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Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging

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Obsessive compulsive disorder masquerading as psychosis.

Dhanya Raveendranathan¹, Lakshmi Shiva, Eesha Sharma

¹Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

Indian Journal of Psychological Medicine

|November 20, 2012

Summary

Insight in obsessive compulsive disorder (OCD) varies, challenging diagnosis. This case highlights the difficulty in distinguishing OCD with poor insight from psychosis.

Keywords:

Obsessive compulsive disorder insight psychosis

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Area of Science:

Psychiatry
Neuroscience

Background:

Obsessive compulsive disorder (OCD) is often considered to have good insight.
However, insight in OCD patients is now recognized as variable.

Observation:

This case presents a challenge in discerning insight levels.
The patient's pathological beliefs were difficult to differentiate from psychosis.

Findings:

The case initially mimicked psychosis due to varying insight.
Pathological beliefs in OCD can exist on a continuum from full insight to delusion.

Implications:

Accurate assessment of insight is crucial for diagnosing OCD.
This case underscores the need for careful differential diagnosis between OCD and psychotic disorders.