NAVIGATING ATYPICAL OCD PRESENTATIONS: CASE REPORT ON COMPULSIONS WITHOUT OBSESSIONS
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Keywords
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Abstract
This case study delves into a patient's experience characterized by primary compulsions devoid of obsessions, challenging the traditional diagnostic model of obsessive-compulsive disorder (OCD) commonly accepted in clinical practice. By integrating the criteria outlined in the International Classification of Diseases 11th Revision (ICD-11) for OCD, this narrative underscores the importance of identifying compulsive behaviours motivated by a need for precision or a sense of fulfilment, even in the absence of accompanying obsessions. This refined perspective on diagnosis and management underscores the intricacies and clinical relevance of unconventional OCD presentations.
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2. ICD-11 for Mortality and Morbidity Statistics (ICD-11 MMS) 2022 version. World Health Organization. https://icd.who.int/browse11/l-m/en
3. LaPelusa, A., & Kentris, M. (2023, February 6). Muscular Dystrophy. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. [Updated 2023 Feb 6].
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5. De Vane CL, Clark J (2005) Fluvoxamine for obsessive-compulsive disorder in children and adolescents. Neuropsychopharmacol Rev 29:34–42. doi: 10.1038/sj.nppreview.6314040
6. Hezel, DM & Simpson, HB (2019). Exposure and response prevention for obsessive-compulsive disorder: A review and new directions. Journal of Clinical Psychology, 75(1), 1-25. doi: 10.1002/jclp.22774
7. Stein, D.J., Costa, D.L.C., Lochner, C., et al. (2019). Obsessive-compulsive disorder. Nature Reviews Disease Primers, 5(1), 52.