KMID : 0377819900100060672
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Diagnosis and Treatment 1990 Volume.10 No. 6 p.672 ~ p.678
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DIFFERENTIAL DIAGNOSIS AND TREATMENT AND TREATMENT OF OBSESSIVE COMPULSIVE DISORDER
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Abstract
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According to the diagnostic criteria of DSMIIl -R, obsessive compulsive disorder is delineated under the category of an anxiety disorder. It is a chronic,.but occasionally episodic, disorder in which the predominant feature is recurrent obsessions or compulsions, or both. Obsessions are persistent ideas, thoughts, images, or impulses that. are viewed at least initially by the subject as ego-alien. Compulsions are behaviors that are repetitive, purposeful, and intentional.
Authors have experienced a case of obsessive symptoms with concomitant depressive features, and entire history of clinical picture and hospital course of the case is illustrated. Discussion is made in view of differential diagnosis because its therapeutic implications may be crucial.
Because, although having obsessive symptoms, in atypical patient, it may not be symptoms of obsessive compulsive disorder, but be symptoms of ruminative depressives, schizophrenia, organic mental disorder, obsessive compulsive personality disorderetc, we again wish to stress upon the need of appropriate treatment through precise differential diagnosis.
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