Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patients

Even though obsessive compulsive disorder (OCD) is one of the ten most disabling diseases according to the WHO, only 30–40% of patients suffering from OCD seek specialized treatment. The currently available psychotherapeutic and pharmacological approaches, when properly applied, prove ineffective in...

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Main Authors: Kevin Swierkosz-Lenart, Joao Flores Alves Dos Santos, Julien Elowe, Anne-Hélène Clair, Julien F. Bally, Françoise Riquier, Jocelyne Bloch, Bogdan Draganski, Marie-Thérèse Clerc, Beatriz Pozuelo Moyano, Armin von Gunten, Luc Mallet
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1065812/full
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author Kevin Swierkosz-Lenart
Joao Flores Alves Dos Santos
Julien Elowe
Julien Elowe
Anne-Hélène Clair
Julien F. Bally
Françoise Riquier
Jocelyne Bloch
Bogdan Draganski
Bogdan Draganski
Marie-Thérèse Clerc
Beatriz Pozuelo Moyano
Armin von Gunten
Luc Mallet
Luc Mallet
Luc Mallet
author_facet Kevin Swierkosz-Lenart
Joao Flores Alves Dos Santos
Julien Elowe
Julien Elowe
Anne-Hélène Clair
Julien F. Bally
Françoise Riquier
Jocelyne Bloch
Bogdan Draganski
Bogdan Draganski
Marie-Thérèse Clerc
Beatriz Pozuelo Moyano
Armin von Gunten
Luc Mallet
Luc Mallet
Luc Mallet
author_sort Kevin Swierkosz-Lenart
collection DOAJ
description Even though obsessive compulsive disorder (OCD) is one of the ten most disabling diseases according to the WHO, only 30–40% of patients suffering from OCD seek specialized treatment. The currently available psychotherapeutic and pharmacological approaches, when properly applied, prove ineffective in about 10% of cases. The use of neuromodulation techniques, especially Deep Brain Stimulation, is highly promising for these clinical pictures and knowledge in this domain is constantly evolving. The aim of this paper is to provide a summary of the current knowledge about OCD treatment, while also discussing the more recent proposals for defining resistance.
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spelling doaj.art-457fbcbd2596406a8c517c25aa61685a2023-02-16T07:58:41ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-02-011410.3389/fpsyt.2023.10658121065812Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patientsKevin Swierkosz-Lenart0Joao Flores Alves Dos Santos1Julien Elowe2Julien Elowe3Anne-Hélène Clair4Julien F. Bally5Françoise Riquier6Jocelyne Bloch7Bogdan Draganski8Bogdan Draganski9Marie-Thérèse Clerc10Beatriz Pozuelo Moyano11Armin von Gunten12Luc Mallet13Luc Mallet14Luc Mallet15Department of Psychiatry, Service Universitaire de Psychiatrie de l’Age Avancé (SUPAA), Centre Hospitalier Universitaire Vaudois, Prilly, SwitzerlandDepartment of Mental Health and Psychiatry, Geneva University Hospital, Geneva, SwitzerlandDepartment of Psychiatry, Lausanne University Hospital, University of Lausanne, West Sector, Prangins, SwitzerlandDepartment of Psychiatry, Lausanne University Hospital, University of Lausanne, North Sector, Yverdon-les-Bains, SwitzerlandSorbonne University, UPMC Paris 06 University, INSERM, CNRS, Institut du Cerveau et de la Moelle Épinière, Paris, FranceDepartment of Clinical Neurosciences, Service of Neurology, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandDepartment of Clinical Neuroscience, Service of Neurosurgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), Lausanne, SwitzerlandDepartment of Clinical Neuroscience, Service of Neurosurgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), Lausanne, SwitzerlandLaboratory for Research in Neuroimaging (LREN), Department of Clinical Neurosciences, Centre for Research in Neurosciences, Lausanne University Hospital, University of Lausanne, Lausanne, SwitzerlandDepartment of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, GermanyDepartment of Psychiatry, Service Universitaire de Psychiatrie de l’Age Avancé (SUPAA), Centre Hospitalier Universitaire Vaudois, Prilly, SwitzerlandDepartment of Psychiatry, Service Universitaire de Psychiatrie de l’Age Avancé (SUPAA), Centre Hospitalier Universitaire Vaudois, Prilly, SwitzerlandDepartment of Psychiatry, Service Universitaire de Psychiatrie de l’Age Avancé (SUPAA), Centre Hospitalier Universitaire Vaudois, Prilly, SwitzerlandDepartment of Mental Health and Psychiatry, Geneva University Hospital, Geneva, Switzerland0Univ Paris-Est Créteil, DMU IMPACT, Département Médical-Universitaire de Psychiatrie et d’Addictologie, Hôpitaux Universitaires Henri Mondor - Albert Chenevier, Assistance Publique-Hôpitaux de Paris, Créteil, France1Sorbonne Université, Institut du Cerveau - Paris Brain Institute - ICM, Inserm, CNRS, Paris, FranceEven though obsessive compulsive disorder (OCD) is one of the ten most disabling diseases according to the WHO, only 30–40% of patients suffering from OCD seek specialized treatment. The currently available psychotherapeutic and pharmacological approaches, when properly applied, prove ineffective in about 10% of cases. The use of neuromodulation techniques, especially Deep Brain Stimulation, is highly promising for these clinical pictures and knowledge in this domain is constantly evolving. The aim of this paper is to provide a summary of the current knowledge about OCD treatment, while also discussing the more recent proposals for defining resistance.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1065812/fullobsessive-compulsive disorderdeep brain stimulationneuromodulationresistantrefractory
spellingShingle Kevin Swierkosz-Lenart
Joao Flores Alves Dos Santos
Julien Elowe
Julien Elowe
Anne-Hélène Clair
Julien F. Bally
Françoise Riquier
Jocelyne Bloch
Bogdan Draganski
Bogdan Draganski
Marie-Thérèse Clerc
Beatriz Pozuelo Moyano
Armin von Gunten
Luc Mallet
Luc Mallet
Luc Mallet
Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patients
Frontiers in Psychiatry
obsessive-compulsive disorder
deep brain stimulation
neuromodulation
resistant
refractory
title Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patients
title_full Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patients
title_fullStr Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patients
title_full_unstemmed Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patients
title_short Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patients
title_sort therapies for obsessive compulsive disorder current state of the art and perspectives for approaching treatment resistant patients
topic obsessive-compulsive disorder
deep brain stimulation
neuromodulation
resistant
refractory
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1065812/full
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