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Chapter 9. Obsessive-Compulsive Disorder: Biology and Treatment, a Generation of Progress

  1. Eric J.L. Griez2,
  2. Carlo Faravelli3,
  3. David Nutt4,
  4. Joseph Zohar5
  1. I. Iancu1,
  2. Y. Sasson1,
  3. N. Nakash1,
  4. M. Chopra1,
  5. J. Zohar5

Published Online: 6 DEC 2001

DOI: 10.1002/0470846437.ch9

Anxiety Disorders: An Introduction to Clinical Management and Research

Anxiety Disorders: An Introduction to Clinical Management and Research

How to Cite

Iancu, I., Sasson, Y., Nakash, N., Chopra, M. and Zohar, J. (2001) Obsessive-Compulsive Disorder: Biology and Treatment, a Generation of Progress, in Anxiety Disorders: An Introduction to Clinical Management and Research (eds E. J.L. Griez, C. Faravelli, D. Nutt and J. Zohar), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/0470846437.ch9

Editor Information

  1. 2

    Department of Psychiatry and Neuropsychology, University of Maastricht, The Netherlands

  2. 3

    Department of Neurology and Psychiatry, Florence University Medical School, Italy

  3. 4

    Psychopharmacology Unit, School of Medical Sciences, University of Bristol, UK

  4. 5

    Department of Psychiatry and Anxiety Clinic, Sheba Medical Center, Tel Hashomer, University of Tel Aviv, Sackler Faculty of Medicine, Israel

Author Information

  1. 1

    Sheba Medical Center, Tel Hashomer and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

  2. 5

    Department of Psychiatry and Anxiety Clinic, Sheba Medical Center, Tel Hashomer, University of Tel Aviv, Sackler Faculty of Medicine, Israel

Publication History

  1. Published Online: 6 DEC 2001
  2. Published Print: 29 MAY 2001

ISBN Information

Print ISBN: 9780471978732

Online ISBN: 9780470846438

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Keywords:

  • anxiety disorders;
  • obsessive-compulsive disorders;
  • pharmacotherapy;
  • serotonin antagonists;
  • dopamine;
  • SSRIs;
  • psychotherapy;
  • treatment-resistant OCD;
  • MAOIs

Summary

Until about thirty years ago, obsessive-compulsive disorder was considered to be a treatment-refractory disorder. Dynamic psychotherapy was of little benefit and several pharmacological treatments were attempted without much success. The introduction of clomipramine (CMI) in the 1960s and of the selective serotonin reuptake inhibitors (SSRIs) in the late 1980s and early 1990s has significantly improved the prognosis of patients with this disorder. Numerous studies have reported on the efficacy of various serotonin reuptake inhibitors (SRIs) in OCD, paving the way to a better understanding of the pathophysiology of this disorder, and helping to clarify its biological basis.