scholarly journals Case Report: Treatment of a Comorbid Attention Deficit Hyperactivity Disorder and Obsessive–Compulsive Disorder With Psychostimulants

2021 ◽  
Vol 12 ◽  
Author(s):  
Ezgi Dogan-Sander ◽  
Maria Strauß
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Case Report ◽  
Obsessive Compulsive Disorder ◽  
Attention Deficit ◽  
Adult Adhd ◽  
Obsessive Compulsive ◽  
Obsessive Compulsive Symptoms ◽  
Compulsive Disorder ◽  
Hyperactivity Disorder ◽  
The Impact

Introduction: Attention deficit hyperactivity disorder (ADHD) is a common disease in childhood and adolescence. In about 60% of pediatric patients, the symptoms persist into adulthood. Treatment guidelines for adult ADHD patients suggest multimodal therapy consisting of psychostimulants and psychotherapy. Many adult ADHD patients also suffer from psychiatric comorbidities, among others obsessive–compulsive disorder (OCD). The treatment of the comorbidity of ADHD and OCD remains challenging as the literature is sparse. Moreover, the impact of psychostimulants on obsessive–compulsive symptoms is still unclear.Case Presentation: Here, we report on a 33-year-old patient with an OCD who was unable to achieve sufficient remission under long-term guideline-based treatment for OCD. The re-examination of the psychological symptoms revealed the presence of adult ADHD as a comorbid disorder. The patient has already been treated with paroxetine and quetiapine for the OCD. Due to the newly established diagnosis of ADHD, extended-release methylphenidate (ER MPH) was administered in addition to a serotonin reuptake inhibitor. After a dose of 30 mg ER MPH, the patient reported an improvement in both the ADHD and the obsessive–compulsive symptoms. After discharge, the patient reduced ER MPH without consultation with a physician due to subjectively described side effects. The discontinuation of medication led to a renewed increase in ADHD and obsessive–compulsive symptoms. The readjustment to ER MPH in combination with sertraline and quetiapine thereafter led to a significant improvement in the compulsive symptoms again.Conclusion: The present case shows that in ADHD and comorbid obsessive–compulsive disorder, treatment with psychostimulants can improve the obsessive–compulsive symptoms in addition to the ADHD-specific symptoms. To our knowledge, this is only the second case report describing a treatment with ER MPH for an adult patient with OCD and ADHD comorbidity in the literature. Further research, especially randomized controlled trials, is needed to standardize treatment options.

Does Comorbid Attention-Deficit/Hyperactivity Disorder Impact the Clinical Expression of Pediatric Obsessive-Compulsive Disorder?

CNS Spectrums ◽  
2003 ◽  
Vol 8 (4) ◽  
pp. 259-264 ◽  
Author(s):  
Daniel A. Geller ◽  
Barbara Coffey ◽  
Stephen Faraone ◽  
Lisa Hagermoser ◽  
Noreen K. Zaman ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Obsessive Compulsive Disorder ◽  
Attention Deficit ◽  
Phenotypic Expression ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Clinical Correlates ◽  
Hyperactivity Disorder ◽  
Comorbid Adhd ◽  
The Impact

ABSTRACTWhat is the impact of attention-deficit/hyperactivity disorder (ADHD) on the phenotypic expression of pediatric obsessive-compulsive disorder (OCD). We examined phenotypic features, and functional and clinical correlates in youths with OCD, with and without comorbid ADHD, from a large sample of consecutively referred pediatric psychiatry patients. Although comorbid ADHD had no meaningful impact on the phenotypic expression or clinical correlates of OCD, it was associated with higher rates of compromised educational functioning compared with other OCD youths. Our findings suggest that the OCD phenotype runs true and is not impacted by comorbid ADHD in youths diagnosed with both OCD and ADHD. In such affected youths, both disorders contribute to morbid dysfunction and require treatment. More work is needed to determine whether OCD plus ADHD represents a developmentally and etiologically distinct form of the OCD syndrome.

The impact of attention deficit hyperactivity disorder in obsessive‐compulsive disorder subjects

2019 ◽  
Vol 36 (6) ◽  
pp. 533-542 ◽  
Author(s):  
Thiago Blanco‐Vieira ◽  
Matheus Santos ◽  
Ygor A. Ferrão ◽  
Albina R. Torres ◽  
Eurípedes C. Miguel ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Obsessive Compulsive Disorder ◽  
Attention Deficit ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Hyperactivity Disorder ◽  
The Impact

scholarly journals Methylphenidate-induced Obsessive Compulsive Disorder in Attention Deficit Hyperactivity Disorder

2016 ◽  
Vol 2 (1) ◽  
pp. 21-22
Author(s):  
Sharath Vishwaraj
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Complete Remission ◽  
Psychiatric Disorders ◽  
Obsessive Compulsive Disorder ◽  
Attention Deficit ◽  
Specific Treatment ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Hyperactivity Disorder ◽  
Childhood Psychiatric Disorders

ABSTRACT Introduction Attention deficit hyperactivity disorder (ADHD) is one of the most common childhood psychiatric disorders. It is most often treated with methylphenidate (MPH). A 6-year-old male with ADHD was started on MPH. He developed severe obsessive-compulsive disorder (OCD), which lasted for 1 day and was self-limiting. There was complete remission on stopping MPH, without any specific treatment for OCD. How to cite this article Bavle A, Vishwaraj S. Methylphenidate- induced Obsessive Compulsive Disorder in Attention Deficit Hyperactivity Disorder. J Med Sci 2016;2(1):21-22.

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