Psychotherapy and medication management strategies for obsessive-compulsive disorder

Kelda H Walsh, Christopher J McDougleDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USAAbstract: Obsessive-compulsive disorder (OCD) is a chronic anxiety disorder. While medication and psychotherapy advances have been very helpful to patients, many patients do not...

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Autores principales:	McDougle CJ, Walsh KH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/20d18e5c5f2c4871adca94640bbb393d
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spelling	oai:doaj.org-article:20d18e5c5f2c4871adca94640bbb393d2021-12-02T01:33:36ZPsychotherapy and medication management strategies for obsessive-compulsive disorder1176-63281178-2021https://doaj.org/article/20d18e5c5f2c4871adca94640bbb393d2011-08-01T00:00:00Zhttp://www.dovepress.com/psychotherapy-and-medication-management-strategies-for-obsessive-compu-a8127https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Kelda H Walsh, Christopher J McDougleDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USAAbstract: 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.Keywords: OCD, exposure/response prevention therapy, PANDAS, tic disorderMcDougle CJWalsh KHDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2011, Iss Issue 1, Pp 485-494 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 McDougle CJ Walsh KH Psychotherapy and medication management strategies for obsessive-compulsive disorder
description	Kelda H Walsh, Christopher J McDougleDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USAAbstract: 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.Keywords: OCD, exposure/response prevention therapy, PANDAS, tic disorder
format	article
author	McDougle CJ Walsh KH
author_facet	McDougle CJ Walsh KH
author_sort	McDougle CJ
title	Psychotherapy and medication management strategies for obsessive-compulsive disorder
title_short	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_sort	psychotherapy and medication management strategies for obsessive-compulsive disorder
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/20d18e5c5f2c4871adca94640bbb393d
work_keys_str_mv	AT mcdouglecj psychotherapyandmedicationmanagementstrategiesforobsessivecompulsivedisorder AT walshkh psychotherapyandmedicationmanagementstrategiesforobsessivecompulsivedisorder
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Psychotherapy and medication management strategies for obsessive-compulsive disorder

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