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

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,...

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Autores principales: Wazir, Larayeb, Astacio, Dario A, Lind, Suzanne M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Psychiatry
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387219/
https://www.ncbi.nlm.nih.gov/pubmed/37525787
http://dx.doi.org/10.7759/cureus.41184
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author Wazir, Larayeb
Astacio, Dario A
Lind, Suzanne M
author_facet Wazir, Larayeb
Astacio, Dario A
Lind, Suzanne M
author_sort Wazir, Larayeb
collection PubMed
description 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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spelling pubmed-103872192023-07-31 Treating a Case of First-Episode Psychosis to Uncover Undiagnosed Obsessive Compulsive Disorder: A Case Report Wazir, Larayeb Astacio, Dario A Lind, Suzanne M Cureus Psychiatry 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.  Cureus 2023-06-30 /pmc/articles/PMC10387219/ /pubmed/37525787 http://dx.doi.org/10.7759/cureus.41184 Text en Copyright © 2023, Wazir et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Psychiatry
Wazir, Larayeb
Astacio, Dario A
Lind, Suzanne M
Treating a Case of First-Episode Psychosis to Uncover Undiagnosed Obsessive Compulsive Disorder: A Case Report
title Treating a Case of First-Episode Psychosis to Uncover Undiagnosed Obsessive Compulsive Disorder: A Case Report
title_full Treating a Case of First-Episode Psychosis to Uncover Undiagnosed Obsessive Compulsive Disorder: A Case Report
title_fullStr Treating a Case of First-Episode Psychosis to Uncover Undiagnosed Obsessive Compulsive Disorder: A Case Report
title_full_unstemmed Treating a Case of First-Episode Psychosis to Uncover Undiagnosed Obsessive Compulsive Disorder: A Case Report
title_short Treating a Case of First-Episode Psychosis to Uncover Undiagnosed Obsessive Compulsive Disorder: A Case Report
title_sort treating a case of first-episode psychosis to uncover undiagnosed obsessive compulsive disorder: a case report
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387219/
https://www.ncbi.nlm.nih.gov/pubmed/37525787
http://dx.doi.org/10.7759/cureus.41184
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