Elsevier

Behavior Therapy

Volume 36, Issue 4, Autumn 2005, Pages 393-400
Behavior Therapy

Original research
Subtypes of obsessive-compulsive disorder: Implications for specialized cognitive behavior therapy

https://doi.org/10.1016/S0005-7894(05)80121-2Get rights and content

Abstract

Although obsessive-compulsive disorder (OCD) is a heterogeneous condition, OCD subtypes have received limited attention in trials of cognitive behavior therapy (CBT). Because many patients with OCD do not respond optimally to CBT, it is important for clinicians to consider whether variability in treatment response is related to symptom presentation. Treatment modifications for patients without overt compulsions or with hoarding symptoms show promise. In this article we discuss the available research addressing the treatment of OCD subtypes, review the clinical characteristics and treatment recommendations for prominent OCD subtypes, raise the prospect of using dysfunctional beliefs as a potentially helpful conceptual approach to subtyping OCD and matching treatment to subtypes, and consider future directions in the treatment of OCD subtypes.

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