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Obsessive-compulsive disorder — ABFM Board MCQ

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HardMental healthObsessive-compulsive disorderABFM Board

A 29-year-old woman has intrusive thoughts that her stove is on and spends 2 hours nightly checking it. She recognizes the thoughts are excessive but cannot resist the checking. There is no psychosis or substance use. Which of the following is the most appropriate initial treatment?

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Correct answer: B — Exposure and response prevention therapy or SSRI

Obsessive-compulsive disorder is treated initially with exposure and response prevention therapy and/or an SSRI. Insight may be present, and compulsions are performed to reduce anxiety.

Reference: APA Obsessive-Compulsive Disorder Guideline