OCD

OCD

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Issue date: November 2005
Treating obsessive-
compulsive disorder (OCD)
and body dysmorphic
disorder (BDD) in adults,
children and young people
Understanding NICE guidance ­ information
for people with OCD or BDD, their families
and carers, and the public
Information about NICE Clinical
Guideline 31

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Treating OCD and BDD Ordering information
Ordering information
You can download the following documents from www.nice.org.uk/CG031
· This booklet.
· The NICE guideline ­ all the recommendations on treating OCD and BDD.
· A quick reference guide, which has been distributed to healthcare professionals
working in the NHS in England.
· The full guideline ­ all the recommendations, details of how they were
developed, and summaries of the evidence on which they were based.…read more

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Treating OCD and BDD Contents
Contents
About this information 4
What is obsessive-compulsive disorder (OCD)? 7
What is body dysmorphic disorder (BDD)? 9
What happens when I first see a healthcare
professional? 11
What treatments are helpful for adults with
OCD or BDD? 15
What treatments are best for me? 18
What should I know about SSRIs? 20
What happens if I try the treatments and
they do not help me? 26
What should I know about clomipramine? 28
Will I need to stay in…read more

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Treating OCD and BDD About this information
About this information
This information describes the guidance that the National Institute for
Health and Clinical Excellence (called NICE for short) has issued to the
NHS on obsessive-compulsive disorder (OCD) and body dysmorphic
disorder (BDD). It is based on `Obsessive-compulsive disorder: core
interventions in the treatment of obsessive-compulsive disorder and
body dysmorphic disorder' (NICE Clinical Guideline No.…read more

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Treating OCD and BDD About this information
What the recommendations cover
NICE clinical guidelines can look at different areas of diagnosis,
treatment, care, self-help or a combination of these. The areas
that a guideline covers depend on the topic. They are laid out in a
document called the scope at the start of guideline development.
The recommendations in `Obsessive-compulsive disorder: core
interventions in the treatment of obsessive-compulsive disorder and
body dysmorphic disorder' (NICE Clinical Guideline No.…read more

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Treating OCD and BDD About this information
How guidelines are used in the NHS
In general, healthcare professionals in the NHS are expected to
follow NICE's clinical guidelines. But there will be times when the
recommendations won't be suitable for someone because of his
or her specific medical condition, general health, wishes or a
combination of these.…read more

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Treating OCD and BDD What is OCD?
What is obsessive-compulsive disorder
(OCD)?
Obsessive-compulsive disorder (or OCD for short) is the name given
to a condition in which a person has obsessions and/or compulsions,
but usually both.
An obsession is a thought, image or impulse that keeps coming
into a person's mind and is difficult to get rid of.…read more

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Treating OCD and BDD What is OCD?
From time to time, almost everyone has a disturbing thought or
checks more than once they have locked the door. For most people
these thoughts and actions can be forgotten. But if a person has
OCD, the thoughts and feelings of discomfort can take over and they
will feel anxious until they have done something to help them
to deal with the thought.…read more

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Treating OCD and BDD What is BDD?
What is body dysmorphic disorder (BDD)?
Body dysmorphic disorder (BDD) is the name given to a condition
in which a person spends a lot of time concerned about their
appearance. They may compare their looks with other people's,
worry that they are physically flawed and spend a long time in front
of a mirror concealing what they believe is a defect.…read more

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Treating OCD and BDD What is BDD?
seriously restrict the person's everyday life). It will also help the
healthcare professional work with the person with BDD to identify
the most suitable treatment.
The treatments for BDD are very similar to those for OCD and are
explained in the sections on treatment for OCD.
It is not known exactly how many people in the UK have BDD
because people who have it often hide it from others, but it could
be around 0.5%.…read more

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