Treatment of Co-Morbid Obsessive-Compulsive Disorder and Substance Use Disorders

  • Keith C. Klostermann
  • William Fals-Stewart
Part of the Series in Anxiety and Related Disorders book series (SARD)


Obsessive Compulsive Disorder Substance Abuse Treatment Obsessive Compulsive Disorder Patient Obsessive Compulsive Disorder Symptom Substance Abuse Treatment Program 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Allgunder, C., Borg, S., & Vikander, B. (1984). A 4–6-year follow-up of 50 patients with primary dependence on sedative and hypnotic drugs. American Journal of Psychiatry, 141, 1580–1582.Google Scholar
  2. American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Press.Google Scholar
  3. Anonymous, A. (1976). Alcoholics anonymous (3rd ed.). New York: Alcoholics Anonymous World Services, Inc.Google Scholar
  4. Baer, L. (2000). Getting control: Overcoming your obsessions and compulsions. New York, NY: Plume.Google Scholar
  5. Bram, A., & Bjorgvinsson, T. (2004). A psychodynamic clinician’s foray into cognitive-behavioral therapy utilizing exposure-response prevention for obsessive-compulsive disorder. American Journal of Psychotherapy, 58(3), 304–320.PubMedGoogle Scholar
  6. Caetano, R. (1985). Alcohol dependence and the need to drink: A compulsion? Psychological Medicine, 15, 463–469.PubMedGoogle Scholar
  7. Carroll, K. M. (1998). A cognitive-behavioral approach: Treating cocaine addiction (NIH Publication No. 98–4308). Rockville, MD: National Institute on Drug Abuse.Google Scholar
  8. Cartwright, C., & Hollander, C. (1998). SSRIs in the treatment of obsessive-compulsive disorder. Depression and Anxiety, 8, 105–113.PubMedCrossRefGoogle Scholar
  9. Cooper, J. (1970). The Leyton obsessional inventory. Pscyhological Medicine, 1, 48–64.Google Scholar
  10. Eichstedt, J. A., & Arnold, S. L. (2001). Childhood onset obsessive-compulsive disorder: A tic-related subtype of OC? Clinical Psychology Review, 21, 137–157.PubMedCrossRefGoogle Scholar
  11. Fals-Stewart, W. (2004). Substance use disorders. In J. E. Maddux & B. A. Winstead (Eds.), Psychopathology: Foundations for a contemporary understanding (pp. 301–324). NJ: Lawrence Erlbaum Associates.Google Scholar
  12. Fals-Stewart, W., & Angarano, K. (1994). Obsessive-compulsive disorder among patients entering substance abuse treatment: Prevalence and accuracy of diagnosis. Journal of Nervous & Mental Disease, 182(12), 715–719.CrossRefGoogle Scholar
  13. Fals-Stewart, W., & Lucente, S. (1994). Treating obsessive compulsive disorder among substance abusers: A guide. Psychology of Addictive Behaviors, 8(1), 14–23.CrossRefGoogle Scholar
  14. Fals-Stewart, W., Marks, A. P., & Schafer, J. (1993). A comparison of behavioral group therapy and individual behavior therapy in treating obsessive-compulsive disorder. Journal of Nervous & Mental Disease, 181(3), 189–193.CrossRefGoogle Scholar
  15. Fals-Stewart, W., & Schafer, J. (1992). The treatment of substance abusers with obsessive-compulsive disorder: An outcome study. Journal of Substance Abuse Treatment, 9, 365–370.PubMedCrossRefGoogle Scholar
  16. Foa, E. B., & Kozak, M. J. (1996). Psychological treatment for obsessive-compulsive disorder. In M. R. Mavissakalian & R. F. Prien (Eds.), Long-term Treatments of Anxiety Disorders (pp. 285–309). Washington, DC: American Psychiatric Press, Inc.Google Scholar
  17. Gellar, P. A., Klier, C. M., & Neugebauer, R. (2001). Anxiety disorders following miscarriage. Journal of Clinical Psychiatry, 62, 432–438.CrossRefGoogle Scholar
  18. Goodman, W. G., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., et al. (1989). The Yale-Brown Obsessive-Compulsive Rating Scale: I. Development, use and reliability. Archives of General Psychiatry, 46, 1006–1011.PubMedGoogle Scholar
  19. Grados, M. A., & Riddle, M. A. (2001). Pharmacological treatment of childhood obsessive-compulsive disorder: From theory to practice. Journal of Clinical Child Psychology, 30, 67–79.PubMedCrossRefGoogle Scholar
  20. Grant, B. F. (1997). Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the national longitudinal alcohol epidemiological survey. Journal of Studies on Alcohol, 58(5), 464–473.PubMedGoogle Scholar
  21. Grant, B. F., Peterson, A., Dawson, D. S., & Chou, S. P. (1994). Source and accuracy statement for the national longitudinal alcohol epidemiologic survey. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
  22. Greist, J. H. (1990). Treating the anxiety: Therapeutic options in obsessive-compulsive disorder. Journal of Clinical Psychiatry, 51, 29–34.PubMedGoogle Scholar
  23. Hiss, H., Foa, E. B., & Kozak, M. J. (1994). Relapse prevention program for treatment of obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 62(4), 801–808.PubMedCrossRefGoogle Scholar
  24. Hodgson, R. J., & Rachman, S. (1977). Obsessive-compulsive complaints. Behavior Research Therapy, 15, 389–395.CrossRefGoogle Scholar
  25. Hoffman, J. H. (1991). OCD and substance abuse: Questions and answers. OCD Newsletter, 5, 4–5.Google Scholar
  26. Hudson, C. J., & Perkins, S. H. (1984). Panic disorder and alcohol misuse. Journal of Studies on Alcoholism, 45(5), 462–464.Google Scholar
  27. James, I. A., & Blackburn, I. M. (1995). Cognitive therapy with obsessive-compulsive disorder. British Journal of Psychiatry, 166(4), 444–450.PubMedGoogle Scholar
  28. Jenike, M. A. (2004). Obsessive-compulsive disorder. New England Journal of Medicine, 350, 259–265.PubMedCrossRefGoogle Scholar
  29. Kaufman, E. (1989). The psychotherapy of dually diagnosed patients. Journal of Substance Abuse Treatment, 6, 9–18.PubMedCrossRefGoogle Scholar
  30. Kringlen, E. (1965). Obsessional neurotics: A long-term follow-up. British Journal of Psychiatry, 111, 709–722.PubMedCrossRefGoogle Scholar
  31. Leckman, J. F., Zhang, H., Alsobrook, J. P., & Paul, D. L. (2001). Symptom dimensions in obsessive-compulsive disorder: Toward quantitative phenotypes. American Journal of Medicine and Genetics, 105, 28–30.CrossRefGoogle Scholar
  32. Malan, D. (1979). Individual psychotherapy and the science of psychodynamics. London: Butterworths.Google Scholar
  33. March, J. S., Frances, J., Kahn, D. A., & Carpenter, D. (1997). Expert consensus guideline series: Treatment of obsessive-compulsive disorder. Journal of Clinical Psychiatry, 58, 1–17.Google Scholar
  34. McLean, P. D., Whittal, M. L., Thordarson, D. S., Taylor, S., Sochting, I., Koch, W. J., et al. (2001). Cognitive versus behavior therapy in the group treatment of obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 69, 205–214.PubMedCrossRefGoogle Scholar
  35. Marks, I. M. (1978). Living with fear. New York: McGraw Hill.Google Scholar
  36. Miller, W. R., Brown, J. M., Simpson, T. L., Handmaker, N. S., Bien, T. H., Luckie, L. F., et al. (1995). What works? A methodological analysis of the alcohol treatment outcome literature. In R. K. Hester & W. R. Miller (Eds.), Handbook of alcoholism treatment approaches: Effective alternatives (2nd ed., pp. 12–44). Boston, MA: Allyn and Bacon.Google Scholar
  37. Modell, J. G., Glaser, F. B., Mountz, J. M., Schmaltz, S., & Cyr, L. (1992). Obsessive and compulsive characteristics of alcohol abuse and dependence: Quantification by a newly developed questionnaire. Alcoholism: Clinical and Experimental Research, 16, 266–271.CrossRefGoogle Scholar
  38. Neel, J. L., Stevens, V. M., & Stewart, J. E. (2002). Obsessive-compulsive disorder: Identification, neurobiology, and treatment. JAOA: Clinical Practice, 102(2), 81–86.Google Scholar
  39. O’Connor, K., Todorov, C., Robillard, S., Borgeat, F., & Brault, M. (1999). Cognitive-behaviour therapy and medication in the treatment of obsessive-compulsive disorder: A controlled study. Canadian Journal of Psychiatry, 44, 64–71.Google Scholar
  40. Pato, M. T., Zohar-Kadouch, R., Zohar, J., & Murphy, D. L. (1988). Return of symptoms after discontinuation of clomipramine in patients with obsessive compulsive disorder. American Journal of Psychiatry, 145, 1521–1525.PubMedGoogle Scholar
  41. Penick, E. C., Powell, B. J., Liskow, B. I., Jackson, J. O., & Nickel, E. J. (1988). The stability of coexisting psychiatric syndromes in alcoholic men after one year. Journal of Studies on Alcohol, 49, 395–405.PubMedGoogle Scholar
  42. Quitkin, F. M., Rifkin, A., Kaplan, J., & Klein, D. F. (1972). Phobic anxiety syndrome complicated by drug dependence and addiction. Archives of General Psychiatry, 27, 159–162.PubMedGoogle Scholar
  43. Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive-behavioral analysis. Behaviour Research and Therapy, 23, 571–583.PubMedCrossRefGoogle Scholar
  44. Salkovskis, P. M. (1998). Psychological approaches to the understanding of obsessional problems. In R. P. Swinson, M. M. Anthony, S. Rachman, & M. A. Richter (Eds.), Obsessive-compulsive disorder: Theory, research, and treatment (pp. 33–55). New York: Guilford Press.Google Scholar
  45. Simpson, H. B., Gorinkle, K. S., & Liebowitz, M. R. (1999). Cognitive-behavioral therapy as an adjunct to serotonin reuptake inhibitors in obsessive-compulsive disorder: An open trial. Journal of Clinical Psychiatry, 60, 584–590.PubMedCrossRefGoogle Scholar
  46. Skoog, G., & Skoog, I. (1999). A 40-year follow-up of patients with obsessive-compulsive disorder. Archives of General Psychiatry, 56, 121–127.PubMedCrossRefGoogle Scholar
  47. Smail, P., Stockwell, T., Canter, S., & Hodgson, R. (1984). Alcohol dependence and phobic anxiety: A prevalence study. British Journal of Psychiatry, 144, 53–57.PubMedGoogle Scholar
  48. Stein, D. J. (2002). Obsessive-compulsive disorder. The Lancet, 360, 397–405.CrossRefGoogle Scholar
  49. Stein, D. J., & Stone, M. H. (1997). Essential papers on obsessive-compulsive disorders. New York, NY: University Press.Google Scholar
  50. Steketee, G. (1993). Treatment of obsessive compulsive disorder. New York: Guilford Press.Google Scholar
  51. Steketee, G., & Van Noppen, B. (2003). Family approaches to treatment for obsessive compulsive disorder. Brazilian Journal of Psychiatry, 25(1), 43–50.PubMedGoogle Scholar
  52. Weiss, K. J., & Rosenberg, D. J. (1985). Prevalence of anxiety disorder among alcoholics. Journal of Clinical Psychiatry, 46, 3–5.PubMedGoogle Scholar
  53. Williams, K. E., & Koran, L. M. (1997). Obsessive-compulsive disorder in pregnancy, the pueperium, and the premenstruum. Journal of Clinical Psychiatry, 58, 330–334.PubMedGoogle Scholar
  54. Yahne, C. E., & Miller, W. R. (1999). Enhancing motivation for treatment and change. In B. S. McCrady & E. E. Epstein (Eds.), Addictions: A sourcebook for professionals (pp. 235–249). Oxford University Press.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Keith C. Klostermann
    • 1
  • William Fals-Stewart
  1. 1.University of Rochester School of NursingRochesterUSA 14647

Personalised recommendations