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[Schizophrenic with obsessive-compulsive disorder or symptoms].
C Doubremelle1, B Millet, J P Olie
1Service Hospitalo-Universitaire, Hôpital Sainte-Anne, Paris.
L'Encephale
|June 20, 2000
Summary
This review examines the overlap between schizophrenia and obsessive-compulsive disorder (OCD), including pharmaceutical treatments and antipsychotic side effects. It highlights the diagnostic challenges and treatment strategies for patients with both conditions.
Area of Science:
- Psychiatry
- Neuroscience
Context:
- The differential diagnosis between severe obsessive-compulsive disorder (OCD) and schizophrenia presents clinical challenges.
- Schizophrenia can manifest with obsessive-compulsive symptoms (OCS), and conversely, some OCD patients may exhibit psychotic symptoms.
- Atypical antipsychotics used to treat schizophrenia can sometimes induce or worsen OCS.
Purpose:
- To review the prevalence of OCD in schizophrenia.
- To summarize pharmaceutical approaches for treating comorbid OCD and schizophrenia.
- To present a review of antipsychotics that cause the emergence or exacerbation of OCS.
Summary:
- This article reviews the concept of pseudo-obsessive schizophrenia, the diagnostic complexities, and the prevalence of OCD in schizophrenia spectrum disorders.
- It explores various pharmaceutical treatments for patients with both schizophrenia and OCS, including the use of atypical antipsychotics.
- The review also examines the specific antipsychotic medications linked to the development or worsening of OCS.
Impact:
- Provides a comprehensive overview of the relationship between schizophrenia and OCS.
- Informs clinical practice regarding the diagnosis and management of patients with overlapping symptoms.
- Contributes to understanding the side effect profiles of antipsychotic medications concerning OCS.