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Obsessive-compulsive disorder (OCD) is a debilitating psychiatric condition with a variable clinical presentation. In this chapter, we provide an overview of three empirically supported psychosocial treatments for OCD: cognitive therapy (CT), exposure and response prevention (ERP), and acceptance and commitment therapy (ACT). We first describe symptom presentation and clinical characteristics of OCD and discuss issues related to comorbidity and differential diagnoses. We also provide a list of useful assessment instruments. We then describe the major therapeutic strategies of the three interventions, discuss similarities and differences between them, and review evidence for their efficacy. We end with an illustrative case example and a discussion of how CT, ERP, and ACT can be used as a "toolkit" that allows therapists to provide comprehensive and flexible clinical care for individuals with OCD.
