Thursday, April 14, 2011

Two third of cases improve within a year through obsessive compulsive disorder treatments

TREATMENTS OF OBSESSIVE COMPULSIVE DISORDERS

PSYCHOLOGICAL TREATMENT

A behavior therapy that is particularly trenchant for rituals is response prevention.Patients are taught not to carry out their rituals. There is an initial rise in painfulness but with persistence both the rituals and the painfulness diminish.Patients are pleased to execute response prevention, while backward to situations that ordinarily make them worse.

MODELLING involves the therapist demonstrating to the enduring what is required and hortative the enduring to study this warning .In the case of hand-washing rituals this might involve retentive an allegedly septic goal and carriying out other activities without washing the enduring being pleased to study suit.

THOUGHT STOPPING can reduce obsessional ruminations.The enduring is taught to arrest the obsessional intellection by arranging a sudden intrusion ( e.g.snapping an elastic adornment ,clicking the fingers )

COGNITIVE BEHAVIOR therapy allows these techniques as behavioral experiments along with the identification and hard of the illness-maintaining schema.



PHYSICAL TREATMENT          



ANXIOLYTIC drugs provide short-term characteristic relief for resistless anxiousness on a short-term basis.

SEROTONIN REUPTAKE INHIBITORS are the important stay of drug treatment.Their efficacy is independent of their antidepressent action .Clomippramine is the tricyclic most commonly utilised in the UK.Specific side-effects include significant quake and postural hypotension.

SELECTIVE SEROTININ REUPTAKE INHIBITORS hit been show to be trenchant in reducing obsessive compulsive disorder symptoms, but the doses required are usually some 50-100% higher than those trenchant in depression.Three months treatment with high doses may be necessary for a positive response .Positive corelations. between reduced severity of obsessive compulsive disorder and decreased orbitofrontal and caudate metastasis following behavioral and SSRI treatment hit been demonstrated in a number of studies

PSYCHOSURGERY is very occasionally recommended in cases of chronic and nonindulgent obsessive compulsive disorder that has not responded to other treatments. The development of stereotactic techniques has led to the equal of the earlier,crude leucotomies with more precise preoperative intervention such as subcaudate tractomy and cingulotomy,with small metal radioactive implants,which induce lesions in the cingulate Atlantic or yhe ventromedial quadrant of yhe adornment lobe.Psychosurgery is now performed only in a few doc centres in the UK, and formal and careful consent requirements are ordered down in the pertinent noetic upbeat act.

PROGNOSIS

Two thirds of cases improve within a year .The remainder run a fluctuating or persistent course.The prognosis is worse when the personality is anankastic and the obsessive compulsive disorder is primary and severe.


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1 comment:

  1. And I heard about this hypnosis thing when it comes to compulsive disorder treatment. Have you tried or heard about it as well?

    ReplyDelete