How Does OCD Behavior Therapy Work?

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We generally start with behavior therapy particularly in children. The evidence for the effectiveness for medications for OCD in children is not as strong as it is in adults and we want avoid the side effects if possible. So for the most part if it's a child or an adolescent with OCD we'll start with behavior therapy.

In adults it's really a discussion between the patient and the therapist and I try to present the pros and cons of the behavior therapy versus the medications and then I also take into account other co-morbid symptoms. So somebody with who also has serious depression, they may not be able to adhere to all the requirements of home work of doing behavior therapy in that case we might start with medications first.