ABSTRACT

With the availability of potent serotonin reuptake inhibitors (SRIs) and behavioral treatment featuring exposure and response prevention, the majority of individuals with obsessive-compulsive disorder (OCD) can be successfully treated on an outpatient basis (Dar & Greist, 1992; Jenike, 1992; Steketee & Foa, 1993; Sturgis & Meyer, 1980). However, a substantial minority of patients still refuse or withdraw prematurely from treatment, or complete treatment with little or no benefit. It has been suggested that some outpatients resist or fail to respond to therapy because their natural environment does not adequately facilitate recovery. In such cases, the limitations of outpatient care may be remediated by inpatient treatment.