Selection of Treatment(s) | Cognitive-Behavioral Treatment | Dynamic and Family Psychotherapy | Pharmacotherapy | Combined Treatments | Investigational Treatments
The "Expert Consensus Guideline" series
(March et al. 1997) and the American Academy of Child and Adolescent Psychiatry (1997), (1998)
practice parameters also provide important information about treatment.
Based on these guidelines, only two treatment modalities have been
shown empirically to be effective in treating OCD symptomatology:
1) cognitive-behavioral therapy (CBT; specifically the technique
of exposure with response prevention) and 2) pharmacological treatment
with serotonin reuptake inhibitors (SRIs)—or a combination
of the two. Cognitive-behavioral treatment has the advantages of
apparent durability of treatment effects and avoidance of potential
side effects of medication. In specific cases, however, an antiobsessional
medication may be the initial treatment method because of concerns
with urgency, expense, anxiety associated with behavioral treatment,
lack of trained clinicians, insufficient cognitive ability to participate
in CBT, lack of family support, or individual factors.