A Case of Early-Onset Obsessive-Compulsive Disorder With Musical Obsessions and Comorbid Tic Disorder

Nath, Kamal; Bhattacharya, Aniruddha; Hazarika, Susmita; Roy, Debjit; Praharaj, Samir Kumar

doi:10.1176/appi.neuropsych.12010006

Cited by 5 publications

(7 citation statements)

References 6 publications

(4 reference statements)

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“…Patient had intact reality testing with full insight and could momentarily suppress these thoughts by engaging in different work. Also while few case study reported defects in the frontal lobe, temporal lobe, and basal ganglia on radio imaging[ 18 19 ] our case had normal results on MRI. Regarding treatment, most of the study material suggest that patients with musical obsessions benefit from a combination of pharmacotherapy and psychotherapy.…”

Section: Discussionmentioning

confidence: 47%

“Radio Inside My Head”: A Curious Case of Early Onset “Stuck Song Syndrome” or Obsessive-Compulsive Disorder with Predominant Musical Obsession

Naskar¹,

Victor

Nath

et al. 2017

Indian Journal of Psychological Medicine

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Musical obsessions also called “stuck song syndrome” is a topic of limited research. It is among the most poorly understood and rare phenomenology. There are only a few cases reported across the world which describes it. Subjects usually present with complaints of continuous play of a musical tune in the head which the subject is unable to remove. Because of its similarity in presentation with auditory musical hallucination, it presents a diagnostic dilemma to the clinician. Here, we present the case of a 25-year-old man who presented with this particular phenomenon, and the approach we took to manage it.

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Section: Discussionmentioning

confidence: 47%

“Radio Inside My Head”: A Curious Case of Early Onset “Stuck Song Syndrome” or Obsessive-Compulsive Disorder with Predominant Musical Obsession

Naskar¹,

Victor

Nath

et al. 2017

Indian Journal of Psychological Medicine

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Section: Combinations Of Pharmacological and Non-pharmacological Interventionsmentioning

confidence: 99%

“…Lastly, Nath et al [57] presented a case of a 22-year-old male patient diagnosed with OCD, tic disorder, and musical obsessions. He was first treated with clomipramine, which helped alleviate the OC symptoms, but not his musical obsessions [57]. It was only when he was introduced to various behavioural techniques-thought-stopping, exposure and response prevention, and Morita therapy-that he self-reported a slight improvement in musical obsessions and a significant reduction in other OC features [57].…”

Section: Combinations Of Pharmacological and Non-pharmacological Interventionsmentioning

confidence: 99%

“…He was first treated with clomipramine, which helped alleviate the OC symptoms, but not his musical obsessions [57]. It was only when he was introduced to various behavioural techniques-thought-stopping, exposure and response prevention, and Morita therapy-that he self-reported a slight improvement in musical obsessions and a significant reduction in other OC features [57]. Buse et al [60] investigated whether harmonic expectancy violations caused incitement of "not-just-right experiences" and if the emotional appraisal of those violations and the duration necessary to notice them was related to "general experiences of incompleteness".…”

Section: Combinations Of Pharmacological and Non-pharmacological Interventionsmentioning

confidence: 99%

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A Systematic Review of Scientific Studies and Case Reports on Music and Obsessive-Compulsive Disorder

Truong

Applewhite

Heiderscheit

et al. 2021

IJERPH

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Obsessive-compulsive disorder (OCD) is a severe psychiatric disorder, which can be associated with music-related symptoms. Music may also be used as an adjunct treatment for OCD. Following the PRISMA guidelines, we performed a systematic literature review exploring the relationship between music and OCD by using three online databases: PubMed, the Web of Science, and PsycINFO. The search terms were “obsessive compulsive disorder”, “OCD”, “music”, and “music therapy”. A total of 27 articles were utilised (n = 650 patients/study participants) and grouped into three categories. The first category comprised case reports of patients with musical obsessions in patients with OCD. Most patients were treated with selective serotonin reuptake inhibitors (SSRIs) or a combination of an SSRI and another pharmacological or a non-pharmacological treatment, with variable success. Studies on the music perception of people with OCD or obsessive-compulsive personality traits represented the second category. People with OCD or obsessive-compulsive personality traits seem to be more sensitive to tense music and were found to have an increased desire for harmony in music. Three small studies on music therapy in people with OCD constituted the third category. These studies suggest that patients with OCD might benefit from music therapy, which includes listening to music.

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“…15 Antipsychotics showed no benefit when used to treat musical obsessions, however they were efficacious in the treatment of musical hallucinations. 16 CBT was shown to reduce the anxiety and distress associated with musical obsessions through acceptance-based interventions. Restructuring thoughts regarding the threat and underlying meaning of musical obsessions was shown to be beneficial for patients.…”

Section: Treatment Optionsmentioning

confidence: 99%

Stuck song syndrome

Charron¹,

Ho²

2020

UWOMJ

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The article presents a case of a 32-year-old woman who has been experiencing episodes of musical obsessions for the past 12 years. The case highlights the importance of addressing stuck song syndrome due to its effects on the functioning of the patient. The psychopathological expressions of this condition in relation to obsessive-compulsive disorder (OCD) are described. The discussion provides distinction between the differential diagnoses of palinacousis, musical hallucinations, and musical obsessions. Lastly, the recognized treatment options for musical obsessions are explored.

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A Case of Early-Onset Obsessive-Compulsive Disorder With Musical Obsessions and Comorbid Tic Disorder

Cited by 5 publications

References 6 publications

“Radio Inside My Head”: A Curious Case of Early Onset “Stuck Song Syndrome” or Obsessive-Compulsive Disorder with Predominant Musical Obsession

“Radio Inside My Head”: A Curious Case of Early Onset “Stuck Song Syndrome” or Obsessive-Compulsive Disorder with Predominant Musical Obsession

A Systematic Review of Scientific Studies and Case Reports on Music and Obsessive-Compulsive Disorder

Stuck song syndrome

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