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Journals / Nöropsikiyatri Arşivi / 2011 / Cilt: 48 - Sayı: 3

An adolescent with obsessive-compulsive disorder with poor ınsight who was cured by using aripiprazole and literature review

Aripiprazol ile iyileşen “iç görüşü kısıtlı” obsesif kompulsif bozukluk tanılı bir ergen ve literatürün gözden geçirilmesi

Aynur AKAY PEKCANLAR
Sevay CENGİZHAN
Berna Binnur AKDEDE KIVIRCIK
Pages
215–220
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Based on this case,we aim to discuss the diagnosis, differential diagnosis and treatment of OCD with poor insight and to share the data on the prognosis in our patient. (Archives of Neuropsychiatry 2011; 48: 215-20)

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Obsessive compulsive disorder (OCD) with poor insight is one of the most severe disorders of OCD spectrum and has a poor prognosis.
📊
Key Findings & Data:In this article, we aim to discuss a 15-year-old male adolescent who was suspected to have OCD with poor insight and had overvalued ideas and had responded poorly to SSRI and CBT treatments.
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Conclusion & Impact:Based on this case,we aim to discuss the diagnosis, differential diagnosis and treatment of OCD with poor insight and to share the data on the prognosis in our patient. (Archives of Neuropsychiatry 2011; 48: 215-20)
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Abstract

Obsessive compulsive disorder (OCD) with poor insight is one of the most severe disorders of OCD spectrum and has a poor prognosis. Compared with other OC spectrum disorders, it has different prognosis and treatment response. There are several studies suggesting augmentation of selective serotonin reuptake inhibitor (SSRI) treatment and cognitive behavioral therapy (CBT) with atypical antipsychotics due to poor response to standard OCD treatment in this subgroup. In this article, we aim to discuss a 15-year-old male adolescent who was suspected to have OCD with poor insight and had overvalued ideas and had responded poorly to SSRI and CBT treatments. After we added aripiprazole to SSRI, his symptoms totally disappeared and the former functioning was achieved. Based on this case,we aim to discuss the diagnosis, differential diagnosis and treatment of OCD with poor insight and to share the data on the prognosis in our patient. (Archives of Neuropsychiatry 2011; 48: 215-20)

Özet

“İç görüşü kısıtlı” Obsesif Kompulsif Bozukluk (OKB) tanımı, OKB spektrumunda en ağır gidiş ve sonlanım ile karakterize, daha karmaşık bir klinik seyir gösteren, standart farmakolojik ve bilişsel davranışçı tedavilere kötü yanıt veren ve daha kötü prognoz ile ilişkilendirilen bir grup hastayı kapsamaktadır. Standart OKB tedavisine yanıtın bu alt grupta kısıtlı olması nedeniyle SSRI tedavisinin bir atipik antipsikotik eklenmesini öneren yayınlar bulunmaktadır. Bu makalede belirtileri başladıktan 3 yıl sonra, belirtilerinin ağırlaşması nedeniyle polikliniğimize başvuran “iç görüşü kısıtlı OKB” tanısı düşünülen, aşırı değerlenmiş düşünceleri bulunan 15 yaşında bir erkek ergen, standart BDT ve farmakolojik tedavilerden yanıt alınamaması üzerine SSRI tedavisine aripiprazol eklenmesi sonrası belirtilerinin kaybolması ve eski işlevselliğine geri dönmesi nedeniyle ele alınmıştır. Olgu temelinde tanı, ayırıcı tanı ve tedavi ile ilgili bilgiler değerlendirilmiş, olgunun klinik seyrine dair veriler paylaşılmıştır. (Nöropsikiyatri Arşivi 2011; 48: 215-20)

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Cite This Article

PEKCANLAR, A. A., CENGİZHAN, S., KIVIRCIK, B. B. A. (2011). An adolescent with obsessive-compulsive disorder with poor ınsight who was cured by using aripiprazole and literature review. Nöropsikiyatri Arşivi, Cilt: 48 - Sayı: 3, 215–220. https://ajindex.com/articles/294421

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