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Obsessive-Compulsive Disorder: Core Interventions in the Treatment of Obsessive-Compulsive Disorder and Body Dysmorphic Disorder

Obsessive-Compulsive Disorder: Core Interventions in the Treatment of Obsessive-Compulsive Disorder and Body Dysmorphic Disorder

NICE Clinical Guidelines - National Collaborating Centre for Mental Health (UK)

Version: 2006

PHARMACOLOGICAL INTERVENTIONS

The guidelines of the Expert Consensus Panel for OCD present specific judgements on a comprehensive range of issues relating to pharmacological and psychological treatments (March et al., 1997). Although the guidelines did not distinguish between clomipramine and SSRIs, improved tolerability of the latter was acknowledged. Combined CBT and medication was preferred by experts in terms of speed, efficacy, durability, tolerability and acceptability, and was thought the best approach for most patients. More recently a smaller group of members of the World Council on Anxiety met to agree recommendations for long-term treatment. They emphasised the importance of continuing treatment long-term from the outset and recommended 1–2 years continuation in treatment-responsive individuals (Greist et al., 2003).

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