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Obsessive-Compulsive Disorder (OCD) — UKMLA MCQ

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HardPsychiatryObsessive-Compulsive Disorder (OCD)UKMLAMRCGP AKTPARAPSA

An adult has contamination obsessions and washing rituals causing major impairment, with no immediate risk. Which treatment is appropriate?

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Correct answer: CCBT with exposure-response prevention and severity-based SSRI treatment

The best answer is “CBT with exposure-response prevention and severity-based SSRI treatment”. Cognitive behavioural therapy incorporating exposure and response prevention is a core OCD treatment; an SSRI is offered according to functional impairment, preference and response. Risk, depression and skin damage are addressed, and treatment is stepped up if initial care is insufficient.

Reference: NICE CG31: Obsessive-compulsive disorder and body dysmorphic disorder: https://www.nice.org.uk/guidance/cg31/chapter/Recommendations