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Behavioral Therapy Said to Treat Kids' Compulsive Disorder Best

(PSYCHIATRIC TIMES) - MedPage Today Action Points

o Explain to patients that this study reinforces current opinions on behavioral therapy.

o Note that behavioral therapy is recommended as the treatment of choice for pediatric obsessive-compulsive disorder by the American Academy of Child and Adolescent Psychiatry.

CANBERRA, Australia, Oct. 19 -- Behavioral or cognitive behavioral therapy, with or without medication, is the top choice against obsessive-compulsive disorder in children and adolescents, according to a systematic Cochrane review.

While behavioral therapy alone was as good as Zoloft (sertraline), Anafranil (clomipramine) and Luvox (fluvoxamine) at reducing repetitive actions, the combination was significantly more effective than medication alone, said Richard O'Kearney, Ph.D., of the Australian National University here, and colleagues.

However, "there is still insufficient evidence to be able to specify the preferred sequence of treatments for pediatric obsessive compulsive disorder," noted the authors in the review published in the Oct. 18 issue of The Cochrane Library.

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