of participants felt their providers lacked proficiency or confidence in treating OCD.
- Dissatisfaction with OCD treatment was common, though positive provider perceptions correlated with perceived symptom reduction.
Conclusions:
- Current general psychiatric units may have limitations in providing adequate OCD-specific care.
- Future research should focus on developing and evaluating evidence-based practices for treating OCD in inpatient settings.
- Provider training is needed to balance reducing accommodation of compulsions with supportive interventions for OCD patients.
Related Concept Videos
Obsessive-Compulsive Disorder
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Methods of Documentation II: POMR
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
Personality Disorders: Dependent and Obsessive-Compulsive
Dependent personality disorder and obsessive-compulsive personality disorder are two separate psychological conditions that influence behavior, relationships, and overall life functioning. Though both involve maladaptive behaviors, their core characteristics and motivations differ significantly.
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle with...
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle with...
Psychosis: Goals of Pharmacotherapy
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation. For...
