Treating a Case of First-Episode Psychosis to Uncover Undiagnosed Obsessive Compulsive Disorder: A Case Report

被引：0
|
作者：
Wazir, Larayeb [1 ]
Astacio, Dario A. [2 ]
Lind, Suzanne M. [3 ]
机构：
[1] Natl Univ Med Sci, Army Med Coll, Psychiat & Behav Sci, Rawalpindi, Pakistan
[2] St Marys Gen Hosp, Psychiat, Passaic, NJ USA
[3] St Marys Gen Hosp, Child & Adolescent Psychiat, Passaic, NJ USA
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 06期
关键词：
ocd/ anxiety disorders; suicide attempt; insight; first episode psychosis; obsessive compulsive disorders; POOR; SCHIZOPHRENIA; INSIGHT;
D O I：
10.7759/cureus.41184
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Obsessive-compulsive disorder (OCD) is a chronic psychiatric condition characterized by the presence of obsessions, compulsions, or both. Historically OCD was associated with good insight. However, there are more categories to the degrees of insight in OCD patients, namely good, fair, poor, absent, or delusional beliefs. It is also important to note that insight can fluctuate circumstantially. We describe a rare case of first-episode psychosis of undetermined cause presenting with suicidal ideation. After continued treatment, it was discovered to be previously undiagnosed OCD with poor insight.
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