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The first line treatment is a type of cognitive behavioral therapy called exposure and response prevention (EX/RP). Medication, particularly selective serotonin reuptake inhibitors (SSRIs), also is a reasonable first line option if, for instance, you prefer medication or CBT isn’t available.For kids, medication is typically reserved for moderate to severe symptoms of OCD, or if EX/RP hasn’t worked. Often, the best approach for moderate to severe symptoms is a combination of EX/RP and an SSRI (which can be helpful for adults, as well).Overall, your treatment (or your child’s treatment) will depend on various factors, such as the severity of symptoms, presence of co occurring conditions, availability of EX/RP, treatment history, current medication, and preference.Psychotherapy for OCDAgain, exposure and response prevention (EX/RP) is considered the standard for treating obsessive compulsive disorder (OCD).

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