Question

scenario: a patient with ocd is experiencing significant distress from compulsive rituals and has not responded well to ssris alone. question: what is a recommended next step according to evidence - based guidelines? ○ switch to a different ssri. ○ add a mood stabilizer. ○ initiate psychotherapy such as exposure and response prevention (erp). ○ use a stimulant medication.

Explanation:

For OCD treatment, evidence - based guidelines suggest that when SSRIs alone are not effective, adding psychotherapy like exposure and response prevention (ERP) is a recommended next step. Switching to a different SSRI may not be the first recommended next step as the issue is lack of response to SSRI alone, not the specific SSRI. Mood stabilizers are not typically used for OCD in this context, and stimulants are not indicated for OCD treatment.

Answer:

C. Initiate psychotherapy such as exposure and response prevention (ERP).