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What type of therapy is good for OCD? CBT or psychotherapy?

User Buzu
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Final answer:

CBT, specifically Exposure and Response Prevention (ERP), is highly recommended for treating OCD due to its robust evidence of efficacy. It helps patients confront and manage the triggers of their compulsions. While psychotherapy, in general, can be beneficial, CBT and ERP show the most promising results in improving the quality of life for OCD patients.

Step-by-step explanation:

Effective Therapies for OCD

When considering the treatment of Obsessive-Compulsive Disorder (OCD), Cognitive Behavioral Therapy (CBT) is widely recognized as one of the most effective forms of psychotherapy. Specifically, a subtype of CBT known as Exposure and Response Prevention (ERP) is considered the gold standard for treating OCD. ERP involves patients being exposed to situations that trigger their compulsions and working to prevent their typical compulsive responses, under the guidance of a therapist.

Psychotherapy more broadly can be useful for some individuals with OCD, though the scientific literature suggests CBT, and particularly ERP, have more robust evidence supporting their efficacy. Other potential treatments for OCD may include medications such as selective serotonin reuptake inhibitors (SSRIs), but these are often used in conjunction with CBT for the best outcomes.

Studies have demonstrated the effectiveness of CBT for a range of psychiatric conditions, such as depression and anxiety disorders, which can include OCD (DeRubeis et al., 2005; Jacobs et al., 2004). The ultimate goal is to improve quality of life, which has been shown to significantly improve in OCD patients following effective treatment (Norberg et al., 2008). Thus, while psychotherapy is a broad umbrella that includes a variety of techniques, the final answer, in two is that CBT, and ERP specifically, is highly recommended for OCD treatment.

User Vamsi Ravi
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