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Obsessive-compulsive disorder and delusions revisited.

A M O'Dwyer1, I Marks

  • 1Institute of Psychiatry, London.

The British Journal of Psychiatry : the Journal of Mental Science
|February 7, 2001
PubMed
Summary

Obsessive-compulsive disorder (OCD) can include fixed, delusional beliefs. These cases suggest delusional OCD may respond to standard OCD treatments, impacting clinical management.

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Area of Science:

  • Psychiatry
  • Neuroscience

Background:

  • The diagnostic classification of obsessive-compulsive disorder (OCD) and the presence of fixed, delusional beliefs remain debated.
  • Acknowledging delusional beliefs within OCD has significant clinical management implications.

Observation:

  • This study presents five cases of individuals with OCD exhibiting delusional beliefs.
  • The objective is to re-evaluate the relationship between delusions and OCD through these case examples.

Findings:

  • Beliefs in OCD exist on a continuum, ranging from non-delusional to delusional intensity.
  • The fixity and bizarreness of these beliefs can fluctuate within individuals.

Implications:

  • Recognizing 'delusional OCD' suggests these cases may benefit from established OCD treatment strategies.
  • Effective behavioral and pharmacological interventions for OCD could be applicable to patients with delusional beliefs.

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