A 38 year old woman presents with intrusive thoughts of contamination and repetitive hand washing for several hours per day that interfere with her jo...

Question

A 38 year old woman presents with intrusive thoughts of contamination and repetitive hand washing for several hours per day that interfere with her job. She recognises the thoughts as unreasonable but cannot resist compulsions. What is the most appropriate initial management?

Accepted Answer

Referral for cognitive behavioural therapy with exposure and response prevention, with consideration of SSRI therapy

Answer

Supportive counselling only

Answer

High dose benzodiazepines

Answer

Start antipsychotic monotherapy

Answer

Electroconvulsive therapy as first line

ca-mccqe1 MCQ (SBA): Obsessive compulsive disorder

A 38 year old woman presents with intrusive thoughts of contamination and repetitive hand washing for several hours per day that interfere with her job. She recognises the thoughts as unreasonable but cannot resist compulsions. What is the most appropriate initial management?