Skip to main content Accessibility help
×
Hostname: page-component-857557d7f7-gtc7z Total loading time: 0.001 Render date: 2025-11-21T20:48:41.156Z Has data issue: false hasContentIssue false

Chapter 16 - Obsessive Compulsive Disorder

from Part III - Application and Adaptations for Mental Health Presentations

Published online by Cambridge University Press:  18 November 2025

Jessica Davies
Affiliation:
University of Exeter
Paul Salkovskis
Affiliation:
Oxford Health NHS Foundation Trust & University of Oxford
Kenneth Laidlaw
Affiliation:
University of Exeter
Judith S. Beck
Affiliation:
Beck Institute for Cognitive Behavior Therapy & University of Pennsylvania
Get access

Summary

The chapter will help you to be able to explain what OCD is and how it typically presents, describe and use evidence-based CBT protocols for OCD, choose and use appropriate formulation models for CBT for OCD, describe the importance of using Exposure and Response Prevention and/or Behavioural Experiments in any treatment plan, develop a treatment plan for CBT for OCD, using appropriate measures, and take account of comorbidity in managing CBT for OCD

Information

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Further Reading

Kozak, MJ, Foa, EB. Mastery of Obsessive Compulsive Disorder: A Cognitive Behavioural Approach (Therapist Guide). Oxford: Oxford University Press; 1997.Google Scholar
Wilhelm, S, Steketee, G. Cognitive Therapy for Obsessive Compulsive Disorder: A Guide for Professionals. Oakland: New Harbinger Publications; 2006.Google Scholar
Bream, V, Challacombe, F, Palmer, A, Salkovskis, P. Cognitive Behaviour Therapy for Obsessive-Compulsive Disorder. Oxford: Oxford University Press; 2017.10.1093/med-psych/9780198703266.001.0001CrossRefGoogle Scholar

References

National Institute for Health and Care Excellence. Obsessive-compulsive disorder and body dysmorphic disorder: Treatment. Clinical Guidance [Internet]. NICE; 2005. Report No.: CG31. www.nice.org.uk/guidance/cg31.Google Scholar
Foa, EB, Kozak, MJ. Mastery of Obsessive-Compulsive Disorder: A Cognitive-Behavioral Approach Therapist Guide [Internet]. New York: Oxford University Press; 2004. https://books.google.co.uk/books?id=hX7w8A75BksC.Google Scholar
Wilhelm, S, Steketee, G. Cognitive Therapy for Obsessive-Compulsive Disorder: A Guide for Professionals [Internet]. Oakland: New Harbinger Publications; 2006. https://books.google.co.uk/books?id=zvJrAAAAMAAJ.Google Scholar
Bream, V, Challacombe, F, Palmer, A, Salkovskis, P. Cognitive Behaviour Therapy for Obsessive-Compulsive Disorder. Illustrated ed. Oxford: Oxford University Press; 2017.10.1093/med-psych/9780198703266.001.0001CrossRefGoogle Scholar
Salkovskis, PM. Obsessional-compulsive problems: A cognitive-behavioural analysis. Behav Res Ther. 1985;23(5):571583.10.1016/0005-7967(85)90105-6CrossRefGoogle ScholarPubMed
Angst, J, Gamma, A, Endrass, J, Goodwin, R, Ajdacic, V, Eich, D, et al. Obsessive-compulsive severity spectrum in the community: prevalence, comorbidity, and course. Eur Arch Psychiatry Clin Neurosci. 2004;254(3):156164.10.1007/s00406-004-0459-4CrossRefGoogle Scholar
Pinto, A, Mancebo, MC, Eisen, JL, Pagano, ME, Rasmussen, SA. The Brown Longitudinal Obsessive Compulsive Study: Clinical features and symptoms of the sample at intake. J Clin Psychiatry. 2006;67(5):703711.10.4088/JCP.v67n0503CrossRefGoogle ScholarPubMed
Murray, CJ, Lopez, AD, World Health Organization. The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020: Summary. Boston: Harvard University Press; 1996.Google Scholar
Ruscio, AM, Stein, DJ, Chiu, WT, Kessler, RC. The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Mol Psychiatry. 2008;15(1):5363.10.1038/mp.2008.94CrossRefGoogle ScholarPubMed
Foa, EB, Kozak, MJ, Salkovskis, PM, Coles, ME, Amir, N. The validation of a new obsessive–compulsive disorder scale: The Obsessive–Compulsive Inventory. Psychol Assess. 1998;10(3):206214.10.1037/1040-3590.10.3.206CrossRefGoogle Scholar
Foa, EB, Huppert, JD, Leiberg, S, Langner, R, Kichic, R, Hajcak, G, et al. The Obsessive-Compulsive Inventory: Development and validation of a short version. Psychol Assess. 2002;14(4):485496.10.1037/1040-3590.14.4.485CrossRefGoogle ScholarPubMed
Goodman, WK, Price, LH, Rasmussen, SA, Mazure, C, Fleischmann, RL, Hill, CL, et al. The Yale-Brown Obsessive Compulsive Scale: I. Development, use, and reliability. Arch Gen Psychiatry. 1989;46(11):10061011.10.1001/archpsyc.1989.01810110048007CrossRefGoogle ScholarPubMed
Salkovskis, PM, Wroe, AL, Gledhill, A, Morrison, N, Forrester, E, Richards, C, et al. Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behav Res Ther. 2000;38(4):347372.10.1016/S0005-7967(99)00071-6CrossRefGoogle ScholarPubMed
Freud, S. The Complete Psychological Works of Sigmund Freud Vol.10: Two Case Histories (Little Hans and the ‘Rat Man’ [Internet]. London: Random House UK; 1955. https://books.google.co.uk/books?id=ANaozwEACAAJ.Google Scholar
Fenichel, O. Neurotic acting out. Psychoanal Rev 1913–1957. 1945;32:197206.Google Scholar
Mowrer, OH. On the dual nature of learning: A re-interpretation of ‘conditioning’ and ‘problem-solving’. Harv Educ Rev. 1947;17:102148.Google Scholar
Rachman, S. Obsessional ruminations. Behav Res Ther. 1971;9(3):229235.10.1016/0005-7967(71)90008-8CrossRefGoogle ScholarPubMed
Meyer, V, Levy, R. Modification of behavior in obsessive-compulsive disorders. In Adams HE, Unikel IP, Issues and Trends in Behavior Therapy (pp. 77136). Springfield: Charles C Thomas; 1973.Google Scholar
Marks, I, Hodgson, R, Rachman, S. Treatment of chronic obsessive-compulsive neurosis by in-vivo exposure: A two-year follow-up and issues in treatment. Br J Psychiatry. 1975;127(4):349364.10.1192/bjp.127.4.349CrossRefGoogle ScholarPubMed
Foa, EB, Goldstein, A. Continuous exposure and complete response prevention in the treatment of obsessive-compulsive neurosis. Behav Ther. 1978;9(5):821829.10.1016/S0005-7894(78)80013-6CrossRefGoogle Scholar
Foa, EB, Steketee, G, Grayson, JB, Turner, RM, Latimer, PR. Deliberate exposure and blocking of obsessive-compulsive rituals: Immediate and long-term effects. Behav Ther. 1984;15(5):450472.10.1016/S0005-7894(84)80049-0CrossRefGoogle Scholar
Hodgson, RJ, Rachman, S. The effects of contamination and washing in obsessional patients. Behav Res Ther. 1972;10(2):111117.10.1016/S0005-7967(72)80003-2CrossRefGoogle ScholarPubMed
Roper, G, Rachman, S, Hodgson, R. An experiment on obsessional checking. Behav Res Ther. 1973;11(3):271277.10.1016/0005-7967(73)90003-XCrossRefGoogle ScholarPubMed
Roper, G, Rachman, S. Obsessional-compulsive checking: experimental replication and development. Behav Res Ther. 1976;14(1):2532.10.1016/0005-7967(76)90041-3CrossRefGoogle ScholarPubMed
Steketee, G. Treatment of Obsessive Compulsive Disorder [Internet]. New York: Guilford Publications; 1993. https://books.google.co.uk/books?id=HZO_QgAACAAJ.Google Scholar
Obsessive Compulsive Cognitions Working Group. Cognitive assessment of obsessive-compulsive disorder. Behav Res Ther. 1997;35(7):667681.10.1016/S0005-7967(97)00017-XCrossRefGoogle Scholar
Öst, LG, Havnen, A, Hansen, B, Kvale, G. Cognitive behavioral treatments of obsessive–compulsive disorder: A systematic review and meta-analysis of studies published 1993–2014. Clin Psychol Rev. 2015;40:156169.10.1016/j.cpr.2015.06.003CrossRefGoogle ScholarPubMed
Van Oppen, P, De Haan, E, Van Balkom, AJLM, Spinhoven, P, Hoogduin, K, Van Dyck, R. Cognitive therapy and exposure in vivo in the treatment of obsessive compulsive disorder. Behav Res Ther. 1995;33(4):379390.10.1016/0005-7967(94)00052-LCrossRefGoogle ScholarPubMed
Salkovskis, PM, Hackmann, A, Wells, A, Gelder, MG, Clark, DM. Belief disconfirmation versus habituation approaches to situational exposure in panic disorder with agoraphobia: A pilot study. Behav Res Ther. 2007;45(5):877885.10.1016/j.brat.2006.02.008CrossRefGoogle ScholarPubMed
Wilhelm, S, Steketee, G, Fama, J, Golan, E. A controlled trial investigating CT for OCD treatment outcome, acceptability and mechanisms of improvement. Symposium presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Boston, MA (November 2003).Google Scholar

Accessibility standard: Unknown

Why this information is here

This section outlines the accessibility features of this content - including support for screen readers, full keyboard navigation and high-contrast display options. This may not be relevant for you.

Accessibility Information

Accessibility compliance for the PDF of this book is currently unknown and may be updated in the future.

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Obsessive Compulsive Disorder
  • Jessica Davies, University of Exeter, Paul Salkovskis, Oxford Health NHS Foundation Trust & University of Oxford, Kenneth Laidlaw, University of Exeter
  • Foreword by Judith S. Beck, Beck Institute for Cognitive Behavior Therapy & University of Pennsylvania
  • Book: Cambridge Guide to Cognitive Behavioural Therapy (CBT)
  • Online publication: 18 November 2025
  • Chapter DOI: https://doi.org/10.1017/9781009090940.017
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Obsessive Compulsive Disorder
  • Jessica Davies, University of Exeter, Paul Salkovskis, Oxford Health NHS Foundation Trust & University of Oxford, Kenneth Laidlaw, University of Exeter
  • Foreword by Judith S. Beck, Beck Institute for Cognitive Behavior Therapy & University of Pennsylvania
  • Book: Cambridge Guide to Cognitive Behavioural Therapy (CBT)
  • Online publication: 18 November 2025
  • Chapter DOI: https://doi.org/10.1017/9781009090940.017
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Obsessive Compulsive Disorder
  • Jessica Davies, University of Exeter, Paul Salkovskis, Oxford Health NHS Foundation Trust & University of Oxford, Kenneth Laidlaw, University of Exeter
  • Foreword by Judith S. Beck, Beck Institute for Cognitive Behavior Therapy & University of Pennsylvania
  • Book: Cambridge Guide to Cognitive Behavioural Therapy (CBT)
  • Online publication: 18 November 2025
  • Chapter DOI: https://doi.org/10.1017/9781009090940.017
Available formats
×