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Obsessive-compulsive disorder in dermatologic practice.

S A Rasmussen

    Journal of the American Academy of Dermatology
    |December 1, 1985
    PubMed
    Summary
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    Obsessive-compulsive disorder (OCD) is more common than previously believed, affecting 2-3% of people. Early diagnosis is crucial as effective treatments for this common mental health condition are now available.

    Area of Science:

    • Psychiatry
    • Epidemiology
    • Dermatology

    Background:

    • Obsessive-compulsive disorder (OCD) was historically considered rare with a poor prognosis.
    • Recent epidemiological studies indicate a higher lifetime prevalence rate of 2% to 3% for OCD.

    Observation:

    • Many individuals with primary OCD initially seek care from medical specialists.
    • Dermatologists frequently encounter patients with nonspecific dermatitis due to compulsive hand washing.
    • Somatic obsessions are also a common presentation in patients with OCD.

    Findings:

    • The lifetime prevalence of obsessive-compulsive disorder is 2% to 3%, which is double that of panic disorder or schizophrenia.
    • Patients with OCD often present to non-psychiatric medical specialists.

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    Implications:

    • Dermatologists should be aware of OCD due to its common dermatological manifestations.
    • Early recognition and diagnosis of OCD are increasingly important.
    • Effective pharmacologic and behavioral treatments for OCD have been developed, highlighting the need for timely intervention.