OCD Diagnosis and Treatment
Assess OCD severity accurately and build a stepwise treatment plan spanning exposure-based therapy, SSRI titration, and augmentation for refractory cases.
What this track covers
This track covers OCD assessment and differential diagnosis, the principles of exposure and response prevention, pharmacologic management including high-dose SSRI strategies, and approaches to treatment-resistant disease. It's aimed at clinicians who diagnose or manage OCD and need a structured way to reason through escalation of care.
What you will practice
- Score symptom severity and track change over time using a structured OCD rating approach
- Differentiate OCD from tic disorders, generalized anxiety, and body dysmorphic presentations
- Explain exposure and response prevention rationale to a patient and identify when referral to a specialist is appropriate
- Sequence SSRI trials, including dose escalation and adequate trial duration before switching
- Evaluate augmentation options and next steps when first-line treatment fails
Simulator scenario
A patient with worsening checking rituals and functional impairment who has had a partial response to an SSRI, requiring the clinician to reassess severity and decide on next treatment steps.
Board question topics
- Differential diagnosis of OCD versus related disorders
- Symptom severity assessment and monitoring
- SSRI dosing and trial duration in OCD
- Management approach for treatment-resistant OCD
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