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With treatment, the majority of individuals diagnosed with OCD experience a chronic, fluctuating course. About half of those with OCD will experience partial remission;

and of those, half will experience relapse. Only 12 per cent achieve full remission.

Monitor treatment with Yale–Brown Obsessive Compulsive Scale (YBOCS).

Poor prognostic factors are:

Co-morbid psychiatric disorder.

Earlier onset, longer duration of illness.

Poor insight into the illness.

More severe, bizarre symptoms – symmetry, ordering, hoarding obsessions.

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76 NEUROTIC DISORDERS

Personality: development

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