In crisis or thinking about suicide? Call or text 988 (U.S. Suicide & Crisis Lifeline) — free, confidential, 24/7.
← All care gaps
Anxiety & PTSD

First-line medication for OCD

OCD should be treated with a first-line SSRI or clomipramine.

53% of the time this step is missed

The silent should: OCD should be treated with a first-line SSRI or clomipramine.

In our analysis of de-identified U.S. psychiatric records, this step was missing 53% of the time it should have happened.

This page is information to help you ask questions — it is not medical advice, and you should never start, stop, or change a medication on your own. Bring these questions to your clinician.

Questions for your doctor the next time you see them

Copy a line and ask it — these are questions, never instructions to change treatment.

  • For my OCD, am I on a recommended first-choice medication?
  • Could a different medicine or therapy work better for me?

This page is informational and not medical advice. It describes care patterns across a population, not your situation. Bring these questions to a clinician who knows you.

Build a checklist for your own care →