What’s Changed in the Treatment of OCD?

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There have been a number of refinements in the treatment of OCD in the use of both behavioral therapy and the use of medications, I've helped contribute to some of the refinements in the use of addings another class of medications to SSRIs, the serotonin reuptake inhibitors when they don't do the whole job themselves and we have some indication that patients that also have ticks may respond to this particular strategy and for patients with very severe treatment resistant illness there are additional options but still compared to the treatment of depression a number of medication options is more limited in the case of OCD.