A. Pharmacotherapy is almost always indicated.
B. Clomipramine (Anafranil), sertraline (Zoloft), paroxetine (Paxil) fluoxetine (Prozac), and fluvoxamine (Luvox) are effective.
C. Standard antidepressant doses of clomipramine are usually effective, but high doses of SSRIs maybe required, such as fluoxetine (Prozac) 60-80 mg , paroxetine (Paxil) 40-60 mg, or sertraline (Zoloft) 200 mg.
D. Behavior therapy like thought stopping, desensitization or flooding may also be effective. Often a combination of behavioral therapy and medication is most effective.
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