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(p. 1) Before you meet someone with obsessive-compulsive disorder: understanding the problem 

(p. 1) Before you meet someone with obsessive-compulsive disorder: understanding the problem
Chapter:
(p. 1) Before you meet someone with obsessive-compulsive disorder: understanding the problem
Author(s):

Victoria Bream

, Fiona Challacombe

, Asmita Palmer

, and Paul Salkovskis

DOI:
10.1093/med-psych/9780198703266.003.0001
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date: 25 January 2021

This chapter provides detailed background information on obsessive-compulsive disorder (OCD) that will give the therapist a clear understanding of current knowledge about the context and causes of this problem. Research evidence on the epidemiology of OCD, impact, and causal factors is presented. Here we introduce the cognitive-behavioural model of OCD, offering a discussion of the key elements of this model. The chapter will also include case examples to illustrate different manifestations of OCD (including contamination, checking, rumination, just-right feelings) and common processes that are key in the maintenance of obsessional problems (for example, reassurance-seeking and magical thinking). This chapter reviews the evidence base for the treatment of OCD, including medication, and identifies cognitive-behavioural therapy (CBT) as the recommended treatment.

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