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What is Which of the following is part of the treatment for OCD: and explain in detail?
Ans. (b) Exposure and response preventionRef: Harrison 19th ed. / 2713Exposure and Response Prevention is a part of cognitive and behavior therapy for OCD.MANAGEMENT OF OBSESSIVE COMPULSIVE DISORDERBehaviour Therapy (BT)* It is treatment of choice for OCD* Exposure 8c response prevention is the preferred 8c principal approach. It is most effective in obscessional rituals (i.e. compulsions)* In this form of therapy, the patient is asked to endure, in a graduated manner, the anxiety that a specific obsessional fear provokes while refraining from compulsions that allay (reduce) that anxiety. The principle behind success of treatment are based on habituation based on response prevention.Pharmacotherapy* The drug of choice for OCD are SSRI or clomipramine (2nd drug of choice)# SSRI's FLUXOETINE, FLUVOXAMINE, PAROXETINE, SERTRALINE, CITALOPRAM, ESCITALOPRAM* Combination of behavior therapy 8c drug therapy gives best results for treatment of OCD.* Clomipramine: it is the most selective for serotonin reuptake versus norepinephrine re uptake 8c exceeds in the respect only by SSRIs.* 2nd line drugs: If treatment with SSRIs or clomipramine is unsuccessful, valproate lithium or carbamazepine are used.Psychotherapy* To treat OCD, Psychoanalytic prolonged insight oriented or exploratory 8c interpretative psychotherapy is used in educated 8c psychologically oriented patients.# ECT: is used in severe depression with OCD# Psychosurgery: It is indicated only for most chronic, treatment resistant cases that have resisted (IPD or OPD) treatment (including drug of behavior therapy) for at least a year.