Obsessieve-compulsieve stoornis : praktische handvatten voor de huisarts

Obsessive-compulsive disorder (OCD) is a relatively prevalent complex psychiatricdisorder associated with signi"cant impairment and distress. OCD remains oftenundetected because of the reluctance of patients to discuss their symptoms and the lackof recognizing OCD symptoms by the physicians. #e general practitioner (GP) should be able to recognize OCD symptoms since achronic course is associated with poor prognosis. #e GP has a key role to play in therecognition, diagnosis, treatment and referral of patients with OCD. An early detectionin all patients at higher risk of OCD provides timely access to evidence-based therapies.Psychoeducation about the disorder is an important step for improving recovery.Treatment of choice is cognitive behavioral therapy with exposure and responseprevention combined with or without a selective serotonin reuptake inhibitor (SSRI).#e required medication doses are often higher and duration to response longer thanthose for depression. In- and exclusion criteria for deep brain stimulation (DBS) arecarefully de"ned in Belgium by the committee peer review OCD for therapy refractoryOCD. #e GP has also a critical role in the follow-up of patients with OCD over time bymonitoring the relapse risk, therapy compliance and side e$ects of the medication.

Jaar van publicatie:2021