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[A hidden compulsion].

I M van Vliet1

  • 1Universitair Medisch Centrum, divisie Psychiatrie, Utrecht.

Nederlands Tijdschrift Voor Geneeskunde
|April 30, 1999
PubMed
Summary
This summary is machine-generated.

Obsessive-compulsive disorder (OCD) can present without typical obsessions or compulsions, complicating diagnosis. This study highlights three cases where OCD manifested unusually, emphasizing the need for broader diagnostic considerations in psychiatric practice.

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Area of Science:

  • Psychiatry
  • Neuroscience

Background:

  • Obsessive-compulsive disorder (OCD) is a common psychiatric condition with a lifetime prevalence of 2.5%.
  • Characteristic symptoms include obsessions and compulsions causing significant distress and functional impairment.
  • Genetic and neurobiological factors are implicated in OCD's etiology.

Observation:

  • This article discusses three distinct cases of OCD where patients did not exhibit classic obsessions or compulsions.
  • Case 1: A woman with therapy-resistant dermatitis due to excessive washing.
  • Case 2: A man presenting with depression, a common comorbid condition.
  • Case 3: A man whose family's distress from co-occurring compulsive behaviors prompted consultation.

Findings:

  • OCD presentation can be atypical, lacking overt obsessions or compulsions.

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  • Symptoms like excessive washing leading to dermatitis or comorbid depression can mask underlying OCD.
  • The impact on family members can be a presenting concern, indicating the pervasive nature of the disorder.

    • Implications:

    • Recognizing non-classic presentations of OCD is crucial for timely diagnosis and effective treatment initiation.
    • Broadening diagnostic criteria and considering patient history beyond overt symptoms can improve patient outcomes.
    • Understanding the diverse manifestations of OCD is essential for clinicians in various settings, including general practice.