Suggestions from acceptance and commitment therapy for dealing with treatment-resistant obsessive-compulsive disorder

Michael P. Twohig, Jennifer C. Plumb, Dahlia Mukherjee, Steven C. Hayes

Research output: Chapter in Book/Report/Conference proceedingChapter


Introduction and definition Obsessive-compulsive disorder (OCD), classied as an anxiety disorder, is characterized in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (American Psychiatric Association, 2000) by distressing intrusive thoughts and unwanted repetitive behaviors that cause functional interference. A functional relationship exists between obsessions and compulsions, with almost 90% of people with OCD engaging in the compulsion in response to the obsession (Foa & Kozak, 1995). Current estimates indicate that 1% of the U.S. population (or 2.2 million people) meet criteria for OCD each year (Kessler, Chiu, Demler, & Walters, 2005). The age of onset ranges between early adolescence and early adulthood, usually with an earlier onset in men than women (Rasmussen & Eisen, 1992); a slightly greater percentage of women are diagnosed with OCD, although pediatric clinical cases show a 2:1 male-to-female ratio (Hanna, 1995). Approximately 50 to 75% of those diagnosed with OCD are simultaneously diagnosed with another psychological disorder, with anxiety and mood disorders being the most common (Antony, Downie, & Swinson, 1998). Other psychological disorders that may commonly co-occur with OCD include substance dependence, eating disorders, body dysmorphic disorder, and Tourette’s disorder and other tic-related disorders (Antony et al., 1998).

Original languageEnglish (US)
Title of host publicationTreatment Resistant Anxiety Disorders
Subtitle of host publicationResolving Impasses to Symptom Remission
PublisherTaylor and Francis
Number of pages35
ISBN (Electronic)9781135858360
ISBN (Print)9780415988919
StatePublished - Jan 1 2009

All Science Journal Classification (ASJC) codes

  • Psychology(all)


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