Integrative and Multi-Disciplinary Treatment for Severe Refractory Obsessive-Compulsive Disorder

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Obsessive-Compulsive Disorder (OCD) is a chronic and complex psychiatric condition characterized by intrusive thoughts (obsessions) and repetitive behaviors (compulsions), affecting approximately 2.3% of the global population. This paper presents an integrative and multi-disciplinary treatment approach employed at the Westwood Institute for Anxiety Disorders, directed by Dr. Eda Gorbis. Traditional treatments like Exposure and Response Prevention (ERP) and pharmacotherapy, while effective for many, often leave residual symptoms or fail in treatment-resistant cases. To address these limitations, the Westwood Institute integrates newer modalities such as Mindfulness-Based Behavioral Therapy (MBBT) and cognitive restructuring into a comprehensive treatment framework. We review the current understanding of OCD, emphasizing its varied symptomatology, complex etiology, and significant impact on daily functioning. The importance of thorough assessment and psychoeducation in tailoring individualized treatment plans is underscored, ensuring that all relevant aspects of the disorder are addressed. The integrative model at the Westwood Institute involves a diverse team of healthcare professionals, including psychiatrists, psychologists, exposure coaches, and family therapists, working collaboratively to provide holistic care. This paper aims to provide clinicians with a detailed overview of the integrative treatment strategies utilized at the Westwood Institute, highlighting the potential for improved outcomes in even the most refractory cases of OCD. By combining traditional and innovative therapeutic modalities within a cohesive framework, this approach offers a promising pathway for enhancing the quality of life for individuals living with OCD.