OCD (handwashing / contamination) — dx & treatment

HIGH-YIELD Appears 9×

Teaching point

First-line for OCD = CBT with EXPOSURE & RESPONSE PREVENTION (ERP); pharmacotherapy = SSRI (fluoxetine/sertraline), especially if severe or ERP fails. In children, fluoxetine/sertraline are the preferred SSRIs. To confirm the diagnosis, ask about intrusive obsessive thoughts driving the compulsion.

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