When are specialist consultation indicated in the treatment of obsessive-compulsive disorder (OCD)?

Updated: May 17, 2018
  • Author: William M Greenberg, MD; Chief Editor: David Bienenfeld, MD  more...
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While treatment approaches for OCD are now well described in the literature, many clinicians remain unfamiliar with the features and management of this disorder. Consultation should be sought if the treating physician is unfamiliar or uncomfortable with the diagnosis, or if they feel they have exhausted the interventions with which they feel comfortable.

Consultations should be sought if the clinician is not experienced in treating patients with OCD with cognitive-behavioral therapy, including exposure and ritual prevention, if the patient might possibly cooperate with this treatment. For extreme, unremitting cases, consultation may be sought for neurosurgical interventions.

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