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Doshi PK – Surgery for OCD is reserved for patients with the most severe cases of the disease, when pharmacological and psychotherapeutic alternatives have been exhausted. Although estimates in the literature vary, there is a relative consensus that a significant minority of OCD patients, from as low as 10% and up to 40%, are treatment refractory. Some of these patients, who remain severely ill, are eligible for surgical intervention, given appropriate inclusion criteria and availability of required psychiatric and surgical expertise.

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