Quadro clínico do transtorno obsessivo-compulsivo

Abstract

<abstract language="eng">Obsessive-compulsive disorder is a very heterogeneous condition, not always easy to be identified. Obsessions are intrusive thoughts, impulses or images that cause anxiety or other emotional discomfort, whereas compulsions are repetitive behaviors or mental acts voluntarily performed to counterbalance or minimize the discomfort, or magically prevent any feared events. The most common symptoms are contamination, aggressive, somatic and sexual obsessions and washing, checking, repeating, counting and ordering compulsions. Patients usually have multiple symptoms simultaneously, which often change over time. Although the insight is typically preserved, it varies among patients and also fluctuates in the same patient in different ocasions. The main features are: exacerbated appraisal of risks, pathological doubts and incompleteness, as well as excessive sense of responsibility and guilt and thought/action fusion. As patients frequently feel ashamed of their symptoms, they can be reticent about them. Consequently, it usually takes time till they get adequate treatment

Development and validation of the Scale of Obsessions and Compulsions for adolescents

“…No caso das obsessões agressivas, muitas crianças e adolescentes desenvolvem também uma fobia de impulso e evitam manusear objetos cortantes ou pontiagudos ou permanecer sozinhos, por não confiarem em si próprios (Torres & Smaira, 2001). Esse e os demais tipos de obsessões tendem a se associar à dúvida patológica, um persistente questionamento que o sujeito se faz sobre ter ou não executado um ato temido.…”

Users' psychological characterization of the Birigui Mental Health Clinic

“…-Symptoms of anxiety disorder: Anxiety, shortness of breath, perspiration, trembling, concern with physical health, tingling sensation, cold hands, pressure on the chest, faintish feeling, tachycardia, changes in blood pressure, xerostomia, fear and phobia; among which fear of being alone, going up stairs, using lifts, driving, or dying (Jorge, 2002;National Institute of Mental Health, 1991;Silva, 2006), obsessive compulsive disorder, ritualism, recurring negative thoughts, compulsion towards certain behaviours, post-traumatic stress symptoms related to anguish, anger, despair, crying, physical symptoms, insomnia and delusions of persecution related to a traumatic event (Jorge, 2002;Torres & Smaira, 2001).…”

Obsessive-Compulsive Disorder, Retrospective Study on Clinical Characteristics and Family History in Outpatients Care

“…This difference can be partly explained by the fact that, the onset of OCD is earlier in men (Del-Porto, 2001). It is usually a chronic condition with a fluctuation in intensity of symptoms, over time (Torres &Smaira, 2001). …”