OCD quick

OCD quick

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Quick reference guide
Issue date: November 2005
Obsessive-compulsive disorder
Core interventions in the treatment of obsessive-
compulsive disorder and body dysmorphic disorder
NICE Clinical Guideline 31
Developed by the National Collaborating Centre for Mental Health

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Obsessive-compulsive disorder Contents
Contents
Key priorities for implementation 3
OCD and BDD 4
Principles of care for all people with OCD or BDD and their 5
families/carers
The stepped-care model 7
Step 1: Awareness and recognition (any age group) 8
Step 2: Recognition and assessment (any age group) 8
Steps 3­5: Treatment options for people with OCD or BDD 10
Step 6: Intensive treatment and inpatient services (any age group) 21
Discharge after recovery 22
Implementation 22
Further information 23
Grading of the recommendations
This…read more

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Obsessive-compulsive disorder Key priorities for implementation
Key priorities for implementation
The following recommendations have been identified as priorities for implementation.
All people with OCD or BDD
· Each PCT, mental healthcare trust and children's trust that provides mental health services should
have access to a specialist obsessive-compulsive disorder (OCD)/body dysmorphic disorder (BDD)
multidisciplinary team offering age-appropriate care.…read more

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Obsessive-compulsive disorder Key priorities for implementation
Children and young people with OCD or BDD
· Children and young people with OCD with moderate to severe functional impairment, and those
with OCD with mild functional impairment for whom guided self-help has been ineffective or
refused, should be offered CBT (including ERP) that involves the family or carers and is adapted to
suit the developmental age of the child as the treatment of choice.…read more

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Principles of care for all people with
Obsessive-compulsive disorder OCD or BDD and their families/carers
Principles of care for all people with OCD or BDD and
their families/carers
Understanding
· Provide accurate information in an appropriate format on current understanding of OCD
or BDD from psychological and/or biological perspectives to people with the disorders and
their families/carers where appropriate, to help them understand the involuntary nature of
the symptoms.…read more

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Principles of care for all people with
Obsessive-compulsive disorder OCD or BDD and their families/carers
Information and support
· Take account of the individual's needs and preferences.
­ For patients who do not have capacity to make decisions, or for children or young people who
are not old enough to do so, follow the Department of Health guidelines Reference guide to
consent for examination or treatment (2001). Available from www.dh.gov.…read more

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Obsessive-compulsive disorder The stepped-care model
The stepped-care model
Who is responsible
What is the focus? What do they do?
for care?
Reassess, discuss options,
Step 6 care coordination
Inpatient care or OCD or BDD with
risk to life, severe SSRI or clomipramine, CBT (including ERP),
intensive treatment or combination of SSRI or clomipramine
programmes self-neglect or severe
distress or disability and CBT (including ERP), augmentation
CAMHS Tier 4 strategies; consider admission or special
living arrangements
Reassess, discuss options
For adults:
SSRI or clomipramine, CBT (including…read more

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Obsessive-compulsive disorder Step 1: Awareness and recognition
Step 1: Awareness and recognition (any age group)
PCTs, mental healthcare trusts and children's trusts providing mental health
services should: GPP
· have access to a specialist OCD/BDD multidisciplinary team offering age-appropriate patient care
and appropriate services.…read more

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Step 2: Recognition and assessment
Obsessive-compulsive disorder (any age group)
BDD
Routinely consider and explore possibility of Ask the five questions below to help identify
comorbid BDD for people: GPP BDD. GPP
· at higher risk of BDD such as those with · Do you worry a lot about the way you look and
symptoms of: wish you could think about it less?
­ depression ­ OCD · What specific concerns do you have about your
­ social phobia appearance?
­ an eating disorder.…read more

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NICE Clinical Guideline 31: quick reference guide…read more

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