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OCD/BDD Service - National


Contact and location details
OCD/BDD Service - National
Service address: Springfield University Hospital, Buildings 9D & E, 61 Glenburnie Road, London, SW17 7DJ
Contact name: Dr Lynne Drummond (Consultant) & Kashifa Ahmad (Administration)
Telephone numbers:
  • Ward 020 3513 6961
  • To make a referral enquiry
  • Out of hours number
E-mail address: ocdbdd@swlstg-tr.nhs.uk
Text/SMS:
How to get here: View map
Area served: Nationwide
Opening hours: 24 hours Visiting hours Monday to Friday 16:00 – 20:00hrs Weekends/Bank holidays: 10:00 - 20:00hrs
Directions:
Information about this service
Service offered:

The National OCD/BDD Service, affiliated with St George's University of London, is a nationally and internationally renowned treatment centre dealing with severe, complex and resistant obsessive-compulsive disorder (OCD) and body dysmorphic disorder (BDD).

It is one of two services offered by the OCD/BDD service. The other is a local service for clients living in south west London. View details on the Local OCD/BDD service >>

The National OCD/BDD service is an enhanced community service offering intensive home-based treatment, liaison work with other teams and telephone monitoring advice for patients throughout the United Kingdom.

We combine behavioural and cognitive methods with state-of-the art psychopharmacological and other treatments where necessary. We liaise closely with specialists who work in the neurobiology and psychopharmacology of these disorders as well as with psychotherapists of various schools.

We have an experienced staff-base. Some staff have worked with these complex patients in our unit for 20 years. Our commitment to teaching and research, however, means that we have young enthusiastic professionals also joining the team which ensures we are continuously challenged to ensure our treatments are at the forefront of modern psychiatric and psychological treatment.

Each patient is fully assessed and has an individualised treatment programme. Progress is constantly monitored using questionnaires of known reliability and validity. Thus, any treatment which is not effective is discovered early and the reasons why this is the case are examined and treatment changed or modified.

Quick guide to obsessive-compulsive disorder (OCD):

Are you a healthcare professional and want to know more about the diagnosis, treatment, and care pathway for OCD?

Please see our OCD Web Guide for Health Professionals.

Who is the service for?:

The unit is now a nationally funded tertiary service (commissioned by NCG), which specialises in treating people with severe, complex, resistant obsessive-compulsive disorders (OCD), and body dysmorphic disorder (BDD).

As the OCD/BDD service is a specialist service all referrals should derive from local community mental health teams (CMHTs) and will be ratified by a Consultant Psychiatrist.

Clients should have received the following prior to referral:

  1. treatment with at least two serotonin reuptake inhibiting drugs (SRIs) including clomipramine and/or an SSRI. Each trial should be for a minimum of 3 months and at optimal British National Formulary doses.
  2. two trials of cognitive and behavioural psychotherapy (CBT). A trial of therapy is defined as at least 10 hours of therapist time. One treatment trial should have taken place in the patients home environment or where the symptoms are maximal.
  3. augmentation of SRI treatment either with first or second generation antipsychotic drugs or by extending the SSRI dose beyond normal formulary limits.
  4. YaleBrown Obsessive Compulsive Scale (YBOCS) score of 30 or more out of 40.

Allowance may be made in exceptional circumstances, such as:

  1. Patient refuses medication due to OCD beliefs
  2. Patient is unable to take medication due to side effects
  3. Patient has not fulfilled the criteria for previous CBT treatment due to mental or physical illness.

NB. These exceptions will not be used to allow patients to gain entry to the National Service simply due to lack of organisation of local services. All CMHTs should have access, either locally or in a neighbouring Trust, to a clinical psychologist or other trained in CBT for OCD. Similarly some patients may prefer not to take medication but could do so and should be encouraged to do so before referral to the National Service.

All referrals will be expected to have a full risk assessment and description of ongoing Care Programme under the Care Programme Approach (CPA). The referrer will be expected to confirm commitment from the local CMHT (as far as possible) to collaborate with care plans drawn up by the National Service including to continue therapy and consolidate treatment gains during periods of home leave or following discharge from the Service.

Referrals of patients under section are not accepted. Once the section has expired or been rescinded then assessment will be conducted. This is to ensure the client is providing informed consent to undertake therapy.

The OCD/BDD service is unable to accept clients with a primary condition of acute psychosis, depression, anti-social behaviour, drug/alcohol dependency or current self-harm/suicidal/violent behaviour.

It is the referrers responsibility to notify the OCD/BDD service of any marked change in the clients condition once they have been assessed and are on the OCD/BDD service waiting list. The OCD/BDD service reserves the right to reassess if any significant change in a clients mental state occurs.

How to refer:

Written referrals should come from a consultant psychiatrist and should include presenting problems, past psychiatric history, prior treatment, medication history, current care plan and the following forms:

Basic Requirements form 1

Inpatient Admission Requirements form 2

PDF iconOCD-BDD National Referrer's Guide

PDF icon

OCD Level 5 pathway

Service user testimonials:
Awards won:
CQC/OFSTED report on service: