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2005NICENCCMH强迫性障碍指南

2014-05-27 16:35 阅读: 来源:爱爱医 责任编辑:张子玲
[导读] Children and young people with OCD with moderate to severe functional impairment, and thosewith OCD with mild functional impairment for whom guided self-help has been ineffective orrefused.

    《2005NICENCCMH强迫性障碍指南》内容简介:

    Each PCT, mental healthcare trust and children's trust that provides mental health services shouldhave access to a specialist obsessive-compulsive disorder (OCD)/body dysmorphic disorder (BDD)multidisciplinary team offering age-appropriate care. This team would perform the followingfunctions: increase the skills of mental health professionals in the assessment and evidence-basedtreatment of people with OCD or BDD, provide high-quality advice, understand family anddevelopmental needs, and, when appropriate, conduct expert assessment and specialistcognitive-behavioural and pharmacological treatment.

    《2005NICENCCMH强迫性障碍指南》内容预览:

   
Children and young people with OCD with moderate to severe functional impairment, and thosewith OCD with mild functional impairment for whom guided self-help has been ineffective orrefused, should be offered CBT (including ERP) that involves the family or carers and is adapted tosuit the developmental age of the child as the treatment of choice. Group or individual formatsshould be offered depending upon the preference of the child or young person and their familyor carers.

    Following multidisciplinary review, for a child (aged 8-11 years) with OCD or BDD with moderateto severe functional impairment, if there has not been an adequate response to CBT (includingERP) involving the family or carers, the addition of an SSRI to ongoing psychological treatmentmay be considered. Careful monitoring should be undertaken, particularly at the beginningof treatment.

    Following multidisciplinary review, for a young person (aged 12-18 years) with OCD or BDD withmoderate to severe functional impairment, if there has not been an adequate response to CBT(including ERP) involving the family or carers, the addition of an SSRI to ongoing psychologicaltreatment should be offered. Careful monitoring should be undertaken, particularly at thebeginning of treatment.

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