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OCD

Information and news related to Obsessive-Compulsive Disorder.

Your Right to Choose - NHS Mental Health Treatment Provider

In April 2014, the then coalition government established legislation for people with mental health conditions to have the same legal right as those with physical health conditions to choose their health care provider.

The NHS stated that patients in England have the legal right to choose any clinically appropriate mental health provider that has a contract with any Clinical Commissioning Group (CCG) or NHS England for the service required.

Partly because of the way the NHS England guidance was interpreted by many different health professionals and NHS services, the legislation is not something that has been widely publicised or is known about.

As we first reported to OCD-UK members in the last member’s magazine, we have been speaking with NHS England's 'Patient Choice' team to clarify the legislation and how people seeking treatment for OCD or BDD can implement it.

At the moment when a patient requires treatment they are automatically referred (or they can sometimes self-refer) to their local service within the same CCG area that they are registered with a GP. For the majority of people that will be fine, and travel restrictions may mean they can only access local services anyway. However, for others where travel is not restrictive, there may be occasions where they may wish to be referred to a different NHS service for their treatment.

Article posted on: Thu, 18/08/2016 - 1:48pm Read more...

Reclaiming travel costs for NHS treatment

Did you know that if you are referred for NHS specialist treatment or diagnostic tests by your doctor or other health professional that you may be eligible to claim a refund of reasonable travel costs under the Healthcare Travel Costs Scheme (HTCS)?

Reasonable travel costs will usually be considered public transport (cheapest tickets, so not first class) or if driving, the mileage rate used by your local CCG. You may also be able to reclaim unavoidable parking, toll or congestion charges. Taxi costs are not usually eligible for reimbursement, so would need to be agreed in advance.

The ability to reclaim travel costs is perhaps most helpful for those that have to travel out of their local area to attend specialist OCD treatment at one of the national OCD clinics in London or Bristol, but you may also be eligible to reclaim travel costs for OCD treatment at other locations. It's important that the cost of travel does not become a barrier to quality treatment, so please do reclaim your travel expenses if you are eligible.

Article posted on: Fri, 20/05/2016 - 11:47am Read more...

Antipsychotic augmentation in SSRI treatment refractory OCD

In 2006, the National Institute of Clinical and Health Excellence (NICE) guidelines for Obsessive Compulsive Disorder (OCD) recommended anti-psychotics as a class for SSRI treatment resistant OCD. Since then there as been much discussion and controversy around the effectiveness of anti-psychotics medications for the treatment of OCD, with one research project suggesting they were ineffective, faring little better than a placebo.

In a more recent research trial led by Dr David Veale, a research trial aimed to systematically review and conduct a meta-analysis on the clinical effectiveness of atypical anti-psychotics augmenting an SSRI. Two studies found aripiprazole and risperidone can for some be effective in the short-term for those who failed to respond to previous treatment with CBT and SSRI medications. The trial found that risperidone and aripiprazole can be used cautiously at a low dose as an augmentation agent in non-responders to SSRIs and CBT but should be monitored at 4 weeks to determine efficacy.

Article posted on: Mon, 23/02/2015 - 3:35pm Read more...

Perinatal OCD: New intensive CBT service at CADAT

Dr Challacombe presenting at OCD-UK conference

The Centre for Anxiety Disorders and Trauma (CADAT) known to many as the Maudsley, is both a local and a national specialist service for Obsessive-Compulsive Disorder. They are now offering intensive CBT for women with OCD who are pregnant or who are in the first postnatal year. For those women who fit this criteria, the OCD may have developed during this time or be more longstanding OCD.

Article posted on: Mon, 23/02/2015 - 3:07pm Read more...

New research looks at the effectiveness of Risperidone over CBT

New research looks at the effectiveness of Risperidone over CBT

New research published this week (11th September) provides evidence that patients with OCD for whom SSRIs have not resolved their problem respond better when psychological treatment (CBT with ERP) is added to the SSRI antidepressant compared to those that were prescribed an augmentation of a SSRI medication and Risperidone, a form of antipsychotic drug.

These findings led researchers to conclude that patients with OCD receiving SSRIs who continue to have clinically significant symptoms should be offered CBT before antipsychotics are prescribed, especially given its superior efficacy and less negative adverse effects.

Article posted on: Thu, 12/09/2013 - 11:06pm Read more...

New OCD Workbook - Help Needed

Dr Stephanie Fitzgerald

Dr Stephanie Fitzgerald, friend of OCD-UK and Clinical Psychologist, is writing a new workbook about OCD.

The aim of the workbook will be to explain CBT techniques in a very practical way to help people apply them to overcome their OCD. Stephanie is keen to make sure the workbook is as helpful as possible and so is asking people to tell her what they think is missing from other books, and what they would like to see in a workbook specifically aimed for those with OCD. 

If you have any comments or suggestions then please contact Stephanie directly on: stephanie@fitzgeraldpsychology.com

Article posted on: Tue, 02/07/2013 - 6:09pm Read more...

OCD Dads Study - Summary of Findings

Research Advert

By Dr Rebecca Chilvers
The Institute of Psychiatry, King’s College London

What did we look at?
We were interested in finding out more about how OCD in fathers affects their perception of their parenting, whether having OCD actually changes the way fathers parent possibly in ways that might make it more likely their children will become more anxious or develop some OCD behaviours, and whether children of fathers with OCD show any more difficulties than children of fathers who do not have OCD, including looking specifically to see whether they show a greater number of OCD features.

We asked participants to fill in several questionnaires to help us look at these things as well as to complete a short task where you talked about the how you and your child got along, as well as what kind of person you felt they were.

Article posted on: Sun, 16/06/2013 - 2:32pm Read more...

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