Treatment of OCD (132/1700)

A pt with thought disorder washes hands 6x each time he uses the toilet. What is the best
management?

a. Psychodynamic therapy
b. CBT
c. Antipsychotics
d. Refer to dermatology
e. Reassure






























answer: B

OCD

1^st line:

CBT: exposure with response prevention (ERP) – involves exposure to feared situations with

the addition of preventing the compulsive behaviors; cognitive strategies include challenging

underlying beliefs

2^nd line:

pharmacotherapy: SSRIs/SNRIs