The Relationship Between Obsessive-Compulsive Disorder and Psychosis

Gangdev, Prakash

doi:10.1046/j.1440-1665.2002.00505.x

Cited by 10 publications

(6 citation statements)

References 24 publications

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“…The journey appeared to be from delusion to obsession. This is in light with the above conclusions made in the study [1]. The same author had examined seven cases with features of OCD with psychosis and six of those responded well to addition of antipsychotic or antidepressants with good effect.…”

Section: Case Presentationsupporting

confidence: 53%

“…The obsessions often relate to ideas around contamination, symmetry and/or aggressive impulses but are recognized as irrational and product of own mind by the patients whereas delusions are firm fixed, false beliefs that are held true despite very strong evidence to suggest that these are incorrect. In a study [1], conclusions were made that "OCD and psychosis may coexist and may be unrelated. An obsession may become a delusion or vice versa and obsessions may trigger a psychotic episode.…”

Section: Introductionmentioning

confidence: 99%

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Delusion or Obsession: Clinical Dilemma

Gandhi¹,

Gadit²

2012

J Clin Case Rep

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Background: A 52-year old lady presented for admission with severe depression characterised by suicidal ideation and delusional belief. Case presentation: Her treatment regime was reviewed and modified. The dilemma was whether she suffered from a psychotic depression with delusion or an obsessional disorder. She responded well to change of antipsychotic medication. Conclusions: Her depression went in remission and her delusional belief decreased in intensity. She also gained reasonable insight into her problem. She is currently being followed up in the psychiatric outpatient clinic.

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Section: Case Presentationsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Delusion or Obsession: Clinical Dilemma

Gandhi¹,

Gadit²

2012

J Clin Case Rep

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“…In individuals with schizophrenia, the presence of comorbid OCD or obsessivecompulsive symptoms has been associated with a poorer prognosis (Fenton & McGlashan, 1986;Berman, Kalinowski, Berman, Lengua, & Green, 1995;Poyurovsky, Weizman, & Weizman, 2004); a significantly higher risk of suicide attempt (Sevincok, Akoglu, & Kokcu, 2007); and lower functioning levels (Hwang, Morgan, & Losconzcy, 2000). However, the outcome is likely to improve when the OCD is recognized and treated (Gangdev, 2002). Hagen and Nordahl (2008), using a case study, demonstrated that an individual with paranoid schizophrenia is capable of engaging in behavioral experiments.…”

Section: Concluding Evaluation Of the Therapy's Process And Outcomementioning

confidence: 99%

Values-Focused Exposure and Response Prevention in the Treatment of Comorbid Schizophrenia and Obsessive-Compulsive Disorder: The Case of "Mr. H"

Golden¹,

Holaway²

2013

PCSP

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We describe a subgroup of individuals with comorbid diagnoses of paranoid schizophrenia and obsessive-compulsive (OCD) disorder. It is proposed that traditional exposure and response prevention (ERP) may need to be altered given the unique characteristics of this subgroup. We suggest that providers may approach treatment for OCD from within the context of a patient's delusion. The case study of "Mr. H," a veteran of the U.S. military diagnosed with schizophrenia and OCD, is described. We propose that attenuating or eliminating obsessions and compulsions may not result in the achievement of a goal stemming from a delusional belief, but may contribute to an increased sense of mastery and independence.

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“…Symptoms consist of obsessive intrusive thoughts about harming the newborn, with or without compulsions. Intrusive thoughts of harming the infant are often misdiagnosed as postpartum psychosis or homicidal ideation 40 . Intrusive thoughts characteristic of obsessive‐compulsive disorder are distinguishable from psychosis when postpartum women convey awareness of experiencing horrible thoughts and express feelings of shame and guilt.…”

Section: Obsessive‐compulsive Disordermentioning

confidence: 99%

Spectrum of Anxiety Disorders: Diagnosis and Pharmacologic Treatment

Karsnitz

Ward²

2011

J Midwife Womens Health

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Nearly 30% of women experience an anxiety disorder at some time during their lives, and there is increasing evidence that anxiety disorders are associated with adverse pregnancy outcomes. Despite increased media coverage regarding anxiety disorders, women are reluctant to discuss signs and symptoms of anxiety with family or health care providers. Additionally, despite ongoing research and improved educational curricula, primary care and women's health care providers find diagnosis and treatment of mental health disorders challenging. This article reviews the diagnostic features and pharmacologic treatment options for the most common anxiety disorders including generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, and posttraumatic stress disorder. The impact of anxiety disorders on pregnancy and guidelines for management are presented.

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The Relationship Between Obsessive-Compulsive Disorder and Psychosis

Abstract: Objective:To report on patients with comorbid Obsessive-Compulsive Disorder (OCD) and a psychotic disorder, and to discuss the relationship between OCD and psychosis.

Cited by 10 publications

References 24 publications

Delusion or Obsession: Clinical Dilemma

Delusion or Obsession: Clinical Dilemma

Values-Focused Exposure and Response Prevention in the Treatment of Comorbid Schizophrenia and Obsessive-Compulsive Disorder: The Case of "Mr. H"

Spectrum of Anxiety Disorders: Diagnosis and Pharmacologic Treatment

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