Abstract
Obsessive compulsive disorder is a severe disorder that is heterogeneous in nature and often challenging to treat. Exposure and response prevention is the leading treatment for OCD and has proven efficacious, with 75% long term improvement in symptoms. However, many patients do not respond optimally to treatment. In fact, many remain treatment resistant. The purpose of the current paper is to discuss factors contributing to treatment resistance as well as treatment planning strategies. Keywords: Cognitive behavioral therapy, comorbid disorders, OCD, Overvalued ideation, TIB, treatment resistance.
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