Uncovering the Compulsion Behind Pica: A Case of Obsessive Compulsive Disorder and Geophagia: A Case Report

Manpreet Kaur Sidhu, Soumitra Ghosh, Kavery Bora, Aritra Mondal
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Abstract

The extended ingestion of nonfood substances like paper, ice, clay or soil – which is prohibited in some cultures – is known as pica. Pica – so named because of the magpie, which is known for consuming nonfood objects. Aristotle called this consumption of earthly things “Geophagia.” A 15-year-old displayed an obsession with consuming mud and wall paint. She has unsettling, intrusive thoughts about this behavior. She was diagnosed with obsessive-compulsive disorder (OCD) with good insight with Pica, and she improved favorably to cognitive behavioral treatment and fluoxetine. Pica can manifest within the OCD spectrum and is frequently associated with nutritional deficits and stress. This example demonstrates effective selective serotonin reuptake inhibitor (SSRI) treatment, confirming earlier research. Even if pica’s etiology and treatment plans are still unknown, it is possible to classify pica as OCD in those cases where there is no developmental impairment.
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揭开皮卡背后的强迫症:一例强迫症和食土症病例:病例报告
长时间摄入纸张、冰块、粘土或泥土等非食物物质--在某些文化中是被禁止的--被称为 "皮卡"。Pica--因喜鹊而得名,喜鹊以食用非食物物品而闻名。亚里士多德称这种对尘世事物的消费为 "Geophagia"。一个 15 岁的孩子痴迷于吃泥巴和墙漆。她对这种行为有着令人不安的、侵入性的想法。她被诊断为强迫症(OCD),对 Pica 有很好的洞察力,认知行为治疗和氟西汀对她的病情有很好的改善。Pica 可在强迫症谱系中表现出来,并且经常与营养不良和压力有关。这个例子证明了选择性血清素再摄取抑制剂(SSRI)治疗的有效性,证实了之前的研究。即使目前尚不清楚皮卡病的病因和治疗方案,在没有发育障碍的情况下,也可以将皮卡病归类为强迫症。
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