Obsessive-compulsive disorder diagnosis

Nelson, E., Rice, J. (1997). Stability of diagnosis of obsessive-compulsive disorder in the Epidemiologic Catchment Area Study. American Journal of Psychiatry,... 

Appropriate management of AN also requires the early detection and treatment of any comorbid psychiatric disorders. The most common comorbid conditions associated with AN are major depressive disorder (MDD), obsessive-compulsive disorder (OCD), and substance use disorders. At the time of presentation, over 50% of AN patients also fulfill criteria for MDD however, accurate diagnosis of depression in these patients is complicated by the fact that prolonged starvation often produces a mood disturbance and neurovegetative symptoms identical to MDD. If MDD appears to be comorbid with AN at the time of presentation, there is debate as to whether it is more prudent to withhold treatment of the depression until weight restoration has been initiated. If the depression persists despite refeeding, then treatment of the depression is likely warranted. 

Agor, agoraphobia Dep, depression Dx, diagnosis MDD, major depressive disorder OCD, obsessive-compulsive disorder Not eval, not evaluated. 

Eapen, V., Robertson, M.M., Alsobrook, J.R, 2nd, and Pauls, D.L. (1997) Obsessive compulsive symptoms in Gilles de la Tourette syndrome and obsessive compulsive disorder differences by diagnosis and family history. Am Med Genet 74 432 38. 

Note. BROF = brofaromine CIT = citalopram CLO = clomipramine CT = cognitive therapy Dx = diagnosis EXP = exposure in vivo FLU = fluvoxamine FLUOX = fluoxetine GAD = generalized anxiety disorder 5-HTP = 5-hydrox3rtryptophan IMl = imipramine MAP = maprotiline OCD = obsessive-compulsive disorder PAR = paroxetine PD = panic disorder PLA = placebo PPM = psychological panic management RIT = ritanserin ... 

Zohar J, Insel T OCD Psychobiological approaches to diagnosis, treatment and pathophysiology. Biol Psychiatry 22 667-687, 1987 Zohar J, Mueller EA, Insel TE, et al Serotonergic responsivity in obsessive-compulsive disorder comparison of patients and healthy controls. Arch Gen Psychiatry 44 946-951, 1987... 

Rasmussen SA, Eisen JL. The epidemiology and differential diagnosis of obsessive compulsive disorder. J Clin Psychiatry 1992 53[Suppl 4] 4-10. 

Goodman WK. Obsessive-compulsive disorder diagnosis and treatment. J Clin Psychiatry 1999 60[Suppl 18] 27-32. 

Zohar J, Insel TR (1987) Obsessive-compulsive disorder psychobiological approaches to diagnosis, treatment, and pathophysiology. Biol Psychiatry 22 667-687... 

Part II of the book outlines several mental-health diagnostic categories schizophrenia, mood disorders, depression, bipolar disorders, and specific anxiety disorders including generalized anxiety disorder and obsessive compulsive disorder. Each chapter provides a case example, consideration in diagnosis, and the interventions utilized. Medications used to treat these disorders and relevant psychosocial interventions are outlined. Each chapter emphasizes the need for accurate treatment planning and documentation and offers suggestions to facilitate this process. 

The problem for treatment of obsessive-compulsive illnesses must follow careful diagnosis of the specific nature of the disorder. 

---