Clinical guide to obsessive compulsive and related disorders
PrefaceONE OVERViEW AND EVALUATiON IntroductionOverview of Obsessive Compulsive DisorderOverview of Related DisordersEpidemiology and EtiologyDiagnosis and Co-morbidityTreatmentKey ReferencesEvaluation and Treatment PlanningGeneral Aspects of an EvaluationSuicide RiskOCD Patient InterviewContent of the ObsessionsDetails about OCDDifferentiating Obsessions in OCD from Other ConditionsSeverity of the OCD SymptomsStandardized InstrumentsDiagnostic instrumentsSeverity instrumentsFamily EvaluationMedical EvaluationMedical Work-UpTreatment PlanningTherapy and/or MedicationTreatment Planning for Co-occurring DisordersSevere OCD CasesKey ReferencesTWO OBSESSiVE COMPULSIVE AND RELATED DISORDERS Obsessive Compulsive DisorderClinical DescriptionDiagnosisClinical FeaturesHow OCD Differs from Normal Behaviorvarious Forms of oCDCo-morbidityCourse and PrognosisDifferential DiagnosisMonitoring TreatmentTreatmentPharmacotherapyIndications/Efficacyinitiation/Ongoing TreatmentRisks/Side Effectsaugmentation of SRIsOther MonotherapiesPsychotherapyTreatment of Common Co-morbid DisordersClinical Pearls for Obsessive Compulsive DisorderKey ReferencesHoardingClinical DescriptionDiagnosisCo-morbidityCourse and PrognosisDifferential DiagnosisMonitoring TreatmentTreatmentPharmacotherapyIndications/Efficacyinitiation/Ongoing Treatmentrisks/Side EffectsPsychotherapyTreatment Choice and sequencing of TreatmentClinical Pearls for HoardingKey ReferencesBody Dysmorphic DisorderClinical DescriptionDifferentiating Body Dysmorphic Disorder from "Normal" Appearance ConcernsDiagnosisScalesQuestions to Ask Patients:Co-morbidity and Sequencing TreatmentCourse and PrognosisDifferential Diagnosis (or, When Is It Really BDD?)TreatmentPsychotherapyPharmacotherapyRisks/Side EffectsTreatment Choice and Sequencing of TreatmentDermatologic ConsultationClinical Pearls for Body Dysmorphic DisorderKey ReferencesIllness Anxiety Disorder (Hypochondriasis)Clinical DescriptionEncourage Psychiatric ConsultationDiagnosisCo-morbidityCourse and PrognosisDifferential Diagnosis (or, When Is It Really Hypochondriasis?)TreatmentPharmacotherapyPsychotherapyTreatment Choice and sequencing of TreatmentClinical Pearls for Illness Anxiety Disorder (Hypochondriasis)Key ReferencesTrichotillomania (Hair Pulling Disorder)Clinical DescriptionDiagnosis of TrichotillomaniaScalesDifferential Diagnosis (or, When Is It Really Hair Pulling Disorder?)Co-morbidity and Sequencing TreatmentCourse and PrognosisTreatmentPharmacotherapyIndications/Efficacyinitiation/ongoing treatmentRisks/Side EffectsPsychotherapyCognitive Restructuringdialectical behavior therapy-Enhanced Habit reversal therapyTreatment Choice and Sequencing of TreatmentConsultation with Other DisciplinesClinical Pearls for TrichotillomaniaKey ReferencesExcoriation (Skin Picking) DisorderClinical DescriptionDiagnosis of Excoriation (Skin picking) DisorderScalesDifferential Diagnosis (or, When Is It Really Excoriation Disorder?)Co-morbidity and Sequencing TreatmentCourse and PrognosisTreatmentPhysical and Dermatological ExaminationPsychotherapyPharmacotherapyinitiation/ongoing TreatmentRisks/Side EffectsTreatment Choice and Sequencing of TreatmentConsultation with Other DisciplinesClinical Pearls for Excoriation (Skin Picking) DisorderKey ReferencesTic DisordersClinical DescriptionDiagnosisCo-morbidityCourse and PrognosisDifferential Diagnosis (or, When Is a Tic Not a Tic?)Monitoring TreatmentTreatmentPharmacotherapyIndications/Efficacyinitiation/Ongoing TreatmentRisks/Side EffectsPsychotherapytreatment Choice and Sequencing of treatmentClinical Pearls for Tic DisordersKey ReferencesTHREE SPECIAL CLiNICAL CONSIDERATIONSSpecial Issues in TreatmentTreatment Resistant CasesSpecial Issues in Detection and Treatment of Childhood DisordersChildren and AdolescentsAssessmentDiagnosisTreatmentKey ReferencesAlternative TreatmentsWho Are These Treatments For?Supplements/All-Natural TreatmentsBorage (Echium amoenum)GlycineinositolMilk Thistle (Silybum marianum)N-acetylcysteine (NAC)Valerian Root (Valeriana officinalis L)Other TreatmentsAcupunctureExerciseHypnosisYogaInitiation and Ongoing TreatmentRisks and Side EffectsClinical Pearls for Alternative TreatmentsHospitalization, Day Treatments, and Residential TreatmentsHospitalizationDay Theatments/Partial Hospitalizationsintensive Residential treatment (IRT)Day, Partial, and Residential ProgramsKey ReferencesNeurosurgery for Obsessive Compulsive DisorderEthical issuesStereotactic AblationAnterior CingulotomyCapsulotomySubcaudate TractotomyLimbic LeukotomyOutcomes after AblationKey ReferencesSpecial Clinical CircumstancesObsessive Compulsive Disorder and Substance AddictionClinical Aspects of Co-morbid Substance Addictionscreening oCD Patients for substance addictionsScreening Patients with Substance Addiction for oCDTreatmentMedication optionsRecommendationsKey ReferencesObsessive Compulsive Symptoms in Developmentally Disabled IndividualsOverviewDiagnosisDifferential DiagnosisTreatmentClinical Pearls for OCD in Developmentally Disabled IndividualsObsessive Compulsive Disorder with Poor InsightHow Does This Differ from Delusions?How to Assess insight?why Care about insight?treatment of Poor insight?Pharmacologic TreatmentPsychotherapy TreatmentPANDAS/PANSClinical PresentationEating Disorder SymptomsOther SymptomsDiagnosisCriterion DescriptionDiagnostic issuesDiagnostic TestsDifferential DiagnosisTreatment strategiesStandard OCD TreatmentKey References
