Despite evidence from the general population indicating that roughly one in ten individuals with an AOD use disorder have OCD (see Chapter A2), the treatment of this comorbidity has not been rigorously investigated. Whether or not a person is in need of treatment will largely depend on the intensity andduration of symptoms, the impact of symptoms on their everyday life, whether or not there are any other comorbid conditions (e.g., depressive or anxiety disorders), and whether there have been any other treatment attempts in the past. As with all decisions to treat, this should be informed by the relevant evidence-base, and decisions made in partnership with the client.
Although there is very little evidence regarding the treatment of co-occurring AOD use and OCD, that which does exist suggests that treating both OCD and AOD use leads to better treatment outcomes than treating AOD use alone .
There are several treatment options available for the treatment of OCD, including psychotherapy, pharmacotherapy, e-health, physical activity, and complementary and alternative therapies. The evidence base surrounding each of these treatments is discussed below.