Obsessive-compulsive Disorder: Diagnostic and Treatment Issues

Dan J. Stein, Damiaan Denys, Andrew T. Gloster, Eric Hollander, James F. Leckman, Scott L. Rauch, Katharine A. Phillips

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations

Abstract

This article reviews current issues in the diagnosis and treatment of obsessive-compulsive disorder (OCD). The introduction of the selective serotonin reuptake inhibitors and of cognitive-behavioral therapy were significant advances for treating OCD. Nevertheless, there is a need to improve awareness of OCD and its management, and to develop novel approaches to treatment-refractory patients. Although the diagnostic criteria for OCD have remained unchanged for some time, there are several areas where potential modification may be useful. There is a growing evidence base on OCD symptom dimensions and subtyping, and it is timely to consider incorporating some of these emerging data into diagnostic classification systems.

Original languageEnglish (US)
Pages (from-to)665-685
Number of pages21
JournalPsychiatric Clinics of North America
Volume32
Issue number3
DOIs
StatePublished - Sep 2009

Keywords

  • DSM-V
  • Diagnosis
  • Nosology
  • Obsessive-compulsive disorder
  • Obsessive-compulsive spectrum
  • Pharmacotherapy
  • Psychotherapy

ASJC Scopus subject areas

  • Psychiatry and Mental health

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