A 29-year-old woman presents with new onset of intrusive thoughts, checking rituals and significant impairment in daily functioning. She recognises th...

Question

A 29-year-old woman presents with new onset of intrusive thoughts, checking rituals and significant impairment in daily functioning. She recognises the thoughts as irrational. You suspect obsessive-compulsive disorder (OCD). According to best practice, which initial treatment approach is recommended?

Accepted Answer

Exposure and response prevention (ERP) cognitive behavioural therapy and/or SSRI medication

Answer

Psychoanalysis alone

Answer

Short-term benzodiazepines only

Answer

No treatment; OCD usually resolves spontaneously

Answer

Antipsychotic monotherapy as first-line

ca-mccqe1 MCQ (SBA): Obsessive-compulsive disorder