response prevention-arkiv

While both intensive and weekly cognitive-behavioural treatment (CBT) eventually provide similar extent of improvement for obsessive-compulsive disorder (OCD), intensive treatment may be "somewhat more expedient," researchers reported here at the 27th Annual Meeting of the Anxiety Disorders Association of America (ADAA). Eric A. Storch, PhD, assistant professor, departments of psychiatry and paediatrics, University of Florida, Gainesville, Florida, United States, and associates randomised 40 children and adolescents with OCD to weekly or intensive CBT. "Cognitive-behavioural treatment with exposure and response prevention alone or with concurrent pharmacotherapy is the first-line therapy for OCD," Dr. Storch said in his presentation on March 31st. "However, a primary limitation remains access to practitioners since most research on CBT has been done in specialised academic centres rather than in routine clinical settings. Thus, patient access to treatment is limited by the availability of trained therapists, and most patients receive no treatment, medication alone, and/or non-CBT psychotherapy." A potential solution, he added, is intensive CBT.

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