drug therapy for mental disorders aims to increase or decrease levels of NT in the brain or to increase/decrease their activity.
low levels serotonin associated with OCD
SSRI prevent reabsorption and breakdown of serotonin in the brain, increases levels in synapse and thus serotonin continues to stimulate the postsynaptic neuron
typical dose fluoxetine is 20mg although may be increased if not benefitting the person, takes 3-4 months of daily use for SSRIs to impact upon symptoms
biological approach to treating OCD AO1-points (2)
drugs often used alongside CBT, drugs reduce emotional symptoms so can engage more effectively with CBT
SSRIs alternatives : tricyclics, SNRIs
biological approach to treating OCD AO3- points
effectiveness
cost-effective and non-disruptive
serious side-effects
biological approach to treating OCD AO3- effectiveness
soomro et al- reviewed 17 studies of SSRIs for treatment of OCD. all 17 studies showed better outcomes following SSRIs than placebos
typically symptoms reduce for around 70% of people taking SSRIs
drugs can be of help to most people with OCD
biological approach to treating OCD AO3- effectiveness COUNTERPOINT
although drug treatments may be better than placebo, they may not be most effective treatments. CBT may be more effective than SSRIs in treatment of old
this means that drugs may not be the optimum treatment for OCD
biological approach to treating OCD AO3- cost effective and non disruptive
cheap compared to psychological treatments. good value for NHS
non disruptive to peoples lives unlike therapies. if you wish you can simply take drugs until your symptoms decline rather than spending time going to therapy sessions.
this means that many doctors and people with OCD prefer drug treatments
biological approach to treating OCD AO3- drugs can have serious side effects
minority of people get no benefitvbut some experience side effects such ass indigestion, blurred vision and loss of sex drive
for those taking clomipramine side effects are more common and can be more serious. more than 1 in 10 people experience erection and weight gain problems
this means that quality of life is poor and outcome is they may stop taking the drugs altogether, reducing the effectiveness of the treatment