The tragedy of OCD is not just that it is a life destroying psychological problem. The biggest tragedy is that it is an unnecessary illness. We know enough about the psychological factors involved in this problem to ensure that, given the right intervention at the right time, no one need suffer from OCD for more than a few months. However, this reality remains a distant dream for most people who have OCD.
In this presentation Paul will consider the context and detail of our present understanding of OCD and its treatment. It is clear that most treatment is a matter of “much too little, much too late”, and potential solutions to this are considered. This problem will be linked to the important issue of how CBT itself works (through both transdiagnostic and problems specific mechanisms), and how it is offered.More attention needs to be paid to research and theory informed “blended care” approaches alongside individualized formulation based treatment. Research findings in these areas will be presented. Some worrying issues will be presented and considered. An agenda for removing obstacles to getting rid of OCD will also be presented and discussed.
In terms of the future, it proposed that it is crucial that we be clear about the distinction between “Development” and “Delivery”.