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Obsessive-compulsive disorder

British medical journal, Vol. 333, No. 7565. (26 August 2006), pp. 424-429.

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Summary points: Obsessive-compulsive disorder can occur at any age but most often presents for the first time in adolescence. Long delays in diagnosis often occur, and the shame associated with the disorder may inhibit people from mentioning the symptoms. General practitioners should ask specific screening questions if obsessive-compulsive disorder is suspected. Mild cases may be helped by guided self help; most people with obsessive-compulsive disorder should be offered cognitive behaviour therapy incorporating exposure and response prevention. Children and adults with obsessive-compulsive disorder may be offered selective serotonin reuptake inhibitor drugs; this should be a second line treatment in young people. The condition may remit, but can be relapsing or chronic; people with obsessive-compulsive disorder who relapse should have rapid access to services.


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