Download these recommendations as a PDF.
As a guiding principle, all of the physical treatments that have been shown to be effective in OCD (preferably in randomised, controlled trials) must have been tried in adequate dosage for an adequate period of time. In general terms, this will reflect the prescription of antidepressant drugs within, or sometimes above, the dose range recommended by the BNF for a period of 12-16 weeks.
Treatment gains can accrue slowly and premature termination of treatment trials should be avoided. Most patients referred for assessment will have been exposed to many different treatment trials. The following represent those deemed ‘essential’ before proceeding to surgery.
The minimum inclusion criteria are: