THE INTERFACE BETWEEN OBSESSIVE COMPULSIVE SYMPTOMS AND PSYCHOSIS
Journal Title: The Odisha Journal of Psychiatry - Year 2017, Vol 24, Issue 2
Abstract
The complex relationship between obsessive compulsive symptoms and psychosis has been observed long before. The overlap of the two disorders in terms of course, anatomical abnormality and treatment response has been found quite striking. Obsessive Compulsive symptoms are preceded or succeeded by psychosis is still a matter of debate. However, evidences are enough to suggest that both the disorders have an intertwined etiology and influence each other drastically. It is often difficult for the mental health professionals to dissect the exact symptomatology to differentiate between psychosis and obsession. Insight plays a vital role in determining the psychopathology in both the disorders and current nosology has given a separate specifier for it. Hoarding is emerged as a new entity in DSM V as it is a long standing confusion for the researchers whether to classify it into obsessive symptoms or psychotic symptoms. Treatment modality also varies when one of the disorders is complicated by another. Clinicians have faced tough challenges while dealing with both the disorders simultaneously.As the obsessive compulsive symptoms modify the course of the psychotic disorder, it also has an implication on the prognosis of the illness. The management of the illness is a balance between a pleasurable outcome and risk of exacerbating the symptoms.
Authors and Affiliations
Dr Surjeet Sahoo, Dr Soumya Ranjan Dash
Keywords
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