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Obsessive-Compulsive Disorder and Tourette's Syndrome.

Buzan1, Shore, O'Brien

  • 1University of Colorado Health Sciences Center, Department of Psychiatry, Campus Box C270-50, 4200 East 9th Avenue, Denver, CO 80262, USA.

Current Treatment Options in Neurology
|November 30, 2000
PubMed
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More than half of Tourette's syndrome (TS) patients experience obsessive-compulsive behavior (OCB) or disorder (OCD). Cognitive behavioral therapy combined with medication offers the most effective treatment for TS and OCD.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Clinical Psychology

Background:

  • Over 50% of patients with Tourette's syndrome (TS) exhibit obsessive-compulsive behavior (OCB) or obsessive-compulsive disorder (OCD).
  • OCD symptoms in TS patients can be more impairing than the tics themselves.

Purpose of the Study:

  • To review the treatment strategies for obsessive-compulsive disorder (OCD) in patients with Tourette's syndrome (TS).
  • To highlight the efficacy of combined behavioral therapy and medication for this patient population.

Main Methods:

  • Review of current pharmacological treatments for OCD, including SSRIs and antipsychotic drugs.
  • Evaluation of the role and effectiveness of behavioral therapies, particularly cognitive behavioral therapy (CBT).

Related Experiment Videos

Main Results:

  • Pharmacological treatments like SSRIs and antipsychotics offer partial symptom relief but rarely eliminate OCD entirely in TS patients.
  • Behavioral therapies, especially CBT, demonstrate greater efficacy in treating OCD compared to medication alone.
  • A combined approach of CBT and medication is identified as the preferred treatment strategy.

Conclusions:

  • Combined cognitive behavioral therapy and medication represent the gold standard for managing OCD in Tourette's syndrome patients.
  • Addressing OCD is crucial as it often presents a greater burden than the tic disorder in TS.
  • Further research may explore optimizing this combined therapeutic approach.