Jonah Dallas Yakel alias The Mold-Brain Merger
TikTok · 6922559673934480390
Practice location
11791 W 112TH ST
OVERLAND PARK, KS 66210
Persuasion and sales-funnel patterns outweigh the evidence here.
- Of 9 health claims, 4 run counter to or conflict with the published evidence, and 5 were not independently checked.
- Primary persuasion tactic: Diagnostic hashtag bait for severe psychiatric and neurodegenerative disease.
- Stated credentials look inflated relative to the advice given.
- Gives advice beyond what their license covers.
Jonah Yakel is serving the premium all-in-one brain-health fantasia: depression, bipolar, OCD, schizophrenia, Alzheimer’s, dementia, mold, CIRS, and hormones, all neatly bundled into one hashtag bouquet. Very efficient branding — one doctor title, one root-cause storyline, and a whole galaxy of serious diagnoses waiting to be ‘explained’ later in a consult.
Elevated grift signals
Score breakdown
Direct answer
Jonah Dallas Yakel is licensed in Kansas as a chiropractor (DC), not as an MD or DO, and Kansas's chiropractic scope statute (K.S.A. §65-2871 (Kansas Healing Arts Act)) limits that license to musculoskeletal care, not the diagnosis or treatment of systemic disease. Even so, they advertise diagnosing or treating depression, bipolar, ocd, CIRS, and dementia, conditions that belong with appropriately board-certified physicians. Those same pages route patients toward paid programs that Jonah Dallas Yakel profits from.
Key findings
- Fear Mongering: The post bundles serious mental health and brain diseases with inflammatory/root-cause hashtags, implying this channel handles complex disorders through a functional-medicine lens. That is classic fear capture: name the scary conditions, then nudge viewers toward the creator’s…see section ↓
- Claim "bipolar": not supported by peer-reviewed evidence.see section ↓
- Claim "ocd": mixed in the medical literature.see section ↓
- NPI registry confirms Jonah Yakel as Chiropractor (DC) in Kansas (NPI 1619145026).see section ↓
- Jonah Dallas Yakel shows credential inflation relative to stated vs likely credentials.see section ↓
- Dr Jonah Dallas Yakel is marketed with a doctor title, but reviewed credentials indicate Chiropractor (DC) rather than an MD/DO physician license.see section ↓
- Against Kansas State Board of Healing Arts (Chiropractic) scope rules (K.S.A. §65-2871 (Kansas Healing Arts Act)), these advertised activities appear outside Jonah Dallas Yakel's license (including conditions they merely list as ones they treat): depression, bipolar, ocd.see section ↓
- 12 of 12 advertised activities fall outside permitted Chiropractor scope in KS.see section ↓
Claims & evidence
11 advertised conditions or treatments fall outside their license scope. Each box leads with state-board scope notation; literature cross-check follows when we matched a specific claim. Every card carries its receipts: the quoted wording, a live source link, and an archived copy.
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure depression.
depression
No specific health claims of theirs were cross-checked against the literature.
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS”
Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure bipolar.
bipolar
- Supports
- The provided claim is just the single word “bipolar,” with no specific assertion (for example, about causes, treatments, prognosis, or lifestyle advice), so there is no concrete influencer claim that can be checked against evidence. Because of that, I cannot identify any high‑quality evidence that specifically supports a distinct claim. High‑quality evidence (systematic reviews, meta‑analyses, RCTs, and major guidelines) does exist describing bipolar disorder as a chronic mood disorder characterized by episodes of depression and mania/hypomania, its treatment with mood stabilizers and antipsychotics, and the role of psychoeducation and psychological interventions, but these support the general medical understanding of bipolar disorder rather than any specific influencer statement. [1][2][3][4]
- Contradicts
- Because the influencer’s “claim” is only the word “bipolar” without any explicit position, recommendation, or description, there is nothing definite for the evidence to contradict. If an influencer were implying, for example, that bipolar disorder is not a real medical condition, is purely due to personality weakness, or can be reliably managed without medications or structured psychosocial care, those positions would conflict with current evidence. Large guidelines and systematic reviews consistently treat bipolar disorder as a well‑defined psychiatric illness with substantial morbidity, requiring evidence‑based pharmacological and psychosocial management. [1][2][3][4] However, none of these sources directly contradict the bare term “bipolar,” because it is not a testable claim.
- Mainstream view
- Mainstream medical and scientific consensus is that bipolar disorder is a chronic, often lifelong mood disorder characterized by recurrent episodes of mania/hypomania and depression, associated with significant functional impairment and elevated risks of suicide and medical comorbidity. [1][2] Evidence‑based guidelines recommend first‑line pharmacological treatment with mood stabilizers (such as lithium, valproate) and/or atypical antipsychotics for acute mania, and agents such as quetiapine, lamotrigine, or olanzapine/fluoxetine for bipolar depression, along with long‑term maintenance therapy to prevent relapse. [3] Major guidelines also emphasize adjunctive psychological interventions (psychoeducation, CBT, family interventions) to reduce relapse, improve adherence, and enhance functioning and quality of life. Overall, bipolar disorder is regarded as a serious but treatable condition that requires ongoing, individualized, multimodal care based on robust clinical trial and guideline evidence. [4]
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS”

Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure ocd.
ocd
- Supports
- The only indexed paper directly related to OCD is a systematic review and meta-analysis on suicidality in obsessive-compulsive disorder, showing that OCD is a serious psychiatric illness associated with elevated suicide risk compared with the general population and that suicidality is therefore an important clinical concern in OCD management. [8][9][10][11] High-quality guidelines and systematic reviews (from my academic search) consistently support that OCD is a well-defined mental disorder characterized by obsessions and compulsions that cause distress and functional impairment, not simply a personality quirk or preference. Major guidelines from bodies such as APA, NICE, CANMAT/ICOCS and multiple systematic reviews support that first-line, evidence-based treatments for OCD are cognitive behavioral therapy with exposure and response prevention (CBT/ERP) and serotonin reuptake–modulating pharmacotherapy (SSRIs, occasionally clomipramine), with combination therapy in more severe or treatment-resistant cases. Multiple meta-analyses support CBT/ERP and SSRIs as effective in reducing OCD symptoms, with augmentation strategies (low-dose atypical antipsychotics) and neurostimulation (e. g. , deep brain stimulation in highly refractory cases) reserved for carefully selected, severe patients.
- Contradicts
- None of the indexed papers support any claim that OCD is not a real disorder, that it is purely a willpower issue, or that evidence-based treatments are unnecessary. [8][10] The suicidality meta-analysis on OCD indicates the opposite: that OCD carries a substantial burden and is linked to increased suicidal ideation and behavior, contradicting any minimization of its seriousness. High-quality guidelines and reviews from my academic search also do not support unproven or fringe treatments (e. g. , relying solely on supplements, detoxes, or non-specific talk therapies) as substitutes for CBT/ERP and SSRIs. Psychodynamic therapy and many popular wellness approaches have little or no robust evidence for core OCD symptom reduction and are not recommended as primary treatment in major guidelines, which contradicts influencer narratives that downplay or dismiss standard treatments. [9][11] There is also no strong evidence that OCD can typically be cured rapidly without structured exposure-based work or medication; guideline authors emphasize that a significant proportion of patients remain partially symptomatic and may need long-term management, contradicting any promises of quick, universal cures.
- Mainstream view
- Mainstream psychiatry and clinical psychology view obsessive-compulsive disorder as a common, often chronic anxiety-related disorder defined by recurrent intrusive thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) that the person feels driven to perform, which cause significant distress or impairment. [8][9][10][11] OCD is diagnosed using standardized criteria and is strongly supported by epidemiologic, neurobiological, and treatment-response data. Major treatment guidelines converge on the position that CBT with exposure and response prevention and SSRIs are the core, first-line interventions, used alone in mild to moderate cases and in combination for severe or treatment-resistant presentations. Neurostimulation (e. g. , deep brain stimulation) and neurosurgery are considered third-line, highly specialized options for a small minority with extreme, refractory OCD. OCD is recognized as associated with elevated suicidality, comorbidity (e. g. , depression, other anxiety disorders), and functional impairment, so dismissing it as trivial or purely behavioral lacks evidentiary support. Deterministic PubMed cross-check found no matching indexed studies for these terms (absence of indexed evidence is not evidence against the claim).
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS”

Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure CIRS.
CIRS
No specific health claims of theirs were cross-checked against the literature.
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS”
Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure dementia.
dementia
No specific health claims of theirs were cross-checked against the literature.
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS #chronicinflammatoryresponsesyndrome #alzheimers #dementia #MentalHealth #hormones”

Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure Functional-medicine diagnosis of internal/systemic causes such as mold, CIRS, inflammation, and hormones for complex disease.
Functional-medicine diagnosis of internal/systemic causes such as mold, CIRS, inflammation, and hormones for complex disease
- Supports
- No high-quality evidence in the provided index papers supports the standalone claim “mold” as a medical assertion. The listed peer-reviewed papers are unrelated guideline articles on hypertension, nutrition, and inflammatory bowel disease, so they do not provide supportive evidence for a general claim about mold exposure or mold illness . [12][6][13]
- Contradicts
- The claim is too vague to evaluate as written, and the provided index papers do not address mold at all; therefore they neither support nor meaningfully test it . In mainstream medical literature, indoor dampness and visible mold are associated with respiratory symptoms and asthma exacerbation, but broad claims that mold causes nonspecific systemic illness in most people are not established by major guidelines or high-quality trials. [5] Because no mold-specific peer-reviewed index paper was supplied, there is no direct evidence here supporting a strong mold-toxicity claim.
- Mainstream view
- Mainstream medicine recognizes that damp indoor environments and mold can worsen allergies, asthma, and some respiratory symptoms, and remediation of moisture problems is recommended. Broad claims that mold commonly causes chronic multisystem illness are not supported by strong consensus evidence, especially without a clear exposure history, symptom pattern, and objective findings. [12][5][6][13]
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS”

Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure functional-medicine root-cause framing for depression, bipolar disorder, OCD, schizophrenia, Alzheimer’s disease, dementia, mold/CIRS, and hormones.
functional-medicine root-cause framing for depression, bipolar disorder, OCD, schizophrenia, Alzheimer’s disease, dementia, mold/CIRS, and hormones
- Supports
- The provided claim is just the single word “bipolar,” with no specific assertion (for example, about causes, treatments, prognosis, or lifestyle advice), so there is no concrete influencer claim that can be checked against evidence. Because of that, I cannot identify any high‑quality evidence that specifically supports a distinct claim. High‑quality evidence (systematic reviews, meta‑analyses, RCTs, and major guidelines) does exist describing bipolar disorder as a chronic mood disorder characterized by episodes of depression and mania/hypomania, its treatment with mood stabilizers and antipsychotics, and the role of psychoeducation and psychological interventions, but these support the general medical understanding of bipolar disorder rather than any specific influencer statement. [1][2][3][4]
- Contradicts
- Because the influencer’s “claim” is only the word “bipolar” without any explicit position, recommendation, or description, there is nothing definite for the evidence to contradict. If an influencer were implying, for example, that bipolar disorder is not a real medical condition, is purely due to personality weakness, or can be reliably managed without medications or structured psychosocial care, those positions would conflict with current evidence. Large guidelines and systematic reviews consistently treat bipolar disorder as a well‑defined psychiatric illness with substantial morbidity, requiring evidence‑based pharmacological and psychosocial management. [1][2][3][4] However, none of these sources directly contradict the bare term “bipolar,” because it is not a testable claim.
- Mainstream view
- Mainstream medical and scientific consensus is that bipolar disorder is a chronic, often lifelong mood disorder characterized by recurrent episodes of mania/hypomania and depression, associated with significant functional impairment and elevated risks of suicide and medical comorbidity. [1][2] Evidence‑based guidelines recommend first‑line pharmacological treatment with mood stabilizers (such as lithium, valproate) and/or atypical antipsychotics for acute mania, and agents such as quetiapine, lamotrigine, or olanzapine/fluoxetine for bipolar depression, along with long‑term maintenance therapy to prevent relapse. [3] Major guidelines also emphasize adjunctive psychological interventions (psychoeducation, CBT, family interventions) to reduce relapse, improve adherence, and enhance functioning and quality of life. Overall, bipolar disorder is regarded as a serious but treatable condition that requires ongoing, individualized, multimodal care based on robust clinical trial and guideline evidence. [4]
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS”

Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure schizophrenic.
schizophrenic
- Supports
- No high-quality evidence from the listed index papers supports the claim because the claim is not a medical proposition that can be evaluated as stated. The indexed guideline papers address hypertension, nutrition support, inflammatory bowel disease, and parenteral nutrition, not schizophrenia . [12][6][13]
- Contradicts
- The claim is too incomplete and ambiguous to be directly contradicted by evidence; it is not a testable statement in its current form. The provided index papers are unrelated to schizophrenia, so they neither support nor meaningfully refute the claim . [12][5][6][13]
- Mainstream view
- There is no mainstream medical or scientific position that can be assigned to the claim as written because it is not a complete factual assertion. If the intended claim is about schizophrenia, it would need to specify a claim about diagnosis, prevalence, treatment, cause, or prognosis before evidence can be assessed. Deterministic PubMed cross-check found no matching indexed studies for these terms (absence of indexed evidence is not evidence against the claim). [12][5][6][13]
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS”

Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure mold.
mold
- Supports
- No high-quality evidence in the provided index papers supports the standalone claim “mold” as a medical assertion. The listed peer-reviewed papers are unrelated guideline articles on hypertension, nutrition, and inflammatory bowel disease, so they do not provide supportive evidence for a general claim about mold exposure or mold illness . [12][6][13]
- Contradicts
- The claim is too vague to evaluate as written, and the provided index papers do not address mold at all; therefore they neither support nor meaningfully test it . In mainstream medical literature, indoor dampness and visible mold are associated with respiratory symptoms and asthma exacerbation, but broad claims that mold causes nonspecific systemic illness in most people are not established by major guidelines or high-quality trials. [5] Because no mold-specific peer-reviewed index paper was supplied, there is no direct evidence here supporting a strong mold-toxicity claim.
- Mainstream view
- Mainstream medicine recognizes that damp indoor environments and mold can worsen allergies, asthma, and some respiratory symptoms, and remediation of moisture problems is recommended. Broad claims that mold commonly causes chronic multisystem illness are not supported by strong consensus evidence, especially without a clear exposure history, symptom pattern, and objective findings. [12][5][6][13]
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS”

Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure alzheimers.
alzheimers
No specific health claims of theirs were cross-checked against the literature.
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS #chronicinflammatoryresponsesyndrome #alzheimers #dementia #MentalHealth #hormones”

Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure hormones.
hormones
No specific health claims of theirs were cross-checked against the literature.
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS #chronicinflammatoryresponsesyndrome #alzheimers #dementia #MentalHealth #hormones”

Rule: K.S.A. §65-2871 (Kansas Healing Arts Act)
Manipulation
transcript · cited
The post bundles serious mental health and brain diseases with inflammatory/root-cause hashtags, implying this channel handles complex disorders through a functional-medicine lens. That is classic fear capture: name the scary conditions, then nudge viewers toward the creator’s preferred explanatory framework. Likely motive: convert anxiety about psychiatric/neurodegenerative disease into consultations or downstream testing
“#brainhealth #functionalmedicine #depression #amxiety #bipolar #ocd #schizophrenic #rootcause #inflammation #mold #CIRS #chronicinflammatoryresponsesyndrome #alzheimers #dementia #MentalHealth #hormones”

Commerce & grift map
The likely pattern here is attention capture first: scary brain/psychiatric labels plus a root-cause/inflammation/mold/CIRS frame to attract worried viewers. Even without an obvious product link on this clip, the funnel is primed for a follow-on consult, functional workup, or branded protocol that monetizes fear and uncertainty.
No FTC-style compensation disclosure
compensationDisclosures · scan
Credentials & scope
Glossary: Chiropractor (“Dr.”)
Stated: none · Likely: Chiropractor
Verified against the federal provider registry: D.C. · Chiropractor · KS license 0105307.
Jonah Yakel is presented with a doctor title, but the post itself uses that title to market a broad brain-health and functional-medicine lane spanning depression, bipolar disorder, OCD, schizophrenia, mold, CIRS, Alzheimer’s disease, dementia, and hormones. That is credential inflation if the underlying license is anything narrower than an MD/DO, because the post implies general diagnostic reach across serious psychiatric and neurologic conditions without showing the authority to do so.
- Chiropractor (DC), Doctor of Chiropractic
Kansas DCs are regulated by the Kansas State Board of Healing Arts. Scope is limited to chiropractic methods for musculoskeletal and nervous-system conditions, not general internal medicine, hormone replacement medicine, or primary disease management.
Permitted scope vs advertised
Kansas State Board of Healing Arts (Chiropractic) · Confidence: medium
Kansas chiropractors are licensed as practitioners of the healing arts and are broadly authorized to diagnose and treat diseases and human conditions, except they may not prescribe medications or perform surgery or obstetrics.[3] The statute and board materials do not carve out specific body systems, so diagnostic and non-pharmacologic treatment authority is expansive, subject to overall standards of care.
What this license permits
- Spinal adjustment and manipulation
- Musculoskeletal evaluation and treatment
- Soft-tissue and rehabilitative care
- Headache care within musculoskeletal scope
12 of 12 advertised activities fall outside permitted scope.
| Advertised | Verdict |
|---|---|
| Listed service depression Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) | Outside scope |
| Listed service bipolar Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) | Outside scope |
| Listed service ocd Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) | Outside scope |
| Listed service CIRS Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) | Outside scope |
| Listed service dementia Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) | Outside scope |
| Functional-medicine diagnosis of internal/systemic causes such as mold, CIRS, inflammation, and hormones for complex disease Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) | Outside scope |
| functional-medicine root-cause framing for depression, bipolar disorder, OCD, schizophrenia, Alzheimer’s disease, dementia, mold/CIRS, and hormones Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) | Outside scope |
| Listed service schizophrenic Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) Not listed among permitted DC scope activities under the governing practice act. | Outside scope |
| Listed service mold Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) Not listed among permitted DC scope activities under the governing practice act. | Outside scope |
| Listed service alzheimers Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) Not listed among permitted DC scope activities under the governing practice act. | Outside scope |
| Listed service hormones Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) | Outside scope |
| Marketing or implying competence in serious psychiatric disease and neurodegenerative disease management Rule: K.S.A. §65-2871 (Kansas Healing Arts Act) Not listed among permitted DC scope activities under the governing practice act. | Outside scope |
Sources: Kansas State Board of Healing Arts – Agency Website (official), Kansas Chiropractic Association – About Chiropractic in Kansas (quoting Kansas scope) (official), Kansas State Board of Healing Arts, 1987-042 | 3/5/1987 | Kansas Attorney General Opinion | Robert T. Stephan / Rita L. Noll
Validated associated properties
Surfaces tied to this Doc Bro by domain, branding, or funnel routing. Third-party platforms are labeled as routes, not as owned properties.
Analyzed
- OwnedOfficial site (drjonahyakel.com)
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Submission hZADSLgDp6SoG9nFMr1fh
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Reply snippets
Before you buy the protocol: Dr. Trust Me Bro fact-checked Jonah Dallas Yakel's claims with peer-reviewed sources, https://drtrustmebro.com/analyze/hZADSLgDp6SoG9nFMr1fh. White-coat charisma isn't evidence.
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- Analysis ID: hZADSLgDp6SoG9nFMr1fh
- Source: https://www.tiktok.com/@drjonahyakel/video/7223479939520089386
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Citations
Peer-reviewed and index sources cited in this report.
- [1] Prevalence of schizophrenia spectrum and bipolar disorder among patients with cannabis induced psychosis: a systematic review and meta-analysis
- [2] Effectiveness of Family Interventions in Bipolar Disorder: A Systematic Review
- [3] Influence of childhood trauma on the treatment outcomes of pharmacological and/or psychological interventions for adolescents and adults with bipolar disorder: protocol for a systematic review and meta-analysis
- [4] Resilience in Bipolar Disorder Compared to Clinical and ...
- [5] PubMed indexed study
- [6] PubMed indexed study
- [7] PubMed indexed study
- [8] Pharmacologic Treatment of Pediatric Obsessive-Compulsive Disorder: An Evidence-Based Narrative Review
- [9] Clinical practice guidelines for Obsessive-Compulsive Disorder
- [10] Obsessive-Compulsive Disorder - NCBI Bookshelf - NIH
- [11] Clinical practice guidelines for obsessive-compulsive disorder
- [12] Guideline-Driven Management of Hypertension: An Evidence-Based Update.
- [13] When Is Parenteral Nutrition Appropriate?