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(p. 545) Treatments for Obsessive-Compulsive Disorder 

(p. 545) Treatments for Obsessive-Compulsive Disorder
Chapter:
(p. 545) Treatments for Obsessive-Compulsive Disorder
Author(s):

Darin D. Dougherty

, Scott L. Rauch

, and Michael A. Jenike

DOI:
10.1093/med:psych/9780199342211.003.0017
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date: 28 October 2020

There is overwhelming evidence of the most rigorous type supporting the efficacy of serotonin reuptake inhibitors (SRIs) in the treatment of obsessive-compulsive disorder (OCD). Along with SRIs, behavior therapy must be considered a viable first-line therapy. The best available data suggest that behavior therapy, and perhaps cognitive therapy, is at least as effective as medication in some instances and may be superior with respect to risks, costs, and enduring benefits. A variety of second-line medication treatments for OCD have been studied in a controlled or systematic fashion. Augmentation of SRIs with antipsychotics, buspirone, or clonazepam is provisionally recommended based on the available data. Other monotherapies and augmentation strategies find very limited support at present.

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