ABSTRACT
The development and refinement of treatment-interventions is ongoing by obsessive-compulsive disorder (OCD) researchers globally, in order to improve treatment-response and to identify intervention-related and patient-related predictors and mediators of response. Sookman and Steketee outlined the following general criteria as reflective of in-process treatment resistance: the patient does not participate fully in exposure so that some avoidance remains; the patient does not engage in and/or sustain complete response prevention during and/or between sessions; residual behavioral or cognitive rituals persist; and symptom-related pathology such as beliefs or other experience are not resolved to within normal limits. Specialized evidence-based Cognitive behavioural therapy (CBT) is administered by a therapist, or under the supervision of a therapist, experienced in treating OCD. Multidimensional assessment of symptoms, comorbid conditions, medical status, skills repertoire, resources, and psychosocial and intra-familial functioning has been adequate to formulate an evidence-based individualized CBT case conceptualization and treatment plan.
