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Psychological treatment for OCD focuses on decreasing the severity of obsessions and checking compulsions. The goal of successful treatment is to reduce the distress associated with obsessions and checking behaviors to such an extent that patients function normally. Treatment for OCD is divided into two components, exposure and response prevention (ERP). Exposure refers to overcoming the fear and avoidance that are associated with obsessive thoughts and compulsive behaviors. Response prevention refers to the separation of the feared stimulus from the real-life environment [7].
The severity of these three categories of obsessions and checking behaviors, which are together known as OCD, is often assessed by the Yale-Brown Obsessive Compulsive Scale [5]. This scale, which is comprised of 15 items, has been widely used to measure OCD symptoms since its development by Abramowitz and Kehoe in 1989 [6].
The main task of therapy is to provide the patient with the necessary skills to confront the obsessions and engage in the actions of response prevention. Cognitive behavior therapy is the most effective treatment for OCD [8]. Cognitive behavior therapy teaches patients how to recognize and then modify their thoughts. It is a method of using one's own observations and experience to change and control one's emotions, thoughts, and behaviors. In cognitive therapy, the patient learns to recognize that obsessions are irrational and excessive and that they can be reanalyzed and reevaluated. The patient is provided with coping strategies that are expected to minimize the frequency and intensity of obsessions, thereby providing effective treatment for OCD.
The obsessions and checking compulsions of OCD are the most disabling symptoms of the disorder. Treatment for OCD is aimed at reducing the intensity of these behaviors to a level that is tolerable and does not interfere with one's daily life. Exposure and response prevention are considered the mainstay of psychotherapy for OCD [8].
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