Reasons for Inadequate Utilization of Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder

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Sir: Cognitive-behavioral therapy (CBT) has repeatedly been found to be effective in the treatment of obsessive-compulsive disorder (OCD),1 and the Expert Consensus Guidelines for the Treatment of OCD2 recommend CBT as a first-line treatment of adult OCD along with serotonin reuptake–inhibiting drugs. However, many OCD sufferers never receive adequate CBT treatment; for example, Mancebo et al.3 recently found that only 38% of OCD sufferers taking part in a longitudinal study of OCD at a major medical center had undergone an adequate trial of CBT in their lifetime. We undertook an Internet-based survey study to better understand this phenomenon in the larger OCD population.​

J Clin Psychiatry 2008;69(4):676 [letter]