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Cognitive–behavioural therapy for obsessive–compulsive disorder

David Veale is an honorary senior lecturer at the Institute of Psychiatry, King’s College London and a consultant psychiatrist in cognitive–behavioural therapy at the South London and Maudsley Trust (Centre for Anxiety Disorders and Trauma, The Maudsley Hospital, 99 Denmark Hill, London SE5 8AF. Email: David.Veale{at}iop.kcl.ac.uk; website: http://www.veale.co.uk) and the Priory Hospital North London. He is President of the British Association of Behavioural and Cognitive Psychotherapies, was a member of the National Institute for Health and Clinical Excellence group that produced guidelines on treating obsessive–compulsive disorder (OCD) and body dysmorphic disorder (BDD) and runs a national specialist unit at the Bethlem Royal Hospital for refractory OCD and BDD.

In the UK, the National Institute for Health and Clinical Excellence’s guidelines on obsessive–compulsive disorder (OCD) recommend cognitive–behavioural therapy, including exposure and response prevention, as an effective treatment for the disorder. This article introduces a cognitive–behavioural model of the maintenance of symptoms in OCD. It discusses the process of engagement and how to develop a formulation to guide the strategies for overcoming the disorder.

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