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A 45-Year-Old Woman With Obsessive-Compulsive Disorder
Michael A. Jenike, MD, Discussant
JAMA. 2001;285:2121-2128.
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INTRODUCTION
DR PARKER: Mrs T is a 45-year-old woman who has obsessive-compulsive disorder (OCD). Though currently disabled secondary to her OCD, she decided to discontinue all psychiatric medications because of adverse effects. She is married with a healthy teenaged daughter. Her commercial insurance has completely covered her extensive outpatient and inpatient therapies.
Although Mrs T did not know it then, in retrospect, she sees clues of OCD in her childhood behaviors. She recalls spending hours at the age of 5 years counting the sides of squares on her bedroom wallpaper. When she was 9 years old, her house was robbed, triggering rituals such as checking under the beds and inspecting closets around the house. Mrs T recalled that these actions seemed to reassure her that no one in her family would get hurt. A few years later, graphic antismoking commercials increased her anxiety that her father, . . . [Full Text of this Article]
MRS T: HER VIEW
AT THE CROSSROADS: QUESTIONS FOR DR JENIKE
Differential Diagnosis How Are OCD and Depression Related? How Are OCD and PTSD Related? Pathophysiology Genetic Susceptibility Treatment Strategies and Prognosis Antiobsessional Medications Cognitive Behavior Therapy Neurosurgery Conclusion
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Jenike is Professor of Psychiatry, Harvard Medical School; Associate Chief of Psychiatry, Massachusetts General Hospital, Boston; and Director of the OCD Institute at McLean Hospital, Belmont, Mass.
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April 25, 2001
JAMA. 2001;285(16):2141-2142.
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