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Clinical Management

The treatment of OCD has traditionally been viewed as difficult and unsatisfactory. Recent developments have changed this picture substantially.

Pharmacotherapy

antidepressants influencing the central serotoninergic system (clomipramine and SSRIs); higher doses of the drugs are required to treat OCD than depression, and response is often delayed.

Cognitive-behaviour therapy

Family therapy

Patient support groups

Psychosurgery (e.g. stereotactic cingulotomy)

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