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Original Research
J Clin Psychiatry
July 2026
Exposure-Based Video Therapy for Obsessive-Compulsive Disorder and Posttraumatic Stress Disorder: Clinical Outcomes From a Large Real-World Sample of Adults
Full Article
Read the complete peer-reviewed article in J Clin Psychiatry.
Clinical Summary
Patients with comorbid obsessive-compulsive disorder and posttraumatic stress disorder often have more severe, interacting symptoms and poorer outcomes when only 1 disorder is treated. This study addresses a common clinical dilemma: whether exposure and response prevention and prolonged exposure can be delivered together by video therapy in routine care and still produce meaningful improvement in both conditions.
FAQ
Can exposure and response prevention and prolonged exposure be done together by video therapy for patients who have both OCD and PTSD?
10 questions
Key Takeaways
In this naturalistic cohort of 181 adults, median treatment intensity was 1.1 sessions per week (IQR: 0.9–1.3; ≈4–6 per month) over 34.6 weeks (IQR: 21.7–48.4), suggesting concurrent exposure-based care for obsessive-compulsive disorder and posttraumatic stress disorder can be delivered at a standard outpatient pace rather than an intensive schedule.
6 takeaways
Clinical Guide
How should clinicians structure concurrent exposure and response prevention and prolonged exposure for adults with comorbid obsessive-compulsive disorder and posttraumatic stress disorder?
8 steps
Clinical Guide
How should clinicians track progress and decide whether to continue or extend concurrent ERP and prolonged exposure for comorbid obsessive-compulsive disorder and posttraumatic stress disorder?
6 steps