ABSTRACT

With the use of appropriate medication and behavioral therapies to treat patients with obsessive-compulsive disorder (OCD), the outlook for the majority of patients is quite good. There are, however, a very small number of patients who not only remain refractory to all conventional treatments, but also are extremely ill and essentially nonfunctional. For such treatment-refractory and severely ill OCD patients, clinicians are obligated to consider any treatments, even neurosurgical options, that could possibly provide relief.