A 38 year old man is constantly worried about his house being infected by germs for 3 months and he is seen in the GP surgery. He is worried about his personal safety and has been checking that the doors and windows are locked 20-30 times a day for 8 weeks. He has been washing his hands every time he touches the locks.
Which is the most appropriate initial management?
- Antidepressant
- Antipsychotic
- Anxiolytic
- Cognitive behaviour therapy
- Psychodynamic psychotherapy
D. Cognitive behaviour therapy
Explanation:
NICE Clinical guideline [CG31] Obsessive-compulsive disorder and body dysmorphic disorder: treatment
https://www.nice.org.uk/guidance/CG31/chapter/1-Guidance#stepped-care-for-adults-young-people-and-children-with-ocd-or-bdd