You can find up to date information on Trust services as well as NHS advice and guidance and links to other national and local support resources.
We understand that there is a lot of anxiety around the safety of the vaccines. The coronavirus (COVID-19) vaccines are safe and effective. They will give you the best protection against coronavirus.
A new community survey has just been launched as part of South London Listens to help find the solutions to the impact Covid-19 has had on the mental health of our communities.
We continue to see patients at all our sites, as well as in their homes, and have a number of measures in place to ensure our sites are Covid secure, including the wearing of face masks and coverings, deep cleaning, one-way signage and cleaning stations.
There are different ways to treating OCD.
Stepped-care model for OCD
(click for image)
Exposure Response Prevention (ERP) is a form of cognitive behaviour therapy (CBT) and produces response rates of 85% in subjects who complete therapy. Patients are first required to produce a hierarchy of anxiety-inducing situations. The client then faces the feared situations or objects without performing the compulsive ritual. The objective of ERP is to produce habituation, where anxiety reduces naturally after prolonged exposure to the stimulus. A reduction in anxiety is seen within 60-90 minutes if the patient does not engage in anxiolytic behaviours. The patient works through the graded hierarchy tackling the least feared challenges first.
ERP can be delivered in a variety of forms, including self-help programs such as books, computer packages and telephone therapy. These provide a self-directed approach to overcoming OCD but with some therapist input for goal identification and early education. CBT often has long waiting lists and is demanding on therapists time. Self-help approaches have the potential to help more patients with minimal input from a clinician and may be monitored at the primary care level.
Psychological interventions for children with OCD follow similar principles as adult-based therapies. It is important to acknowledge developmental discrepancies and language ability in children. Significant emphasis should also be placed on involvement of the family.
Find out about the National OCD/BDD service provided by the Trust.
Clomipramine and the Selective Serotonin Reuptake Inhibitors (SSRIs) are the most effective drugs in the treatment of OCD. This is due to their ability to specifically inhibit the synaptic reuptake of serotonin. Advice on prescribing for OCD
The epidemiology and aetiology of OCD.
Here are the differential diagnoses and screening questions for OCD.
Reason for consultation
|Dermatologist||Chapped hands, eczema, trichotillomania|
|Cosmetic surgeon||Concerns about appearance|
|Oncologist||Fear of cancer|
|Genitourinary specialist||Fear of HIV|
|Neurologist||OCD associated with Tourette's syndrome|
|Obstetrician||OCD in pregnancy|
|Gynaecologist||Vaginal discomfort from douching|
*These screening questions were compiled from the following articles:
This guide provides an overview of the definition, diagnosis and treatment of obsessive-compulsive disorder, along with links to further information.