Cognitive behaviour therapy and medication in the treatment of obsessive–compulsive disorder

O’Connor, Kieron; Aardema, Frederick; Robillard, Sophie; Guay, Stéphane; Pélissier, Maud; Todorov, Christo; Borgeat, François; Leblanc, Vicky; Grenier, Sébastien; P, Doucet

doi:10.1111/j.1600-0447.2006.00767.x

Cited by 58 publications

(30 citation statements)

References 32 publications

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“…60 The relapses are apparently more frequent and occur later with CBT than with medications. 62 However, the results of more recent studies reinforce the recommendation of the Expert Consensus for the Treatment of Obsessive-Compulsive Disorder, which suggests, whenever possible, this association. 63 It is interesting that, for example, the observation that CBT seems to be efficient even in patients who do not respond or partially respond to pharmacological treatment.…”

Section: The Addition Of Cognitive Techniquesmentioning

confidence: 65%

A terapia cognitivo-comportamental no transtorno obsessivo-compulsivo

Cordioli¹

2008

Rev. Bras. Psiquiatr.

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Section: The Addition Of Cognitive Techniquesmentioning

confidence: 65%

A terapia cognitivo-comportamental no transtorno obsessivo-compulsivo

Cordioli¹

2008

Rev. Bras. Psiquiatr.

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“…These findings suggest that if pharmacotherapy is required or preferred, adding CBT to pharmacological treatment of OCD may enhance response rates and reduce relapse rates. Unlike in some anxiety and related disorders, there does not appear to be any contraindication to combining CBT with medications in patients with OCD [696], and combined treatment may improve relapse prevention [697]. …”

Section: Obsessive-compulsive Disordermentioning

confidence: 99%

Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

et al. 2014

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BackgroundAnxiety and related disorders are among the most common mental disorders, with lifetime prevalence reportedly as high as 31%. Unfortunately, anxiety disorders are under-diagnosed and under-treated.MethodsThese guidelines were developed by Canadian experts in anxiety and related disorders through a consensus process. Data on the epidemiology, diagnosis, and treatment (psychological and pharmacological) were obtained through MEDLINE, PsycINFO, and manual searches (1980–2012). Treatment strategies were rated on strength of evidence, and a clinical recommendation for each intervention was made, based on global impression of efficacy, effectiveness, and side effects, using a modified version of the periodic health examination guidelines.ResultsThese guidelines are presented in 10 sections, including an introduction, principles of diagnosis and management, six sections (Sections 3 through 8) on the specific anxiety-related disorders (panic disorder, agoraphobia, specific phobia, social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder, and posttraumatic stress disorder), and two additional sections on special populations (children/adolescents, pregnant/lactating women, and the elderly) and clinical issues in patients with comorbid conditions.ConclusionsAnxiety and related disorders are very common in clinical practice, and frequently comorbid with other psychiatric and medical conditions. Optimal management requires a good understanding of the efficacy and side effect profiles of pharmacological and psychological treatments.

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“…At present, clinical management of OCD consists of pharmacotherapy and cognitive-behavioural therapy (CBT) (March et al 1997;Foa et al 2005;Abramowitz, 2006;Denys, 2006;O'Connor et al 2006). Although often effective, both treatments have their limitations.…”

Section: Introductionmentioning

confidence: 98%

Cognitive–behavioural therapy augments the effects of deep brain stimulation in obsessive–compulsive disorder

et al. 2014

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The results of this explorative study suggest that a combined treatment of accumbens DBS and CBT may be optimal for improving obsessive-compulsive symptoms in treatment-refractory OCD. However, a subsequent randomized controlled trial is necessary to draw firm conclusions. It seems that DBS results in affective changes that may be required to enable response prevention in CBT. This may indicate that DBS and CBT act as two complementary treatments.

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Cognitive behaviour therapy and medication in the treatment of obsessive–compulsive disorder

Abstract: CBT has a more specific antiobsessional effect than medication but CBT plus medication shows greatest overall clinical improvement in mood.

Cited by 58 publications

References 32 publications

A terapia cognitivo-comportamental no transtorno obsessivo-compulsivo

A terapia cognitivo-comportamental no transtorno obsessivo-compulsivo

Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

Cognitive–behavioural therapy augments the effects of deep brain stimulation in obsessive–compulsive disorder

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