RSS-Feed abonnieren
DOI: 10.1055/s-2005-837814
Obsessive-compulsive Disorder (OCD) with Psychotic Symptoms and Response to Treatment with SSRI
A Case ReportPublikationsverlauf
Received: 26.3.2004
Revised: 26.7.2004
Accepted: 31.8.2004
Publikationsdatum:
02. März 2005 (online)
![](https://www.thieme-connect.de/media/pharmaco/200502/lookinside/thumbnails/10.1055-s-2005-837814-1.jpg)
The co-occurrence of obsessive-compulsive and psychotic symptoms in one patient often represents a diagnostic problem. Distinguishing among a schizophrenic disorder with comorbid obsessional symptoms, an OCD with comorbid psychotic symptoms, or an OCD and schizophrenia or any other psychotic disorder is of clinical importance, since the different diagnoses have different therapeutic as well as prognostic implications. In the following case report we describe a patient who suffered from a typical OCD for more than 18 years and then developed clear psychotic symptoms that completely remitted after treatment with citalopram.
References
- 1 Eisen J L, Beer D A, Pato M T, Venditto T A, Rasmussen S A. Obsessive-compulsive disorder in patients with schizophrenia or schizoaffective disorder. Am. J. Psychiatry. 1997; 154 (2) 271-3
- 2 Fabisch K, Fabisch H, Langs G, Huber H P, Zapotoczky H G. Incidence of obsessive-compulsive phenomena in the course of acute schizophrenia and schizoaffective disorder. Eur. Psychiatry. 2001; 16 (6) 336-41
- 3 Insel T R, Akiskal H S. Obsessive-compulsive disorder with psychotic features: a phenomenologic analysis. Am. J. Psychiatry. 1986; 143 (12) 1527-334
- 4 Marusic A, Farmer A. Antidepressant augmentation with low-dose olanzapine in obsessive-compulsive disorder. Br. J. Psychiatry. 2000; 177 567
- 5 Nechmad A, Ratzoni G, Poyurovsky M, Meged S, Avidan G, Fuchs C, Bloch Y, Weizman R. Obsessive-compulsive disorder in adolescent schizophrenia patients. Am. J. Psychiatry. 2003; 160 (5) 1002 - 4
- 6 O'Dwyer A M, Marks I. Obsessive-compulsive disorder and delusions revisited. Br. J. Psychiatry. 2000; 176 281-4
- 7 Poyurovsky M, Fuchs C, Weizman A. Obsessive-compulsive disorder in patients with first-episode schizophrenia. Am. J. Psychiatry. 1999; 156 (12) 1998-2000
- 8 Ruhrmann S, Schultze-Lutter F, Klosterkotter J. Early detection and intervention in the initial prodromal phase of schizophrenia. Pharmacopsychiatry. 2003; 36 Suppl 3 S162-7. Review
- 9 Solyom L, DiNicola V F, Phil M, Sookman D, Luchins D. Is there an obsessive psychosis? Aetiological and prognostic factors of an atypical form of obsessive-compulsive neurosis. Can. J. Psychiatry. 1985; 30 (5) 372-80
Dr. Marcus Sievers
AG Katamnese, Projektmanagement Kompetenznetze Schizophrenie/Depression
Psychiatrische Klinik der LMU München
Nussbaumstr. 7
80336 München
Deutschland/Germany
Telefon: 089-5160-5866
Fax: 089-5160-5875
eMail: Marcus.Sievers@med. uni-muenchen.de