Given the overlap of the client base with OCD and traumatic histories, as well as the overlap in treatment options for those who experience OCD and trauma-induced symptoms, the author will discuss the importance of assessing for traumatic history in clients with OCD as well as approaching treatment from a dual-focus orientation.Īccording to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V American Psychiatric Association, 2013), 1.1–1.8% of the world population experience a 12-month prevalence of OCD. OCD and traumatic histories have a significant enough overlap that trauma should be a consideration when treating an individual with OCD.
Evidence was collected for a post-traumatic OCD and treatments of trauma-related OCD were considered. From a literature review, evidence has been provided that demonstrates a high prevalence rate (30–82%) of OCD among individuals with a traumatic history in comparison to the prevalence rate of the general population (1.1–1.8% ). Effective treatments for PTSD: Practice guidelines from the international society for traumatic studies (2nd ed.). Similarly, exposure treatments and CBT have been accepted as best practice for trauma-related distress (i.e. Exposure treatments and cognitive-behavioural therapy (CBT) have been largely accepted as best practice for those with OCD, and yet there are still many who are left with “treatment-resistant OCD”. Obsessive–compulsive disorder (OCD) is a highly researched and conceptualized disorder, and yet it remains one of the most debilitating, widespread, and expensive disorders one can be afflicted with.
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