[Intensive exposure treatment for obsessive compulsive disorder in old age.]

Q4 Medicine Tijdschrift voor psychiatrie Pub Date : 2024-01-01
M G Guineau, R C Oude Voshaar, G-J Hendriks
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引用次数: 0

Abstract

The absence of treatment studies for obsessive compulsive disorder (OCD) in older adults and the fact that OCD typically starts at a young age and often follows a chronic, fluctuating course quickly leads to therapeutic nihilism for older adults with OCD. In this case report, we present a 72-year-old man with OCD symptoms from the age of 35, who has only been treated with medication and psychotherapy for a recurrent depressive disorder. After a short, intensive exposure and response prevention treatment (four days in two weeks), the OCD symptoms and the depressive symptoms were fully in remission and all medications (venlafaxine, olanzapine, depakine) were discontinued. Treatment gains were maintained with persistent remission until 18 months follow up. This case report shows that a comorbid depressive disorder may lead to undertreatment of OCD. It also shows that long standing OCD can be successfully treated in older adults.

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[老年强迫症强化暴露疗法]
由于缺乏针对老年人强迫症(OCD)的治疗研究,而且强迫症通常从年轻时就开始发作,病程通常呈慢性、波动性,这很快导致了对患有强迫症的老年人的治疗虚无主义。在本病例报告中,我们介绍了一位 72 岁的男性患者,他从 35 岁开始就有强迫症症状,只是因为反复出现抑郁障碍而接受过药物和心理治疗。经过短期强化暴露和反应预防治疗(两周内四天)后,强迫症状和抑郁症状完全缓解,并停用了所有药物(文拉法辛、奥氮平、地帕金)。治疗效果持续缓解,直至 18 个月的随访。本病例报告表明,合并抑郁障碍可能会导致强迫症治疗不足。它还表明,长期存在的强迫症可以在老年人中得到成功治疗。
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来源期刊
Tijdschrift voor psychiatrie
Tijdschrift voor psychiatrie Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
118
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