Clinical Handbook Of Mindfulness - Plot & Excerpts
Furthermore, we know that some people with obsessive problems (in 189 190 Fabrizio Didonna particular chronic ones) may have no awareness of any cognitions during compulsive actions so that their rituals have became over time automatic behaviors with no need for conscious thought. Cognitive-behavioral therapy (CBT) has long been recognized as an effec- tive treatment for OCD, both in children and adults. In particular, exposure and response prevention (ERP) is the most widely supported psychological treatment for OCD; indeed, about 75% of patients treated with this method improve significantly and stay so at follow-up (Menzies & De Silva, 2003). Pharmacotherapy is also an effective treatment for this disorder, in particular serotonergic antidepressants, with a 40–60% response rate. In spite of these effective interventions, a substantial number of patients who suffer from OCD do not respond well to the standard protocols of CBT and serotonergic medication and in the longer term, pharmacotherapy is associated with a high relapse rate on full discontinuation (80–90%; Pato, Zohar-Kadouch & Zohar, 1998).
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