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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…

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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…

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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)…

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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…

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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…

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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…

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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.



Specialist mental healthcare professionals/teams in OCD/BDD…

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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…

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10 NICE Clinical Guideline 31: quick reference guide

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