Chapter 4: Problem 8

Describe and compare the effectiveness of exposure and response prevention and antidepressant medications as treatments for obsessive-compulsive disorder. pp. 131-133

Short Answer

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Both treatments have potential benefits. ERP tends to be somewhat more effective and often delivers long-lasting results, while the benefits of SSRIs might be more short-term and can have side effects. However, the effectiveness can vary significantly on an individual basis.

Step by step solution

Understanding Exposure and Response Prevention

Exposure and Response Prevention (ERP) is a form of Cognitive-Behavioral Therapy (CBT) considered highly effective for treating Obsessive-Compulsive Disorder (OCD). It involves exposing an individual to situations that trigger their obsessive thoughts, but then preventing the corresponding compulsive response. This exposure to the fear and anxiety, without the 'relief' of the compulsion, eventually leads to a decrease in the obsessive thoughts.

Understanding Antidepressant Medications

Antidepressants, specifically selective serotonin reuptake inhibitors (SSRIs), are commonly used in the treatment of OCD. These medications enhance the activity of the neurotransmitter serotonin, which plays a role in the regulation of mood and anxiety. SSRIs have been proven to reduce the symptoms of OCD in many individuals.

Comparing Effectiveness of Both Treatments

Studies indicate that both ERP and antidepressant medication are effective interventions for OCD. ERP tends to be the first line of treatment, with around 70% of patients benefitting from it. On the other hand, around 50-60% of patients respond to SSRIs. A key advantage of medication is the ease of application, while ERP can be distressing and requires a highly skilled therapist to be effective. However, SSRIs often have side effects and may not provide a long-term solution to OCD symptoms unlike ERP which may deliver enduring benefits.

Conclusion

Exposure and Response Prevention (ERP) seems to be somewhat more effective overall, in addition to yielding prolonged benefits. However, the appropriateness of either treatment is determined by the individual's specific symptoms, their personal preferences, and how they respond to each approach.

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Describe and compare the effectiveness of exposure and response prevention and antidepressant medications as treatments for obsessive-compulsive disorder. pp. 131-133

Short Answer

Step by step solution

Understanding Exposure and Response Prevention

Understanding Antidepressant Medications

Comparing Effectiveness of Both Treatments

Conclusion

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