Cognitive behavior therapy for obsessive-compulsive and related disorders

Adam B. Lewin, Monica S. Wu, Joseph F. McGuire, Eric A. Storch

Research output: Contribution to journalReview articlepeer-review

39 Scopus citations


Cognitive behavior therapy (CBT) is considered a first-line intervention for obsessive-compulsive disorder (OCD) across the lifespan. Efficacy studies of CBT with exposure and response prevention suggest robust symptom reduction, often with sustained remission. Acceptability of CBT is high, and the treatment is devoid of adverse side effects. The primary mechanism of CBT is based on operant principles, specifically extinction learning. The efficacy of extinction-based treatments such as CBT is being shown for other obsessive-compulsive spectrum disorders. This article reviews the theoretic basis, clinical application, and relevant treatment outcome research for CBT and related therapies for several obsessive-compulsive spectrum disorders.

Original languageEnglish (US)
Pages (from-to)415-445
Number of pages31
JournalPsychiatric Clinics of North America
Issue number3
StatePublished - Sep 2014
Externally publishedYes


  • CBT
  • Cognitive behavior therapy
  • Exposure therapy
  • OCD
  • Obsessive-compulsive disorder

ASJC Scopus subject areas

  • Psychiatry and Mental health


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