Manual Obsessive Compulsive Disorder: Current Science and Clinical Practice (World Psychiatric Association)

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For other uses, see OCD disambiguation. Not to be confused with Obsessive—compulsive personality disorder. Main article: Intrusive thought. See also: Primarily obsessional obsessive compulsive disorder. Main article: Compulsive behavior. Main article: Cause of obsessive-compulsive disorder.

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Obsessive–compulsive disorder

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What we know about Obsessive-Compulsive Disorder (OCD)?

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Adjustment disorder with depressed mood. Depersonalization disorder Dissociative identity disorder Fugue state Psychogenic amnesia.

Standards of care for obsessive–compulsive disorder centres

Physiological and physical behavior. Postpartum depression Postpartum psychosis. Arousal Erectile dysfunction Female sexual arousal disorder Desire Hypersexuality Hypoactive sexual desire disorder Orgasm Anorgasmia Delayed ejaculation Premature ejaculation Sexual anhedonia Pain Nonorganic dyspareunia Nonorganic vaginismus. Psychoactive substances, substance abuse and substance-related. Schizophrenia , schizotypal and delusional. Brief reactive psychosis Schizoaffective disorder Schizophreniform disorder.

Childhood schizophrenia Disorganized hebephrenic schizophrenia Paranoid schizophrenia Pseudoneurotic schizophrenia Simple-type schizophrenia. Obsessive—compulsive disorder F42 , Yale—Brown Obsessive Compulsive Scale. Basal ganglia striatum Orbitofrontal cortex Cingulate cortex Brain-derived neurotrophic factor.

Obsessions associative diagnostic injurious scrupulous pathogenic sexual Compulsions impulses , rituals tics Thought suppression avoidance Hoarding animals , books possessions. Venlafaxine Desvenlafaxine Duloxetine. Phenelzine Tranylcypromine. Lysergic acid diethylamide Psilocin. Aripiprazole Quetiapine. Hydrocodone Morphine Tramadol. Nicotine Memantine Tautomycin. Cognitive behavioral therapy Exposure and response prevention Inference-based therapy.

Edna B. Foa Stanley Rachman Adam S. Radomsky Jeffrey M. Schwartz Susan Swedo Emily Colas. Matchstick Men Plyushkin Xenocide. Everything in Its Place Just Checking. Obsessive—compulsive personality disorder Obsessional jealousy Primarily Obsessional OCD Relationship obsessive—compulsive disorder Social anxiety disorder Tourette syndrome. OCD pharmacotherapies. SSRIs e. Antiandrogens e. Our multicenter, prospective, naturalistic study indicates that the positive results of the controlled study concerning the efficacy of CBT addition to medication in partial responder OCD patients [ 15 ] can be generalized, although to a lesser degree, to routine clinical practice.

The demonstration of the effectiveness of CBT addition in this clinical population is of high clinical relevance. Our results are consistent with findings of previous open studies, with smaller samples [ 9 , 10 , 12 , 13 ]. This difference could be explained by differences in the considered samples: we enrolled more severe patients than those participating in the controlled study in terms of the Y-BOCS total score Moreover, we cannot exclude that the lower response rate in our study may also be due to differences in treatment.

According to the typical use of CBT in the clinical setting, these changes in protocol were needed to enhance adherence to treatment and to test whether CBT addition was as effective in real-world patients as it was in the controlled trial. Some caveats to our findings must be considered; there was no control group, participants were self-selected for inclusion, and there was no randomization across interventions. These design factors reflect the real-world nature of mental health services and represent, in our opinion, a major strength of our study as they give clinicians an idea of the exact amount of improvement to be expected in clinical practice.

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