Obsessive-compulsive disorder (OCD)

EBM Guidelines
May 26, 2024 • Latest change Oct 24, 2025
Esa Leinonen and Hannu Koponen

Table of contents

Extract

  • Age of onset is usually approximately 20 years; however, in one third of the patients OCD first appears in adolescence. The condition is usually chronic.
  • Ask about compulsive behaviour and obsessive thoughts particularly if the patient has depression or anxiety.
  • Effective treatment forms include cognitive behaviour therapy as well as selective serotonin reuptake inhibitors (SSRIs) and clomipramine in fairly high doses and with a sufficiently long follow-up of response.

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Anxiety, Citalopram, Clomipramine, Compulsive Behavior, Depression, F42*, Fluoxetine, Fluvoxamine, OCD, Obsessive-Compulsive Disorder, Paroxetine, Psychiatry, Serotonin Uptake Inhibitors, Sertraline, obsession, obsessive fear, obsessive thought