Psychosurgical treatment of obsessive-compulsive disorder.

Nice guidelines recommend psychological treatment (cognitive–behavioural therapy, involving major elements of exposure and response prevention) as the first-line treatment for obsessive compulsive–disorder (Ocd). in this contribution, the theory and practice of integrated cognitive–behavioural therapy is described. The use of normalizing strategies and re-appraisal of beliefs motivating compulsive behaviour are emphasized as ways of enabling patients to choose to change. developments in terms of dissemination and delivery are considered.