How common is a spontaneous remission in obsessive-compulsive disorder?

Integrative therapy for obsessive-compulsive disorder

Psychiatry, Psychosomatics, Psychotherapy pp 1-33 | Cite as

  • U. Voderholzer
Living reference work entry
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Part of the Springer Reference Medicine book series (SRM)


Obsessive-compulsive disorder is one of the four most common mental disorders in Germany (Jacobi et al. 2014) and is roughly equally distributed across all social classes. The influence of this disease extends into all areas of life of those affected and consequently leads to massive impairments in quality of life (Subramaniam et al. 2013). If left untreated, obsessive-compulsive disorder is usually chronic and despite the effective treatment methods known today, the current supply situation can still be described as inadequate. According to the S3 guidelines (Hohagen et al. 2015), cognitive behavioral therapy (CBT) with exposure and prevention of reactions is the first choice therapy. Pharmacotherapy is indicated if CBT does not provide sufficient improvement, if the person concerned refuses CBT, if it is not available, or if the disease is so severe that psychotherapy is difficult.

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