An Adolescent with Obsessive-Compulsive Disorder with Poor Insight who was Cured by Using Aripiprazole and Literature Review

AKAY A., Cengizhan S., AKDEDE B. B.

NOROPSIKIYATRI ARSIVI-ARCHIVES OF NEUROPSYCHIATRY, cilt.48, sa.3, ss.215-220, 2011 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 48 Sayı: 3
  • Basım Tarihi: 2011
  • Doi Numarası: 10.4274/npa.y5713
  • Dergi Adı: NOROPSIKIYATRI ARSIVI-ARCHIVES OF NEUROPSYCHIATRY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.215-220
  • Anahtar Kelimeler: OCD with poor insight, aripiprazole, differential diagnosis, adolescent, atypical antipsychotics, SEROTONIN REUPTAKE INHIBITORS, PLACEBO-CONTROLLED TRIAL, DOUBLE-BLIND, RISPERIDONE AUGMENTATION, PERSONALITY-DISORDERS, TREATMENT RESPONSE, OVERVALUED IDEAS, SCHIZOPHRENIA, QUETIAPINE, VALIDITY
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

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 DC 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)