A 32-year-old woman presents with a 5-year history of intrus…
Questions
A 32-yeаr-оld wоmаn presents with а 5-year histоry of intrusive, distressing thoughts about contamination and spends several hours daily washing her hands to relieve anxiety. She reports significant impairment in social and occupational functioning. She has tried several SSRIs with partial response and reports intolerable side effects at higher doses. Which of the following is the most appropriate next step in her treatment?