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Psychotherapy and medication management strategies for obsessive-compulsive disorder

Obsessive-compulsive disorder (OCD) is a chronic anxiety disorder. While medication and psychotherapy advances have been very helpful to patients, many patients do not respond adequately to initial trials of serotonergic medication or cognitive-behavioral therapy (CBT) and require multiple treatment...

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Autores principales: Walsh, Kelda H, McDougle, Christopher J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3173031/
https://www.ncbi.nlm.nih.gov/pubmed/21931490
http://dx.doi.org/10.2147/NDT.S13205
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author Walsh, Kelda H
McDougle, Christopher J
author_facet Walsh, Kelda H
McDougle, Christopher J
author_sort Walsh, Kelda H
collection PubMed
description Obsessive-compulsive disorder (OCD) is a chronic anxiety disorder. While medication and psychotherapy advances have been very helpful to patients, many patients do not respond adequately to initial trials of serotonergic medication or cognitive-behavioral therapy (CBT) and require multiple treatment trials or combination therapies. Comorbidity may also influence treatment response. The role of streptococcal infections in pediatric OCD has become an area of intense scrutiny and controversy. In this article, current treatment methods for OCD will be reviewed, with special attention to strategies for treating OCD in children and in patients with comorbid tic disorders. Alternative psychotherapy strategies for patients who are highly anxious about starting CBT, such as cognitive therapy or augmentation with D-cycloserine, will be reviewed. Newer issues regarding use of antibiotics, neuroleptics, and glutamate modulators in OCD treatment will also be explored.
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spelling pubmed-31730312011-09-19 Psychotherapy and medication management strategies for obsessive-compulsive disorder Walsh, Kelda H McDougle, Christopher J Neuropsychiatr Dis Treat Review Obsessive-compulsive disorder (OCD) is a chronic anxiety disorder. While medication and psychotherapy advances have been very helpful to patients, many patients do not respond adequately to initial trials of serotonergic medication or cognitive-behavioral therapy (CBT) and require multiple treatment trials or combination therapies. Comorbidity may also influence treatment response. The role of streptococcal infections in pediatric OCD has become an area of intense scrutiny and controversy. In this article, current treatment methods for OCD will be reviewed, with special attention to strategies for treating OCD in children and in patients with comorbid tic disorders. Alternative psychotherapy strategies for patients who are highly anxious about starting CBT, such as cognitive therapy or augmentation with D-cycloserine, will be reviewed. Newer issues regarding use of antibiotics, neuroleptics, and glutamate modulators in OCD treatment will also be explored. Dove Medical Press 2011 2011-08-23 /pmc/articles/PMC3173031/ /pubmed/21931490 http://dx.doi.org/10.2147/NDT.S13205 Text en © 2011 Walsh and McDougle, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Review
Walsh, Kelda H
McDougle, Christopher J
Psychotherapy and medication management strategies for obsessive-compulsive disorder
title Psychotherapy and medication management strategies for obsessive-compulsive disorder
title_full Psychotherapy and medication management strategies for obsessive-compulsive disorder
title_fullStr Psychotherapy and medication management strategies for obsessive-compulsive disorder
title_full_unstemmed Psychotherapy and medication management strategies for obsessive-compulsive disorder
title_short Psychotherapy and medication management strategies for obsessive-compulsive disorder
title_sort psychotherapy and medication management strategies for obsessive-compulsive disorder
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3173031/
https://www.ncbi.nlm.nih.gov/pubmed/21931490
http://dx.doi.org/10.2147/NDT.S13205
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