Abstract
Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder that often runs a chronic unremitting course. Treatment outcomes can be unsatisfactory despite the availability of various somatic and psychological therapies. Psychodynamic psychotherapy in combination with cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) could help patients with treatment-resistant OCD achieve better outcomes. An integrative approach can help patients gain insight, strengthen the therapeutic alliance, improve treatment adherence, and provide symptomatic relief when other treatments seem insufficient or have failed. We describe the treatment process of a person with treatment-resistant OCD who received pharmacotherapy concurrent CBT/ERP, and a brief course of psychodynamic psychotherapy. Case formulations from cognitive behavioral and psychodynamic perspectives are presented. The authors discuss the advantages of doing a psychodynamic assessment and formulation in treatment refractory cases and the wisdom of integrating psychotherapy interventions for OCD, as well as the unique clinical features of cases that warrant a multimodal treatment approach.
| Original language | English |
|---|---|
| Pages (from-to) | 237-258 |
| Number of pages | 22 |
| Journal | Psychodynamic Psychiatry |
| Volume | 45 |
| Issue number | 2 |
| Publication status | Published - 1 Jun 2017 |
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Keywords
- Cognitive behavioral therapy combination of psychotherapies
- Exposure and response prevention
- Obsessive-compulsive disorder
- Psychodynamic psychotherapy treatment resistance
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health
Cite this
An integrative approach to treatment-resistant obsessive-compulsive disorder. / Woon, Luke Sy Cherng; Kanapathy, Anita; Zakaria, Hazli; Alfonso, César A.
In: Psychodynamic Psychiatry, Vol. 45, No. 2, 01.06.2017, p. 237-258.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - An integrative approach to treatment-resistant obsessive-compulsive disorder
AU - Woon, Luke Sy Cherng
AU - Kanapathy, Anita
AU - Zakaria, Hazli
AU - Alfonso, César A.
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder that often runs a chronic unremitting course. Treatment outcomes can be unsatisfactory despite the availability of various somatic and psychological therapies. Psychodynamic psychotherapy in combination with cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) could help patients with treatment-resistant OCD achieve better outcomes. An integrative approach can help patients gain insight, strengthen the therapeutic alliance, improve treatment adherence, and provide symptomatic relief when other treatments seem insufficient or have failed. We describe the treatment process of a person with treatment-resistant OCD who received pharmacotherapy concurrent CBT/ERP, and a brief course of psychodynamic psychotherapy. Case formulations from cognitive behavioral and psychodynamic perspectives are presented. The authors discuss the advantages of doing a psychodynamic assessment and formulation in treatment refractory cases and the wisdom of integrating psychotherapy interventions for OCD, as well as the unique clinical features of cases that warrant a multimodal treatment approach.
AB - Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder that often runs a chronic unremitting course. Treatment outcomes can be unsatisfactory despite the availability of various somatic and psychological therapies. Psychodynamic psychotherapy in combination with cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) could help patients with treatment-resistant OCD achieve better outcomes. An integrative approach can help patients gain insight, strengthen the therapeutic alliance, improve treatment adherence, and provide symptomatic relief when other treatments seem insufficient or have failed. We describe the treatment process of a person with treatment-resistant OCD who received pharmacotherapy concurrent CBT/ERP, and a brief course of psychodynamic psychotherapy. Case formulations from cognitive behavioral and psychodynamic perspectives are presented. The authors discuss the advantages of doing a psychodynamic assessment and formulation in treatment refractory cases and the wisdom of integrating psychotherapy interventions for OCD, as well as the unique clinical features of cases that warrant a multimodal treatment approach.
KW - Cognitive behavioral therapy combination of psychotherapies
KW - Exposure and response prevention
KW - Obsessive-compulsive disorder
KW - Psychodynamic psychotherapy treatment resistance
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M3 - Article
VL - 45
SP - 237
EP - 258
JO - Psychodynamic Psychiatry
JF - Psychodynamic Psychiatry
SN - 2162-2590
IS - 2
ER -