Baylor College of Medicine, One Baylor Plaza, MS:350, Houston, TX 77030, USA.
Baylor College of Medicine, One Baylor Plaza, MS:350, Houston, TX 77030, USA.
Psychiatr Clin North Am. 2023 Mar;46(1):167-180. doi: 10.1016/j.psc.2022.10.004. Epub 2022 Dec 26.
Obsessive-compulsive disorder (OCD) is characterized by the presence of debilitating obsessions and compulsions. Cognitive and behavioral models of OCD provide a strong theoretic and empirical foundation for informing effective psychotherapeutic treatment. Cognitive-behavioral therapy (CBT) for OCD, which includes a deliberate emphasis on exposure and response/ritual prevention, has consistently demonstrated robust efficacy for the treatment of pediatric and adult OCD and is the front-line psychotherapeutic treatment for OCD. Two case vignettes describing CBT for OCD in practice as well as recommendations for clinicians are provided.
强迫症(OCD)的特征是存在使人衰弱的强迫观念和强迫行为。OCD 的认知和行为模型为提供有效的心理治疗提供了坚实的理论和经验基础。针对 OCD 的认知行为疗法(CBT),包括刻意强调暴露和反应/仪式预防,一直以来都被证明对治疗儿童和成人 OCD 非常有效,也是 OCD 的一线心理治疗方法。本文提供了两个描述实践中 CBT 治疗 OCD 的案例以及对临床医生的建议。