Yap H L
Institute of Mental Health/Woodbridge Hospital, Singapore.
Singapore Med J. 1995 Feb;36(1):77-9.
The treatment of obsessive compulsive disorder was characterised by therapeutic pessimism until 25 years ago when effective treatments using behaviour therapy and the serotonin reuptake inhibitors were developed. At present the best available treatment is a combination of behaviour therapy and pharmacotherapy with a serotonin reuptake inhibitor. Psychosurgery is only indicated for patients who fail to respond to pharmacologic and behavioural treatments and who suffer from disabling symptoms.
直到25年前行为疗法和5-羟色胺再摄取抑制剂等有效治疗方法出现之前，强迫症的治疗一直以治疗悲观主义为特征。目前，最佳的可用治疗方法是行为疗法与5-羟色胺再摄取抑制剂药物疗法相结合。精神外科手术仅适用于那些对药物和行为治疗无反应且症状严重致残的患者。
