Surveillance decision

Surveillance decision

We will update the guideline on obsessive-compulsive disorder and body dysmorphic disorder.

Reasons for the decision

This section provides a summary of the areas that will be updated and the reasons for the decision to update.

NICE's guideline on obsessive-compulsive disorder and body dysmorphic disorder has not been updated since its publication in 2005. Feedback from topic experts and stakeholders highlighted that clinical practice has progressed in the following areas since publication of the guideline:

  • Rapid advances in information technology and telecommunications and the introduction of technology-enhanced cognitive behavioural therapy intervention.

  • Advances in transcranial magnetic stimulation and deep brain stimulation technology for treatment of obsessive-compulsive disorder.

  • Introduction of new pharmacological interventions and new augmentation therapies amongst treatment-resistant groups.

  • Practice variation in stepped care approach particularly access to specialist care services for children.

  • Limited access to current NICE recommended treatments.

In addition, service delivery and provision of mental health (including child and adolescent mental health services and improving access to psychological therapies services) has changed since the guideline was developed indicating a need to update it, so that it remains relevant to clinical practice in the UK.

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