Hoarding Disorder

2017 ◽  
Author(s):  
Christine Lochner ◽  
Dan Stein ◽  
Eileen Thomas
Keyword(s):  
Key Words ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Statistical Manual ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual

Hoarding disorder is characterized by an obsessive need to acquire, collect, or keep possessions and difficulty in organizing and discarding, resulting in accumulation of clutter, which elicits great concern from family and friends. Functioning is usually impaired in a variety of domains. Obsessive-compulsive disorder is the disorder most closely associated with hoarding. Overvalued ideation regarding the value or usefulness of possessions may make it impossible for individuals to discard items. This review contains 1 table, and 22 references. Key words: clutter, diagnostic and statistical manual, etiology, hoarding, obsessive-compulsive and related disorder

Obsessive-Compulsive Disorder (Introduction)

2017 ◽  
Author(s):  
Christine Lochner ◽  
Dan Stein ◽  
Eileen Thomas
Keyword(s):  
Key Words ◽  
Obsessive Compulsive Disorder ◽  
Functional Impairment ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Detailed Assessment ◽  
Hallmark Feature

A hallmark feature of OCD is the presence of obsessions and/or compulsions. The subtyping of OCD has been expanded to allow for a detailed assessment of individuals and their disorder, including insight and tic-related specifiers. Although some individuals with OCD rationalize their behaviors as useful, they are time consuming and cause marked distress and/or functional impairment.   This review contains 1 table, and 31 references. Key words: diagnostic and statistical manual, obsessive-compulsive disorder

Trichotillomania

2017 ◽  
Author(s):  
Christine Lochner ◽  
Dan Stein ◽  
Eileen Thomas
Keyword(s):  
Key Words ◽  
Obsessive Compulsive Disorder ◽  
Hair Loss ◽  
Hair Pulling ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Compulsive Disorder ◽  
Common Disorder ◽  
Clinical Phenomenology ◽  
Hair Pulling Disorder

Trichotillomania (hair pulling disorder [HPD]) is a common disorder affecting mostly women that is often underreported and underrecognized. This condition involves repetitive hair pulling resulting in hair loss with repeated unsuccessful attempts to control or stop the pulling behavior. Individuals usually attempt to conceal or camouflage the hair loss. Clinical phenomenology, neurobiology, and genetic underpinning suggest associations between obsessive-compulsive disorder and HPD. This review contains 1 table, and 19 references. Key words: hair loss, hair pulling, obsessive-compulsive and related disorder, trichotillomania

scholarly journals Síndrome de koro associado a transtorno obsessivo-compulsivo: caso clínico e breve revisão

2018 ◽  
Vol 67 (2) ◽  
pp. 135-139
Author(s):  
Liliana Silva ◽  
Pedro Morgado
Keyword(s):  
Mental Disorders ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual

RESUMO A síndrome de koro é uma síndrome psiquiátrica ligada à cultura, que se caracteriza por um episódio de ansiedade súbito e intenso relacionado com a crença de que o pênis (nas mulheres, mamilos e grandes lábios) estar a retrair-se para o interior do organismo, podendo conduzir à impotência, esterilidade e, eventualmente, morte. É mais frequente nos países do Sudoeste Asiático e no sexo masculino. No Ocidente é rara, embora existam descrições de koro-like secundárias a perturbações neurológicas, psiquiátricas ou orgânicas. No Diagnostic and Statistical Manual of Mental Disorders-5 é classificada como um “Transtorno Obsessivo-Compulsivo e transtornos relacionados com outra especificação”. Este artigo descreve um caso raro de um doente com síndrome de koro secundária a um transtorno obsessivo-compulsivo. Neste artigo, apresenta-se a descrição de um caso clínico e revisão bibliográfica, com base na pesquisa de artigos publicados, desde 2000, no PubMed, com as palavras-chave: “koro syndrome”, “obsessive-compulsive disorder” e “koro-like symptoms”. Analisaram-se alguns artigos anteriores ao ano 2000 para contextualização histórica. Doente com síndrome de koro secundária a transtorno obsessivo-compulsivo, com boa resposta à terapia farmacológica associada à terapia cognitivo-comportamental. O conhecimento desse diagnóstico e da sua gestão clínica é importante para identificar as condições subjacentes e otimizar o tratamento.

Body Dysmorphic Disorder

2017 ◽  
Author(s):  
Christine Lochner ◽  
Dan Stein ◽  
Eileen Thomas
Keyword(s):  
Body Dysmorphic Disorder ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Statistical Manual ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Significant Impairment ◽  
Clinically Significant ◽  
Underlying Pathophysiology ◽  
Insight Into

Body dysmorphic disorder requires obsessional thoughts regarding a perceived defect in appearance and/or compulsive behavior that develop in response to those thoughts. Individuals experience clinically significant impairment because of their appearance concerns. Body dysmorphic disorder and obsessive-compulsive disorder have many similarities, including phenomenologic features, comorbidities, and underlying pathophysiology. Insight into the excessiveness or irrationality of their beliefs varies from good to delusional. Many individuals with body dysmorphic disorder present with comorbid suicidal ideation and substance use disorders. This review contains 1 table, and 30 references. Key words: body dysmorphic disorder, diagnostic and statistical manual, obsessive-compulsive and related disorder

Prevalence of Psychotic Disorders in Patients with Obsessive-Compulsive Disorder

CNS Spectrums ◽  
2009 ◽  
Vol 14 (8) ◽  
pp. 415-418 ◽  
Author(s):  
Lieuwe de Haan ◽  
Christine Dudek-Hodge ◽  
Yolanda Verhoeven ◽  
Damiaan Denys
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Psychotic Disorder ◽  
Psychotic Disorders ◽  
Fourth Edition ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv ◽  
Clinical Characteristic

ABSTRACTIntroduction: The co-occurrence of obsessive-compulsive disorder (OCD) in patients with schizophrenia and related disorders has been increasingly recognized. However, the rate of psychosis comorbidity in OCD patients has yet to be systematically evaluated.Methods: The prevalence of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition psychotic disorders was evaluated in 757 subjects consecutively referred to a specialised diagnostic and treatment facility for OCD. Demographic and clinical characteristics were assessed.Results: Thirteen OCD patients (1.7%) also met the DSM-IV criteria for a psychotic disorder. We found no significant differences in clinical characteristic between OCD patients with and without a psychotic disorder, although patients with OCD and a psychotic disorder more likely used illicit substances and more likely were male.Conclusion: Relatively few patients referred to a specialized treatment OCD center suffer from a psychotic disorder.

scholarly journals Nosographic considerations on obsessive-compulsive disorder occurring exclusively during the menstrual phase

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Hicham Laaraj ◽  
◽  
Mina Ouhamou ◽  
Omar El Omari ◽  
Jalal Doufik ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Obsessive Compulsive Disorder ◽  
Case Reports ◽  
Menstrual Phase ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Obsessive Compulsive Symptoms ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
The Relationship

The relationship between the menstrual cycle and mood disturbances has been described in the literature and is linked to changes in the secretion of sex hormones. Rare studies have reported the exacerbation of obsessions during menstruation, while no case reports the onset of premenstrual Obsessive-Compulsive Disorder (OCD). Nosographically, obsessive symptoms are not part of premenstrual syndrome, and no specification of the menstrual cycle for obsessive disorders was mentioned in DSM 5 (Diagnostic and Statistical Manual of Mental Disorders). We report a 39-year-old patient followed for panic disorder since adolescence, and who currently presents for obsessive symptoms that meet the diagnostic criteria for an obsessive-compulsive disorder, and which have the particularity of occurring exclusively during menstruation. Our case emphasizes the importance of establishing a new nosographic framework that takes into account the development of obsessive-compulsive symptoms related to the menstrual cycle. Keywords: Obsessive-compulsive disorder; menstruation cycle; nosography.

Lamotrigine-induced obsessive-compulsive disorder in patients with bipolar disorder

CNS Spectrums ◽  
2018 ◽  
Vol 24 (04) ◽  
pp. 390-394 ◽  
Author(s):  
Verinder Sharma ◽  
Minakshi Doobay
Keyword(s):  
Bipolar Disorder ◽  
Obsessive Compulsive Disorder ◽  
De Novo ◽  
Case Series ◽  
Prior History ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5

IntroductionLamotrigine is a commonly used drug in the treatment of bipolar disorder. Although there are reports of its effectiveness in the management of bipolar disorder and comorbid obsessive-compulsive disorder (OCD), lamotrigine has also been associated with obsessionality in patients with bipolar disorder.MethodsCharts of 8 patients with bipolar disorder who had de novo onset of obsessions and compulsions after the use of lamotrigine were reviewed. The Naranjo scale was used to assess the likelihood of patients developing OCD due to lamotrigine use.ResultsTwo to 8 months after the initiation of lamotrigine, patients with no such prior history developed obsessions and compulsions meeting the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria for medication-induced OCD. In all except 1 patient, the symptoms resolved within a month of lamotrigine discontinuation.ConclusionsSome patients with bipolar disorder may develop OCD after initiation of lamotrigine. Due to the inherent limitations of a case series, the findings should be interpreted with caution.

scholarly journals Functional and Structural Neural Changes in Obsessive-compulsive Disorder after Pharmacotherapy

2019 ◽  
Vol 17 (8) ◽  
pp. 737-740
Author(s):  
Murad Atmaca
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Functional Neuroimaging ◽  
Obsessive Compulsive ◽  
Quarter Century ◽  
Statistical Manual ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Present Information ◽  
Drug Treatments

Obsessive-compulsive disorder (OCD) is an important disorder which is disturbing the quality of life and is characterized by repetitive thoughts and behaviors, now in a different category in the Diagnostic and Statistical Manual for Mental Disorders Fifth Edition (DSM 5). Neuroimaging investigations are very useful to reveal a neurobiological model of the OCD. Studies conducted in the last quarter century have shown clear results and revealed that specific cortico-subcortical circuits could be involved in the occurrence of OCD symptomatology. These neuroimaging studies pointed out some important findings for OCD patients. Our present information implicates some problems in some cortico-subcortical in the pathophysiology of OCD. In the present paper, final information on the neuroanatomy and neurochemistry of OCD was reviewed, revising the effects of anti-obsessional drugs on the structural and functional neuroimaging studies. As can be seen in the review, drug treatments can generally affect the brain structurally and functionally, suggesting that brain of OCD tends to neuroplasticity. However, it is not clear that these effects of pharmacotherapy are related to anti-obsessional drugs per se or impact on the improvement of the disorder.

scholarly journals Pharmacotherapy for Hoarding Disorder: How did the Picture Change since its Excision from OCD?

2019 ◽  
Vol 17 (8) ◽  
pp. 808-815 ◽  
Author(s):  
Daria Piacentino ◽  
Massimo Pasquini ◽  
Simone Cappelletti ◽  
Chiara Chetoni ◽  
Gabriele Sani ◽  
...  
Keyword(s):  
Reuptake Inhibitor ◽  
Small Samples ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Hyperactivity Disorder ◽  
Diagnostic And Statistical Manual ◽  
Noradrenaline Reuptake ◽  
Noradrenaline Reuptake Inhibitor

This brief review deals with the various issues that contributed to the creation of the new Diagnostic and Statistical Manual condition of hoarding disorder (HD) and attempts at reviewing its pharmacotherapy. It appears that after the newly founded diagnosis appeared in the literature as an autonomous entity, distinct from obsessive-compulsive disorder, drug trials are not being conducted and the disorder is left in the hands of psychotherapists, who on their part, report fair results in some core dimensions of HD. The few trials on HD specifically regard the serotonin-noradrenaline reuptake inhibitor venlafaxine, and, possibly due to the suggestion of a common biological background of HD with attention-deficit/hyperactivity disorder, the psychostimulant methylphenidate and the noradrenaline reuptake inhibitor atomoxetine. For all these drugs, positive results have been reported, but the evidence level of these studies is low, due to small samples and non-blind designs. Regretfully, there are currently no future studies aiming at seriously testing drugs in HD.

Insight in Body Dysmorphic Disorder with and Without Comorbid Obsessive-Compulsive Disorder

CNS Spectrums ◽  
2006 ◽  
Vol 11 (7) ◽  
pp. 494-498 ◽  
Author(s):  
Donatella Marazziti ◽  
Daniele Giannotti ◽  
Mario Catena ◽  
Marina Carlini ◽  
Bernardo Dell'Osso ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Body Dysmorphic Disorder ◽  
Fourth Edition ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Low Degree ◽  
Positive Correlations ◽  
And Control

ABSTRACTIntroduction: The aim of this study was to compare the level of insight in patients with body dysmorphic disorder (BDD) with and without comorbid obsessive-compulsive disorder (OCD), and to measure its possible relationships with clinical features.Methods: Thirty outpatients affected by BDD, according to Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition criteria, of whom 18 were also suffering from OCD, were included in the study. Clinical assessment was carried out by means of the Yale-Brown Obsessive-Compulsive Scale modified for BDD and a specially designed OCD Questionnaire. The level of insight was measured by means of the score at item 11 of the Yale-Brown Obsessive-Compulsive Scale modified for BDD.Results: The insight resulted to be excellent in four cases, good in four, fair in five, poor in 15 and absent in two. Significant and positive correlations were observed between the level of insight and the following items: resistance to thoughts and to activities as well as to time spent on activities and control on activities related to the defect. The insight was significantly lower in patients affected by both BDD and OCD.Conclusion: The findings indicate that the majority of BDD patients in this study, and especially those with comorbid OCD, have a low degree of insight that is significantly correlated to symptoms specific of the disorder.

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