Cargando…

Use of aripiprazole in an obsessive compulsive disorder case with associated motor tics

INTRODUCTION: Obsessive compulsive disorder (OCD) is a pathology represented by thoughts, images, impulses or feelings that generate great anxiety and discomfort, as well as the development of compulsive acts and rituals that cause great dysfunction. The comorbidity of different psychiatric disorder...

Descripción completa

Detalles Bibliográficos
Autores principales: Alvarado Dafonte, A., Valverde Barea, M., Solis, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568263/
http://dx.doi.org/10.1192/j.eurpsy.2022.1649
_version_ 1784809604945805312
author Alvarado Dafonte, A.
Valverde Barea, M.
Solis, M.
author_facet Alvarado Dafonte, A.
Valverde Barea, M.
Solis, M.
author_sort Alvarado Dafonte, A.
collection PubMed
description INTRODUCTION: Obsessive compulsive disorder (OCD) is a pathology represented by thoughts, images, impulses or feelings that generate great anxiety and discomfort, as well as the development of compulsive acts and rituals that cause great dysfunction. The comorbidity of different psychiatric disorders with OCD is known, such as impulse control disorder and tic disorder. OBJECTIVES: The objective of this study is to describe the clinical characteristics, comorbidities and the treatment used in a patient with an OCD diagnosis and motor tics. METHODS: Description of a clinical case of motor tics associated with OCD in an adult patient. RESULTS: A 29-year-old man begins mental health follow-up for presenting, as a result of a choking episode, obsessive thoughts with significant emotional and behavioral repercussions, to the point of restricting his diet and losing several kilos of weight. He also manifested checks and rituals in order to avoid possible choking.Treatment with sertraline and clonazepam was started, without evidence of improvement in symptoms. Months later, bucolingual and guttural tics, difficult to control by the patient and which caused bite lesions in the mouth and tongue, were added to the described clinic. Oral aripiprazole was associated to the treatment and then prolonged- release intramuscular administration was used, achieving improvement in obsessive symptoms and motor tics. CONCLUSIONS: The usefulness of adjuvant treatment with atypical antipsychotics has been demonstrated in adults with OCD who present an insufficient response to an SSRI. Injectable prolonged-release antipsychotics can help improve long-term prognosis by ensuring adherence. DISCLOSURE: No significant relationships.
format Online
Article
Text
id pubmed-9568263
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Cambridge University Press
record_format MEDLINE/PubMed
spelling pubmed-95682632022-10-17 Use of aripiprazole in an obsessive compulsive disorder case with associated motor tics Alvarado Dafonte, A. Valverde Barea, M. Solis, M. Eur Psychiatry Abstract INTRODUCTION: Obsessive compulsive disorder (OCD) is a pathology represented by thoughts, images, impulses or feelings that generate great anxiety and discomfort, as well as the development of compulsive acts and rituals that cause great dysfunction. The comorbidity of different psychiatric disorders with OCD is known, such as impulse control disorder and tic disorder. OBJECTIVES: The objective of this study is to describe the clinical characteristics, comorbidities and the treatment used in a patient with an OCD diagnosis and motor tics. METHODS: Description of a clinical case of motor tics associated with OCD in an adult patient. RESULTS: A 29-year-old man begins mental health follow-up for presenting, as a result of a choking episode, obsessive thoughts with significant emotional and behavioral repercussions, to the point of restricting his diet and losing several kilos of weight. He also manifested checks and rituals in order to avoid possible choking.Treatment with sertraline and clonazepam was started, without evidence of improvement in symptoms. Months later, bucolingual and guttural tics, difficult to control by the patient and which caused bite lesions in the mouth and tongue, were added to the described clinic. Oral aripiprazole was associated to the treatment and then prolonged- release intramuscular administration was used, achieving improvement in obsessive symptoms and motor tics. CONCLUSIONS: The usefulness of adjuvant treatment with atypical antipsychotics has been demonstrated in adults with OCD who present an insufficient response to an SSRI. Injectable prolonged-release antipsychotics can help improve long-term prognosis by ensuring adherence. DISCLOSURE: No significant relationships. Cambridge University Press 2022-09-01 /pmc/articles/PMC9568263/ http://dx.doi.org/10.1192/j.eurpsy.2022.1649 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Alvarado Dafonte, A.
Valverde Barea, M.
Solis, M.
Use of aripiprazole in an obsessive compulsive disorder case with associated motor tics
title Use of aripiprazole in an obsessive compulsive disorder case with associated motor tics
title_full Use of aripiprazole in an obsessive compulsive disorder case with associated motor tics
title_fullStr Use of aripiprazole in an obsessive compulsive disorder case with associated motor tics
title_full_unstemmed Use of aripiprazole in an obsessive compulsive disorder case with associated motor tics
title_short Use of aripiprazole in an obsessive compulsive disorder case with associated motor tics
title_sort use of aripiprazole in an obsessive compulsive disorder case with associated motor tics
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568263/
http://dx.doi.org/10.1192/j.eurpsy.2022.1649
work_keys_str_mv AT alvaradodafontea useofaripiprazoleinanobsessivecompulsivedisordercasewithassociatedmotortics
AT valverdebaream useofaripiprazoleinanobsessivecompulsivedisordercasewithassociatedmotortics
AT solism useofaripiprazoleinanobsessivecompulsivedisordercasewithassociatedmotortics