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You Are Here: Home > Essay Topics > Psychology Topics for Essays & Research Papers > Obsessive-Compulsive Disorder (OCD)  > Essay on Obsessive Compulsive Disorder Future

  Obsessive-Compulsive Disorder (OCD)
Essay on Obsessive Compulsive Disorder Future

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            There is a strong tendency to move obsessive compulsive disorder from the group of anxiety disorders to a new nosological group built around obsessive compulsive disorder. The advantages and disadvantages of this move, if the architects of the future classification systems decide to proceed with it, remain to be ascertained. Regardless of how obsessive compulsive disorder will be classified, further research is expected to advance our understanding of its psychopathology. It is not yet clear how best to address the heterogeneity of obsessive compulsive disorder. While conceptualizing obsessive compulsive disorder subtypes on the basis of the predominant clinical manifestations may not be optimal, alternative subtyping schemes need to be tested.

            Despite progress made in understanding the pathogenesis of obsessive compulsive disorder, there is much to be learned about the pathophysiological and psychological mechanisms that bring about obsessive compulsive disorder. One way of moving forward is to study the neurobiological correlates of faulty information processing and psychological constructs such as underlying beliefs about and appraisals of obsessive compulsive disorder-relevant stimuli. Longitudinal studies could shed more light on the pathways leading from a predisposition to or a high risk for obsessive compulsive disorder to the actual occurrence of obsessive compulsive disorder. Factors relatively specific for obsessive compulsive disorders (e.g., involvement of the cortico-striatal-thalamic-cortical circuits, exaggerated appraisals of the importance of one's thoughts) require further study so that their role in the pathogenesis of obsessive compulsive disorder could be clarified.

            Treatment results in obsessive compulsive disorder are generally unsatisfactory, and there is much room for improvement. The potential of the existing pharmacological agents may have been exhausted, and a possible breakthrough may occur through development of new drugs for obsessive compulsive disorder, based on a greater knowledge of its neurobiology. In the meantime, exploring novel ways of combining medications for obsessive compulsive disorder might improve the effectiveness of pharmacotherapy. Also, some drugs under investigation may improve currently used medications. For example, the ''next generation'' of SSRIs binding specifically to certain serotonin receptors may reduce side effects and other problems associated with traditional SSRIs.

            With regard to psychological treatment, the techniques of behavior and cognitive therapy may need to be modified to increase patient motivation and compliance. Making these treatments more accessible is another priority. Adapting CBT to different clinical presentations of obsessive compulsive disorder, taking greater advantage of its most effective components, and improving treatment results in severe forms of obsessive compulsive disorder are additional challenging tasks. Finally, finding more successful ways of combining CBT with pharmacological treatment should receive full attention from clinicians and researchers.

 

References:

1. Cowley DS, Ha EH, Roy-Byrne PP. 1997. Determinants of pharmacologic treatment failure in panic disorder. Journal of Clinical Psychiatry, 58: 555--561.

2. Labbate LA, Pollack MH, Otto MW, et al. 1994. Sleep panic attacks: An association with childhood anxiety and adult psychopathology. Biological Psychiatry, 36: 57--60.

3. Meichenbaum D. 1975.Self-instructional methods. In Kanfer FH, Goldstein AP, editors: Helping People Change. New York: Pergamon Press, pp. 357--391.

4. Young EA, Breslau N. 2004. Cortisol and catechol amines in posttraumatic stress disorder: An epidemiologic community study. Archives of General Psychiatry, 61: 394--401.

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