A 35-year-old woman spends 3 hours daily checking that the stove is off. She recognizes the behavior is excessive but feels intense anxiety if she

Question

A 35-year-old woman spends 3 hours daily checking that the stove is off. She recognizes the behavior is excessive but feels intense anxiety if she resists. Symptoms interfere with work and she has no psychosis. Which of the following is the most appropriate next step in management?

Accepted Answer

Start exposure and response prevention therapy with SSRI consideration

Answer

Use reassurance rituals as treatment

Answer

Recommend avoiding the kitchen indefinitely

Answer

Start antipsychotic monotherapy first

Answer

Treat with mood stabilizer for mania

OCD — USMLE Step 3 MCQ

A 35-year-old woman spends 3 hours daily checking that the stove is off. She recognizes the behavior is excessive but feels intense anxiety if she resists. Symptoms interfere with work and she has no psychosis. Which of the following is the most appropriate next step in management?