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  Obsessive compulsive disorder

Obsessive-compulsive disorder (OCD) is a psychiatric, anxiety disorder manifested in a variety of forms. The most common characteristics of obsessive-compulsive disorder is a combination of a subject's obsessive thoughts further described as repetitive, distressing or intrusive thoughts and its related compulsions such as tasks or rituals which attempt to neutralize the obsessions.

Obsessive compulsive disorder
Obsessive compulsive disorder


A more precise definition of obsessions are : First, a repetitive and persistent thoughts, impulses, or images experienced, at some time during the mental disturbance, as intrusive and not appropriate which can cause marked anxiety or distress to the patient. Secondly, these repetitive thoughts, impulses, or images are not simply excessive worries about real life problems. Third, the person attempts to ignore such thoughts, impulses, or images, by trying to neutralize them with some other thoughts or actions. Lastly, the patient is aware and realizes that thoughts of obsessions, impulses, or images are only products of his or her own mind.

The meaning of compulsions may include: recurrent behaviors or mental acts that the person feels driven to perform as a response to an obsession, or according to a set of rules that must be strictly applied; the behaviors or mental acts are aimed to prevent or reduce distress or to prevent some dreaded event or situation. However, these behaviors or mental acts either are not connected in a realistic way with what they are supposed to neutralize or prevent or are clearly excessive. Symptoms of obsessive-compulsive disorder may include some, all or perhaps none of the following: repeated hand-washing; specific counting systems (e.g. counting in groups of three or four, arrangement of objects, or grouping objects in odd/even numbered groups, etc.); alignment of objects at complete, absolute right angles perfectly etc.; “canceling out" of bad thoughts with good thoughts; presence of fear of contamination, an example is fear of the presence of bodily secretions such as urine, stool, saliva, sweat, tears or mucus; some obsessive-compulsive disorder sufferers fear that even the soap they are using is contaminated; a need to feel that both sides of the body are even (e.g. an obsessive-compulsive disorder (OCD) sufferer may feel very uncomfortable if one hand gets wet and the other is not). The treatment for obsessive-compulsive disorder (OCD) includes Behavioral therapy (BT), Cognitive therapy (CT), psychiatric medications, or any combination of the three. Psychotherapy can also be helpful in some cases, although is not considered to be one of the leading treatments. According to the Expert Consensus Guidelines for the Treatment of Obsessive-Compulsive Disorder (Journal of Clinical Psychiatry, 1995, Vol. 54, supplement 4), the fist line of choice in the treatment for most obsessive-compulsive disorder (OCD) sufferers is behavior therapy (BT) or cognitive behavior therapy.

Among the pharmacologic treatments, the following may be employed: selective serotonin reuptake inhibitors (SSRIs) such as paroxetine (Paxil, Aropax), sertraline (Zoloft), fluoxetine (Prozac), and fluvoxamine (Luvox) ; tricyclic antidepressants (TCAs), specifically clomipramine (Anafranil).

The selective serotonin reuptake inhibitors or SSRIs work by preventing excess serotonin from being pumped back into the neuron of origin that released it. Instead, the serotonin that has been released can then bind to the receptor sites of nearby neurons and send chemical signals that can help regulate the excessive anxiety and obsessive-compulsive thoughts. Though SSRIs seem to be the most effective drug treatments for OCD and can help about 60% of OCD patients, but still these drugs do not cure Obsessive-Compulsive Disorder (Barlow & Durand, 2006). Other adjunct medications like gabapentin (Neurontin), lamotrigine (Lamictal), and the newer atypical antipsychotics olanzapine (Zyprexa) and risperidone (Risperdal) have also been found to be useful in the treatment of obsessive-compulsive disorder (OCD).

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Paxil tablets

Paxil

Paxil is used to treat mental depression, obsessive-compulsive disorder, panic disorder, generalized anxiety disorder, social anxiety disorder, premenstrual dysphoric disorder (PMDD), and posttraumatic stress disorder (PTSD). more...

Fluoxetine

Fluoxetine

Fluoxetine is used as treatment for major depressive disorder, treatment of binge-eating and vomiting in patients with moderate-to-severe bulimia nervosa; obsessive-compulsive disorder (OCD); premenstrual dysphoric disorder (PMDD); panic disorder with or more...

Zoloft tablets

Zoloft

Zoloft, sometimes called Sertraline, is used to treat mental depression, obsessive-compulsive disorder, panic disorder, premenstrual dysphoric disorder, posttraumatic stress disorder, and social anxiety disorder. Zocor belongs to a group of medicines kno more...

Sertraline

Sertraline

Sertraline is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Sertraline affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms. more...

Prozac tablets

Prozac

Prozac, also called Fluoxetine, is used to treat mental depression. It is also used to treat obsessive-compulsive disorder, bulimia nervosa, and premenstrual dysphoric disorder (PMDD). Prozac belongs to a group of medicines known as Selective Serotonin more...

Paxil CR

Paxil CR

Paxil CR is the brand name for the medication paroxetine. Other brand name packagings of parozetine are Paxil and Pexeva. This medication is an antidepressant of the group referred to as selective serotonin reuptake inhibitors (SSRIs). Paxil CR impact more...

Paroxetine pills

Paroxetine

Paroxetine belongs to the family of antidepressants known as SSRI. Selective Serotonin Reuptake Inhibitors encourage proper communication in the brain’s chemical make up by producing more serotonin and creating a stronger signal to the brain’s receptors. more...

Amitriptyline tablets

Amitriptyline

Amitriptyline, also called Elavil, is a Tricyclic Antidepressant used to relieve mental depression. It is also an anitbulimic, an antienuretic, an antineuralgic, and an antiulcer agent. Be sure to tell your doctor of any allergies you have whether it i more...

Elavil

Elavil

Elavil is the brand name for the generic drug amitriptyline. Other brand names for this medication are Endep and Vanatrip. Elavil is a tricylic antidepressant. Elavil affects chemicals in the brain that can become unbalanced and cause depression. more...

Clomipramine

Clomipramine

As with all tricyclic antidepressants, Clomipramine carries a wide range of side effects and potential drug interactions. Patients are encouraged to notify their doctor of all related side effects they experience as well as discuss even subtle chan more...


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