Pharmacopsychiatry 2005; 38(2): 104-105
DOI: 10.1055/s-2005-837814
Letter
© Georg Thieme Verlag KG Stuttgart · New York

Obsessive-compulsive Disorder (OCD) with Psychotic Symptoms and Response to Treatment with SSRI

A Case ReportM. Sievers1 , T. Sato1 , H.-J. Möller1 , R. Bottlender1
  • 1AG Katamnese - Projektmanagement Kompetenznetze Schizophrenie/Depression, Psychiatrische Klinik der LMU München, München, Germany
Further Information

Publication History

Received: 26.3.2004 Revised: 26.7.2004

Accepted: 31.8.2004

Publication Date:
02 March 2005 (online)

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

Phone: 089-5160-5866

Fax: 089-5160-5875

Email: Marcus.Sievers@med. uni-muenchen.de