Successfully treating 90 patients with obsessive compulsive disorder in eight days: The Bergen 4-day treatment

Gerd Kvale, Bjarne Hansen, Thröstur Björgvinsson, Tore Børtveit, Kristen Hagen, Svein Haseth, Unn Beate Kristensen, Gunvor Launes, Kerry J. Ressler, Stian Solem, Arne Strand, Odile A. van den Heuvel, Lars-G. ran Öst

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Background: Oslo University Hospital, Norway, had by autumn 2016, accumulated a waiting list of 101 patients with obsessive-compulsive disorder (OCD) who had a legal right to receive treatment by a specialized OCD team. In this challenging situation, the Bergen OCD-team suggested to solve the problem by offering all patients an option for the rapid Bergen 4-day treatment (B4DT). The B4DT is an individual treatment delivered during four consecutive days in a group of six patients with the same number of therapists. The approach has previously shown a post-treatment response rate of 90% and a 3-month remission rate of 70%. Methods: Ninety-seven of the wait-list patients were available for the scheduled time slots, and 90 received the 4-day format during 8 days (45 patients each week). The therapists were recruited from 22 different specialized OCD-teams from all over Norway, and 44 (68%) had not previously delivered the 4-day format. Results: Post-treatment; 91.1% of the patients were classified as responders, and 72.2% were in remission. At 3-month follow-up; 84.4 were classified as responders and the remission rate was 67.7%. Oslo University Hospital now offers the 4-day treatment as standard treatment for OCD. Conclusions: We conclude that the B4DT is an acceptable and potentially effective OCD-treatment.
Original languageEnglish
Article number323
JournalBMC psychiatry
Issue number1
Publication statusPublished - 2018

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