The Carlat Psychiatry Podcast

Expanding Access to OCD Treatment

18 snips
May 19, 2025
Families face significant hurdles in finding effective OCD treatment for children, from a lack of specialized therapists to long waitlists. Online cognitive behavioral therapy is emerging as a viable alternative, showing promising results in reducing OCD symptoms. Listeners learn about the strong preference for remote care and the necessity for further research into its long-term effectiveness. Additionally, the importance of building a strong therapeutic relationship before transitioning to online treatment is discussed, highlighting the challenges of fostering trust in virtual settings.
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INSIGHT

Online CBT Effective and Preferred

  • Online cognitive behavioral therapy (CBT) with exposure and response prevention for children with OCD shows significant symptom reduction.
  • Many families prefer online therapy, suggesting it as a viable alternative to in-person treatment.
INSIGHT

Delayed Treatment Harms OCD Outcomes

  • Waiting for OCD treatment can worsen symptoms and lead families to accommodate compulsions.
  • Early online therapy options may prevent symptom worsening and family burden.
ADVICE

Tailor Therapy Format to Families

  • Assess if children and families respond well to online therapy and can complete homework.
  • Consider in-person therapy when structure and immediate feedback are needed.
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