处理一名头部受伤后出现强迫症的患者所面临的挑战

IF 0.2 Q4 PSYCHIATRY
Chandrima Naskar, Surabhi Gupta, Swapnajeet Sahoo, A. Mehra, Sandeep Grover
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引用次数: 0

摘要

在一部分患者中,强迫症(OCD)与头部受伤等器质性病变有关。一般来说,对强迫症患者进行非药物干预和药物干预的疗效和有效性评估的不同研究都排除了与器质性疾病相关的强迫症患者。因此,有关这些患者在治疗过程中面临的困难的信息很少。在本报告中,我们介绍了一名在头部受伤后出现强迫症的年轻男性患者,由于其洞察力差并伴有认知障碍,我们无法按照建议对其实施暴露和反应预防疗法(ERP)。我们采用心理教育、ERP、正强化和支持疗法相结合的方法对患者进行管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges in management of a patient presenting with obsessive–Compulsive disorder after head injury
In a subgroup of patients, obsessive–compulsive disorder (OCD) is associated with organic conditions such as head injury. In general, different studies evaluating the efficacy and effectiveness of nonpharmacological and pharmacological interventions in patients with OCD exclude patients with OCD associated with organic conditions. Hence, there is little information about the difficulties faced in managing these patients. In this report, we present a young male who presented with OCD after the head injury, in whom it was not possible to carry out exposure and response prevention (ERP) therapy, as recommended due to the poor insight and associated cognitive impairment. We managed the patient with a combination of psychoeducation, ERP, using positive reinforcement and supportive therapy.
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来源期刊
自引率
25.00%
发文量
38
审稿时长
23 weeks
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