Obsessive Compulsive Disorder and Body Dysmorphic Disorder Services

We offer Tier 4-6 Specialist OCD/BDD Services at national and local level. We have two distinct  services: National OCD and BDD Service  and  Trustwide OCD and BDD Service. Both services offer assessment, treatment, and advice for adult patients (over 18 of age).

However, location, level of severity of OCD/BDD and previously trialled psychological and pharmacological treatments determine which service is more appropriate for each patient.

National OCD and BDD Service

The National OCD/BDD service offers assessments, consultations and intensive inpatients and outpatients’ treatment for patients who live anywhere in the United Kingdom and suffer with OCD and BDD which is resistant to treatment.  We operate at the highest level of stepped care in the National Institute for Health and Care Excellence (NICE) guidelines.

We only accept referrals from Community Mental Health Teams (CMHTs) and for patients who have an allocated care coordinator. All referrals will require completion in full of our National Referral Form. In view of the high number of referrals we receive, our triaging process requires that this document is fully filled in (rather than being directed to a clinic letter).

We also offer consultations to professionals who require advice for complex patients with severe-extreme OCD who has not responded to NICE-recommended treatments. Consultations can be requested by filling in a Consultation form [docx] 46KB 

The outpatient’s treatment may take place online, in our site and will include home visits and close liaison with the local team. More information about our referral process can be found below.

Trustwide OCD and BDD Service

This is a specialist and tertiary level service for people with OCD, BDD and other complex anxiety disorders living in the London boroughs of Kingston, Merton, Richmond, Sutton and Wandsworth.

We are a small (3.7 whole time equivalents) team of dedicated and compassionate clinicians including Cognitive Behavioural Therapists, Clinical Psychologist and Psychiatrists. We offer input at home, clinic or in community locations, as is clinically indicated.

To be considered for assessment, patients must be aged 18 or over, and be at level 4 or 5 severity according to NICE guidelines, usually having had a previous trial of CBT and medication for the disorder being referred for. F ollowing acceptance of the referral, we offer an assessment and recommendations are made which may include treatment with our service.

Treatments we offer are evidence based and include Cognitive Behavioural Therapy and pharmacological recommendations. Treatment is delivered in an individual or group format, usually on a face to face basis, but with flexibility to work remotely as clinically required. We also offer consultations and advice to our colleagues across the Trust.

More information about our referral process can be found below.