Question

A 38-year-old man is brought by family with repetitive hand washing and intrusive thoughts of contamination. He recognizes these behaviors are excessive. Which class of medication is considered first-line?

Accepted Answer

High-dose SSRI (e.g., fluoxetine)

Answer

Benzodiazepines

Answer

Tricyclic antidepressants (TCA) like amitriptyline

Answer

Antipsychotic (e.g., risperidone)

Answer

Monoamine oxidase inhibitors (MAOIs)

Practice question

A 38-year-old man is brought by family with repetitive hand washing and intrusive thoughts of contamination. He recognizes these behaviors are excessive. Which class of medication is considered first-line?