Obsessive-Compulsive Disorder (OCD) is a chronic and complex psychiatric condition characterized
by intrusive thoughts (obsessions) and repetitive behaviors (compulsions), affecting approximately 2.3%
of the global population. This paper presents an integrative and multi-disciplinary treatment approach
employed at the Westwood Institute for Anxiety Disorders, directed by Dr. Eda Gorbis. Traditional
treatments like Exposure and Response Prevention (ERP) and pharmacotherapy, while effective for
many, often leave residual symptoms or fail in treatment-resistant cases. To address these limitations, the
Westwood Institute integrates newer modalities such as Mindfulness-Based Behavioral Therapy (MBBT)
and cognitive restructuring into a comprehensive treatment framework.
We review the current understanding of OCD, emphasizing its varied symptomatology, complex
etiology, and significant impact on daily functioning. The importance of thorough assessment and
psychoeducation in tailoring individualized treatment plans is underscored, ensuring that all relevant
aspects of the disorder are addressed. The integrative model at the Westwood Institute involves a diverse
team of healthcare professionals, including psychiatrists, psychologists, exposure coaches, and family
therapists, working collaboratively to provide holistic care.
This paper aims to provide clinicians with a detailed overview of the integrative treatment strategies
utilized at the Westwood Institute, highlighting the potential for improved outcomes in even the most
refractory cases of OCD. By combining traditional and innovative therapeutic modalities within a
cohesive framework, this approach offers a promising pathway for enhancing the quality of life for
individuals living with OCD.
