Catatonia in Obsessive-compulsive Disorder: Etiopathogenesis, Differential Diagnosis, and Clinical Management

2007 ◽  
Vol 20 (1) ◽  
pp. 21-24 ◽  
Author(s):  
Leonardo F. Fontenelle ◽  
Edward C. Lauterbach ◽  
Leonardo L. Telles ◽  
Marcio Versiani ◽  
F??bio H. Porto ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Obsessive Compulsive Disorder ◽  
Clinical Management ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Exposure and Ritual Prevention, Clomipramine, or Their Combination for Obsessive-Compulsive Disorder

2018 ◽  
Author(s):  
Brandon M. Kitay ◽  
Michael H. Bloch
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Clinical Management ◽  
Clinical Case ◽  
Cognitive Behavior ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Landmark Study

This chapter provides a summary of a landmark study on the management of obsessive-compulsive disorder (OCD) in adults. Is the combination of exposure and ritual prevention (a cognitive behavior therapy based intervention) along with clomipramine more efficacious than monotherapy with either treatment for OCD? Starting with that question, it describes the basics of the study, including funding, study location, who was studied, how many patients, study design, study interventions, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, discusses implications for clinical management, and concludes with an exemplary clinical case applying the evidence.

Differential diagnosis of anorexia nervosa and obsessive compulsive disorder in a male military veteran

2015 ◽  
Vol 8 ◽  
Author(s):  
Andrew Kiselica ◽  
Renee Brown Hangartner ◽  
Adam B. Lewin
Keyword(s):  
Differential Diagnosis ◽  
Anorexia Nervosa ◽  
Obsessive Compulsive Disorder ◽  
Military Service ◽  
Eating Pathology ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Military Life ◽  
Military Veteran ◽  
The Relationship

AbstractResearch on the relationship between military service and eating pathology has yielded mixed findings. Among those of military backgrounds, anorexia nervosa typically presents with co-occurring disorders that complicate diagnosis and treatment. The purpose of this paper is to present a case report of a retired Navy midshipman. The patient sought treatment for obsessive compulsive disorder (OCD), but his assessment revealed the primary pathology to be anorexia nervosa. This case illustrates ways in which military life may contribute to eating pathology and the complex overlap and differential diagnosis of anorexia nervosa and OCD.

scholarly journals Obsessive-compulsive disorder and delusions revisited

2000 ◽  
Vol 176 (3) ◽  
pp. 281-284 ◽  
Author(s):  
Anne-Marie O'Dwyer ◽  
Isaac Marks
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Clinical Management ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Within Subjects ◽  
As If

BackgroundThe concept of fixed, unshakeable (delusional) beliefs within the context of obsessive–compulsive disorder (OCD) is one that has received varying amounts of attention in the literature, and has not yet received universal acknowledgement. There are good grounds for including these cases within the diagnostic concepts of OCD, with significant implications for clinical management.AimsTo present cases with unusual OCD, in order to re-evaluate the issue of delusions and OCD.MethodThe cases of five subjects with delusions in the course of obsessive–compulsive disorder are presented to illustrate ‘delusional’ OCD. The management and outcome of these cases are discussed.ResultsFixity and bizarreness of beliefs in OCD occur on a continuum from ‘none’ to ‘delusional intensity’ and may fluctuate within subjects.ConclusionsThe idea that these cases may represent a form of OCD has implications for management, as, if this is correct, they should be able to respond to appropriate behavioural and/or pharmacological strategies used in OCD.

scholarly journals Clinical Challenges in Pedophilia-Themed Obsessive-Compulsive Disorder

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Carla Ferreira ◽  
Liliana Ferreira ◽  
Samuel Pombo ◽  
Rui Xavier Vieira
Keyword(s):  
Differential Diagnosis ◽  
Obsessive Compulsive Disorder ◽  
Healthcare Professionals ◽  
Treatment Plan ◽  
Behavioural Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Previous Decade ◽  
The Subject

In obsessive-compulsive disorder, pedophilia-themed obsessions-distressing intrusive thoughts about being sexually attracted to, or sexually abusing, children-are the most distressing for patients and the most misdiagnosed among healthcare professionals. Our aim is to present a case report highlighting the role stigma plays in delaying treatment, the clinical challenges in the diagnosis, and in the treatment of pedophilia-themed obsessive-compulsive disorder, in order to address the lack of literature on the subject. The case concerns a 33-year-old man with suicidal thoughts associated with the unbearable suffering caused by pedophilia-themed obsessions he had been having over the previous decade, without ever asking for help. This situation was highly disabling, leaving him mostly isolated in his bedroom. After the differential diagnosis was made, a treatment plan combining pharmacological and cognitive-behavioural therapy was implemented. After 18 months he showed a degree of remission that made it possible for him to apply for a job.

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