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Obsessive-compulsive disorder (OCD) is a serious mental illness and frequently leads to psychiatric disability. In addition, individuals struggling with OCD often have other comorbid anxiety-related disorders (Camuri et al., 2014). The treatment of OCD requires experienced mental health professionals with extensive training. There is no empirical evidence that the successful treatment of OCD has ever occurred within integrated health-care settings that typically restrict the number of sessions and session time with patients. One potentially poor outcome of trying to treat OCD within these limitations is that a compromised treatment occurs with marginal symptom reduction that effectively inoculates patients from an empirically supported treatment in the future when relapse occurs. Anecdotally, as a clinician, it is worrisome that this would leave patients discouraged about the treatment and less likely to engage in therapy in the future, especially in more severe presentations in which treatment adherence is less likely to begin with (Mancebo, Pinto, Rasmussen, & Eisen, 2008). One of the primary reasons that briefer treatments of OCD is contraindicated is that OCD is maintained by covert surreptitious safety cognitions that can continue to persist and evolve for years, often requiring years of treatment to extinguish (Jakubovski et al., 2013). It is strongly recommended that integrated health-care settings refer patients with OCD to an experienced mental health professional for treatment. |
