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  Vol. 287 No. 8, February 27, 2002 TABLE OF CONTENTS
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  Clinical Crossroads Update
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A 45-Year-Old Woman With Obsessive-Compulsive Disorder, 1 Year Later

Richard A. Parker, MD; Erin E. Hartman, MS
From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2002;287:1037.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

At Psychiatry Grand Rounds in October 2000, Michael A. Jenike, MD, discussed a 45-year-old woman with obsessive-compulsive disorder (OCD).1 Mrs T described symptoms of OCD dating back to childhood. In her 20s she was hospitalized for depression, but no one diagnosed her OCD. In her 30s she recognized her own diagnosis while watching a television show about OCD. Subsequently, Mrs T benefited greatly from cognitive behavior therapy and medications. However, she had major difficulty tapering the use of paroxetine (75 mg/d), with fever, aches, and shaking for months. At the time of the conference, she was beginning to feel anxious and wondered if she needed to restart the medication.

Dr Jenike defined OCD and explained its relationship to depression and posttraumatic stress disorder. He described what is known about the genetic susceptibility and pathophysiology of OCD and explained the utilities and limitations . . . [Full Text of this Article]

MRS T, THE PATIENT







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