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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Feb 19, 2026; 16(2): 111577
Published online Feb 19, 2026. doi: 10.5498/wjp.v16.i2.111577
Published online Feb 19, 2026. doi: 10.5498/wjp.v16.i2.111577
Videoconferencing-delivered psychotherapy for obsessive-compulsive disorder in low-resource settings: A pilot study from India
Subho Chakrabarti, Sanjana Kathiravan, Sarah N, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: Chakrabarti S, Kathiravan S, and Sarah N were involved in analyzing the data, preparing the initial draft of the manuscript the study protocol and reviewing the literature; Chakrabarti S prepared the final version of the manuscript; Kathiravan S and Sarah N approved the final version and collected the data about patient treatment; and all authors thoroughly reviewed and endorsed the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Postgraduate Institute of Medical Education and Research, approval No. INT/IEC/2020/SPL-990.
Informed consent statement: The approval allowed recorded verbal informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Subho Chakrabarti, MD, Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, 12 Sector, Chandigarh 160012, India. subhochd@yahoo.com
Received: July 4, 2025
Revised: August 1, 2025
Accepted: November 7, 2025
Published online: February 19, 2026
Processing time: 211 Days and 1.4 Hours
Revised: August 1, 2025
Accepted: November 7, 2025
Published online: February 19, 2026
Processing time: 211 Days and 1.4 Hours
Core Tip
Core Tip: Videoconferencing (VC) delivered exposure and response prevention (ERP) may be suitable for the treatment of obsessive-compulsive disorder (OCD) in low-resource settings, but there are no trials. This study examined the feasibility, acceptability, efficacy, and long-term outcomes of VC-delivered ERP in 97 patients with OCD and compared its efficacy with inpatient ERP. Despite its methodological limitations, this study suggests that VC-delivered ERP was feasible, acceptable, and as efficacious as in-person ERP. Gains from VC-ERP persisted for more than 2 years. VC-delivered ERP is a viable treatment option for OCD in the resource-constrained settings of low- and middle-income countries.