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