This randomised controlled trial (RCT) aims to assess the feasibility, acceptability, and preliminary efficacy of a culturally adapted, guided self-help cognitive behaviour therapy (CBT) manual specifically designed for individuals with OCD in Pakistan.
Age ≥ 18 years
Clinical diagnosis of OCD (with or without comorbid depression)
Minimum 5 years of formal education
Residing within commuting distance of the participating sites
Current substance use or dependence (diagnosed)
Significant cognitive impairment (e.g., dementia or intellectual disability)
OCD with active psychosis