Advertisement

Obsessive-Compulsive Disorder

  • James D. Helsley
Chapter
  • 1.7k Downloads
Part of the Current Clinical Practice book series (CCP)

Definition

Obsessive-compulsive disorder (OCD) is defined as the presence of either obsessions or compulsions. Obsessions can entail the following characteristics [1]:
  • Persistent/recurrent impulses and thoughts are inappropriate and intrusive and lead to severe anxiety.

  • The thoughts and impulses are beyond real-life concerns and worries.

  • The patient attempts to suppress or dispense with the thoughts by creation of another thought or neutralizing action.

  • The patient understands that the intrusive thoughts are generated in his/her own mind.

Compulsions can entail the following characteristics [1]:
  • Repetitious behaviors or actions are performed secondary to an obsession. The act follows a scripted course without deviation.

  • The behaviors and actions are performed as an avenue to prevent anxiety or to preempt a perceived future untoward event.

Obsessive-compulsive disorder usually develops in adolescence or early adulthood; 75% of cases have onset before age 30 [2]. Originally considered...

Keywords

Eating Disorder Social Phobia Panic Disorder Intrusive Thought Fiscal Conservatism 
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.

References

  1. 1.
    Obsessive-compulsive disorder. In: American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR). Arlington, VA: American Psychiatric Publishing, 2000:217–218.Google Scholar
  2. 2.
    Hollander E, Simeon D. Anxiety disorders. In: Hales R, Yudofsky S, eds. Textbook of Clinical Psychiatry. Washington, DC: American Psychiatric Publishing, 2003:582–595.Google Scholar
  3. 3.
    Eisen J, et al. Impact of obsessive-compulsive disorder on quality of life. Compr Psychiatry 2006;47(4):270–275.CrossRefPubMedGoogle Scholar
  4. 4.
    Leckman J, Kim Y. A primary candidate gene for obsessive-compulsive disorder. Arch Gen Psychiatry 2006;63:717–720.CrossRefPubMedGoogle Scholar
  5. 5.
    Information from your family doctor. Am Fam Physician 2000;61(5): 1523–1543.Google Scholar
  6. 6.
    Sajatovic M, Ramierez L. Rating Scales in Mental Health. Hudson, OH: Lexi-Comp 2003:53–60.Google Scholar
  7. 7.
    Obsessive-compulsive personality disorder. In: American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR). Arlington, VA: American Psychiatric Publishing, 2000:296–297.Google Scholar
  8. 8.
    Soomro G. Obsessive-compulsive disorder. In: Tovey D, ed. dir. Clinical Evidence. London: BMJ Publishing Group, 2005:337–339.Google Scholar
  9. 9.
    Denys D. Pharmacotherapy of obsessive-compulsive disorder and obsessive-compulsive spectrum disorders. Psychiatric Clin North Am 2006;29(2):553–584.CrossRefGoogle Scholar
  10. 10.
    DeBattista C, Schatzberg A. Psychotropic dosing and monitoring guidelines. Primary Psychiatry 2003;10(7):80–96.Google Scholar
  11. 11.
    Rasmussen K. Creating more effective antidepressants: clues from the clinic. Drug Discovery Today 2006;11(13/14):623–631.CrossRefPubMedGoogle Scholar
  12. 12.
    Hollander E, Dell'Osso B. Topiramate plus paroxetine in treatment-resistant obsessive-compulsive disorder. Int Clin Psychopharmacol 2006;21(3):189–191.CrossRefPubMedGoogle Scholar

Copyright information

© Humana Press 2008

Authors and Affiliations

  • James D. Helsley
    • 1
  1. 1.West Virginia University Student Health ServiceMorgantownUSA

Personalised recommendations