Treatment

• Drug therapy

  • based on knowledge that certain NTs are connected to the condition
  • Abnormal levels of NTs thought to cause condition - moderating levels using drugs
  • Anti-depressants normally used - SSRIs
• Mode of action

  • SSRIs effect at synapse
  • Blocking reuptake transporter for serotonin on pre-synaptic axon terminal
  • Serotonin remains longer in synapse - increased opportunity to bind at receptor sites
• Alternative drug therapies

  • other antidepressants like SNRIs or Anxiolytic drugs - facilitating brains main inhibitory NT -GABA
• Strength 1

  P - research in support from Soomro (2009)

  E - meta-analysis of 17 studies that compares SSRIs to placebos for treatment - all studies showed SSRIs more effective - 70% symptoms declines other 30% responded to alternative drug therapy

  E - use of drugs to address biochemical unbalances successful and improved wellbeing of people with OCD

  L - more valid and appropriate treatment to offer
• Strength 2

  P - more accessible and cost effective that therapies

  E - drugs are readily available to treat OCD and much cheaper for public health services

  E - don't require effort/commitment from patient and not disruptive to their lives - take drug until symptoms declines

  L - more people feel encouraged/ have ability to use drug therapy
• Weakness

  P - associated side effects

  E - indigestion, tremors

  E - affect compliance with drugs - can lead to return of symptoms - reduction in wellbeing

  L - costs need to be carefully weighed against benefits to choose to offer