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Psychiatr Clin North Am. 2009 Sep;32(3):665-85. doi: 10.1016/j.psc.2009.05.007.

Obsessive-compulsive disorder: diagnostic and treatment issues.

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  • 1Deparment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.


This article reviews current issues in the diagnosis and treatment of obsessive-compulsive disorder (OCD). The introduction of the selective serotonin reuptake inhibitors and of cognitive-behavioral therapy were significant advances for treating OCD. Nevertheless, there is a need to improve awareness of OCD and its management, and to develop novel approaches to treatment-refractory patients. Although the diagnostic criteria for OCD have remained unchanged for some time, there are several areas where potential modification may be useful. There is a growing evidence base on OCD symptom dimensions and subtyping, and it is timely to consider incorporating some of these emerging data into diagnostic classification systems.

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