SSRIs can cause side effects as they block serotonin reuptake in the whole brain, this can cause unwanted side effects
soomro et al found that patients treated with SSRIs experienced side effects like nausea, headaches and insomnia
if patients stop taking SSRIs they may relapse, their symptoms could quickly return
patients need to keep taking the drugs indefinitely and cope with side effects in order to prevent relapse
SSRIs may not be effective at treating the underlying cause of ocd, may be other factors like cognitive that may contribute to ocd
may need to combine drug treatment and cognitive therapy like cbt to treat ocd
o'connor et al found that combining biological and cognitive treatments for ocd could be more effective, patients who were treated with both cbt and ssris showed the biggest improvements