Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • obsessions
  • compulsions
  • schizotypal personality disorder
  • tic disorder
  • poor motor coordination
  • sensory perceptual difficulties
  • difficulties in sequencing of complex motor tasks

Risk factors

  • FHx of OCD
  • PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection)
  • pregnancy
  • male gender (earlier onset, more chronic course, treatment resistance)
  • higher frequency of compulsions (treatment resistance)
  • early age of onset (treatment resistance)
  • previous hospitalizations for OCD (treatment resistance)
  • schizotypal personality disorder (treatment resistance)
  • tic disorder (treatment resistance)
  • specific or diffuse brain structural abnormalities (treatment resistance)

Diagnostic investigations

Investigations to consider

  • structured clinical interview for the DSM (SCID)
  • Yale-Brown Obsessive-Compulsive Scale
  • clinical global impression (CGI)
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Phillip J. Seibell

OCD and Anxiety Psychiatry of Westchester, P.C.

Hawthorne

NY

Disclosures

PJS has received honoraria from Slack, Inc., for guest editing an issue on OCD. He will receive honoraria for guest editing a similar issue in 2017. PJS has received honoraria and travel expenses from the Nevada Psychiatric Association for presenting a talk on The Psychopharmacology of OCD and Hoarding Disorder.

Stefano Pallanti

Professor of Psychiatry

Institute of Neuroscience

Florence

Italy

Disclosures

SP declares that he has no competing interests. SP is an author of several references cited in this monograph.

Silvia Bernardi

Project Manager

New York State Psychiatric Institute

Columbia University

New York

NY

Disclosures

SB receives research sponsorship from NYSPI, APA, and the Brain & Behavior Research Foundation. SB is also a board member of the New York council on Problem Gambling. SB is an author of a reference cited in this monograph.

Megan Hughes-Feltenberger

Assistant Professor of Psychology in Psychiatry

Assistant Director of Education for Psychology

Weill Cornell Medical College

Assistant Attending Psychologist

NewYork-Presbyterian Hospital

New York

NY

Disclosures

MHF declares that she has no competing interests.

Eric Hollander

Clinical Professor of Psychiatry and Behavioral Sciences

Director

Compulsive, Impulsive and Autism Spectrum Disorder Program

Albert Einstein College of Medicine

Montefiore Medical Center

New York

NY

Disclosures

EH receives a research grant from Brainsway. EH is an author of several references cited in this monograph.

The authors would like to gratefully acknowledge Dr Ashley Braun, a previous contributor to this monograph. AB declares that she has no competing interests.

Peer reviewers VIEW ALL

Psychiatrist

Department and Institute of Psychiatry

Clinical Hospital

University of Sao Paulo Medical School

Sao Paulo

Brazil

Disclosures

JBD declares that she has no competing interests.

Specialist Registrar in Forensic Psychiatry and Honorary Research Worker

National OCD Service

Queen Elizabeth II Hospital

Welwyn Garden City

Forensic Psychiatrist

West London Mental Health NHS Trust

London

UK

Disclosures

AN declares that he has no competing interests.

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