Obsessive-compulsive disorder (OCD), which is characterized by distressing intrusive thoughts and repetitive, time-consuming, task-oriented actions intended to counter these thoughts and reduce anxiety, represents a serious psychiatric condition and cause of disability worldwide. This book consists of five chapters that provide details on the effects of OCD and strategies for reducing its negative impact. Chapter One provides a general overview of OCD, including its neurochemical basis and treatment approaches. Chapter Two explores some of the nuisances present in working with individuals with OCD within the context of obsessive and compulsive content that may require additive elements to be considered in treatment. Chapter Three discusses the diagnostic criteria, clinical aspects, and current treatment approaches of pediatric acute-onset neuropsychiatric syndrome and pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections. Chapter Four describes the effects of the pandemic on children and adolescents with OCD. Lastly, Chapter Five explains the role that religion takes in certain presentations of OCD and informs clinicians how to differentiate between standard religious practices and compulsive behaviors.
Author(s): Jeffrey L. Nelson
Series: Psychiatry - Theory, Applications and Treatments
Publisher: Nova Science Publishers
Year: 2022
Language: English
Pages: 154
City: New York
Contents
Preface
Chapter 1
Obsessive-Compulsive Disorder: A General Overview
Abstract
Abbreviations
Introduction
Epidemiology
Symptoms and Clinical Manifestations
Diagnosis and Classification
Differential Diagnosis
Comorbidity
Psychiatric Comorbidity
Neurological Comorbidity
Immunological and Inflammatory Comorbidities
Other Comorbidities
Neuroanatomy
Neurochemistry
Neurogenetics
Treatment
Pharmacotherapy
Selective Serotonin Reuptake Inhibitors (SSRIs)
Clomipramine
Serotonin–Norepinephrine Reuptake Inhibitors (SNRIs)
Refractory OCD
Glutamatergic Agents: The NMDA Receptor
Other Medications
Psychotherapy
Deep TMS for Treatment-Resistant OCD
Neurosurgery
Stereotactic Ablation
Deep Brain Stimulation
Conclusion
References
Biographical Sketches
Chapter 2
Relevant Mechanisms in Treating Obsessive-Compulsive Disorder: The Case for Domain-Specific Relevance with Scrupulosity and Other Forms of Obsessions and Compulsions
Abstract
Introduction
A Highly Efficacious Treatment
Challenges in the Treatment of OCD
Reasons behind the Heterogeneity
Mechanisms of Action
Cognitive and Experiential Mechanisms: Religiosity as an Example
The Role of Trauma and Other Psychological Constructs in the Etiology of OCD
Implementation Within a Treatment Context
Working with Religiosity
Cultural Humility in Examining Cognitive Mechanisms of Action
Trauma and OCD
Values as They Relate to Obsessive Content
Emotional Change Processes
Conclusion
References
Chapter 3
Acute-Onset Subtypes of Pediatric Obsessive-Compulsive Disorder: Pediatric Acute-Onset Neuropsychiatric Syndrome and Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections
Abstract
Introduction
Diagnostic Criteria
Pathophysiology
Clinical Aspects
Treatment
Antimicrobials and Secondary Prophylaxis
Immunomodulatory Therapies
Psychoactive Drugs and CBT
Conclusion
References
Chapter 4
The Effects of COVID-19 Pandemic on Children and Adolescents with Obsessive-Compulsive Disorder
Abstract
Introduction
Effects of COVID-19 Pandemic on Children and Adolescents
Effects of COVID-19 Pandemic on Children and Adolescents with OCD
Conclusion
References
Chapter 5
A Review of Considerations in Assessing and Treating Religious-Themed Obsessions
Abstract
Introduction
Understanding OCD and Scrupulosity
A Review of Research: Prevalence and Presentation
Assessment and Intervention Implications
Assessment
Intervention
Case Example
Conclusion
References
Index
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