What is refractory OCD

Obsessive compulsive disorder (ocd) is a chronic and debilitating disorder.Methodological issues, operational definitions and therapeutic lines prog neuropsychopharmacol biol psychiatry.An important part of ocd patients respond to serotonin reuptake inhibitors alone or in combination with other medications, and cognitive behavior therapy.As can be seen in other psychiatric disorders, refractoriness to treatment is an important problem for patients with ocd.The repetitive behaviors, such as hand washing, checking on things or cleaning, can significantly interfere with a person's daily activities and social interactions.

The mainstays of treatment of ocd include the use of serotoninergic antidepressant medications, particular forms of behavior therapy (exposure and response prevention and some forms of cbt), education and family interventions, and, in extremely refractory cases, neurosurgery.Four months ago, a multidisciplinary care team at vanderbilt university medical center treated a patient with lifelong major depressive disorder (mdd) and obsessive compulsive disorder (ocd) — conditions that left her debilitated with intrusive thoughts, constant fear, suicidal intent and anorexia.You may try to ignore or stop your obsessions, but that only increases your distress and anxiety.3,4 ssris generally are well tolerated and have a favorable safety profile.Refractory major depressive disorder (mdd) is a severe mental disorder, chronic and difficult to treat.