Indian Journal of PsychiatryIndian Journal of Psychiatry
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REVIEW ARTICLE
Year : 2019  |  Volume : 61  |  Issue : 7  |  Page : 85-92

Exposure and response prevention for obsessive-compulsive disorder: A review and new directions


Anxiety Disorders Clinic, New York State Psychiatric Institute; Department of Psychiatry, Columbia University, New York, NY, USA

Correspondence Address:
Dr. H Blair Simpson
Department of Psychiatry, Columbia University Medical Center, Columbia University, Director of the Anxiety Disorders Clinic and the Center for OC and Related Disorders, NYSPI, 1051 Riverside Drive, Unit 69, New York, NY 10032
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/psychiatry.IndianJPsychiatry_516_18

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Obsessive-compulsive disorder (OCD) is characterized by distressing thoughts and repetitive behaviors that are interfering, time-consuming, and difficult to control. Although OCD was once thought to be untreatable, the last few decades have seen great success in reducing symptoms with exposure and response prevention (ERP), which is now considered to be the first-line psychotherapy for the disorder. Despite these significant therapeutic advances, there remain a number of challenges in treating OCD. In this review, we will describe the theoretical underpinnings and elements of ERP, examine the evidence for its effectiveness, and discuss new directions for enhancing it as a therapy for OCD.



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