Cognitive-behavioral therapy for obsessive–compulsive disorder: access to treatment, prediction of long-term outcome with neuroimaging

Cognitive-behavioral therapy for obsessive–compulsive disorder: access to treatment, prediction of long-term outcome with neuroimaging

Blog Article

Joseph O'Neill,1 Jamie D Feusner,2 1Division of Child Psychiatry, 2Division of Adult Psychiatry, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA Abstract: This article reviews issues related to a Games major challenge to the field for obsessive–compulsive disorder (OCD): improving access to cognitive-behavioral therapy (CBT).Patient-related barriers to access include the stigma of OCD and reluctance to take on the demands of CBT.Patient-external factors include the shortage of trained CBT therapists and the high costs of CBT.The second half of the review focuses on one partial, yet plausible aid to improve access – prediction of long-term response to CBT, particularly using neuroimaging methods.Recent pilot data are presented revealing a potential for pretreatment resting-state functional magnetic resonance imaging and magnetic resonance spectroscopy BRONZE MAN HONEY of the brain to forecast OCD symptom severity up to 1 year after completing CBT.

Keywords: follow-up, access to treatment, relapse, resting-state fMRI, magnetic resonance spectroscopy.