Obsessive-compulsive disorder and body dysmorphic disorder: treatment

National Institute for Health and Care Excellence

Key priorities for implementation

The following recommendations have been identified as priorities for implementation:

All people with OCD or BDD

  • Each PCT, mental healthcare trust and children’s trust that provides mental health services should have access to a specialist obsessive-compulsive disorder (OCD)/body dysmorphic disorder (BDD) multidisciplinary team offering age-appropriate care. This team would perform the following functions:
    • increase the skills of mental health professionals in the assessment and evidence-based treatment of people with OCD or BDD
    • provide high-quality advice
    • understand family and developmental needs
    • when appropriate, conduct expert assessment and specialist cognitive-behavioural and pharmacological treatment
  • OCD and BDD can have a fluctuating or episodic course, or relapse may occur after successful treatment. Therefore, people who have been successfully treated and discharged should be seen as soon as possible if re-referred with further occurrences of OCD or BDD, rather than placed on a routine waiting list
    • for those in whom there has been no response to treatment, care coordination (or other suitable processes) should be used at the end of any specific treatment programme to identify any need for continuing support and appropriate services to address it

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