This guideline covers recognising, assessing, diagnosing and treating obsessive–compulsive disorder and body dysmorphic disorder in adults, young people and children (aged 8 years and older). It aims to improve the diagnosis and treatment of obsessive–compulsive disorder and body dysmorphic disorder. It includes recommendations on how families and carers may be able to support people with either of these conditions, and how they can get support for themselves.
This guideline includes recommendations on:
- principles of care
- the stepped care model
- step 1: awareness and recognition
- step 2: recognition and assessment
- steps 3–5: treatment options
- step 6: intensive treatment and inpatient services
- discharge after recovery
Who is it for?
- Healthcare professionals
- Commissioners and providers
- Adults, young people and children with a diagnosis of obsessive–compulsive disorder or body dysmorphic disorder
- Carers of people with obsessive–compulsive disorder or body dysmorphic disorder
Is this guideline up to date?
We checked this guideline in February 2014 We identified no major studies that will affect the recommendations in the next 3–5 years.
Next review: January 2019
Guideline development process
This guideline was previously called obsessive-compulsive disorder: core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder.
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.