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Obsessive Compulsive Disorder Subclassification Based on Psychiatric Comorbidities

Purpose: To classify a patient with obsessive-compulsive disorder using the subclassification of Nestadt et al.

Description

Nestadt et al divided patients with obsessive-compulsive disorder (OCD) based on psychiatric comorbidities. The authors are from the Johns Hopkins University, Brown University, Columbia University, University of California Los Angeles, Massachusetts General Hospital and National Institute of Mental Health (NIMH).


 

Patient selection: obsessive-compulsive disorder

 

Comorbid psychiatric disorders:

(1) generalized anxiety disorder (GAD)

(2) major depression

(3) panic disorder

(4) separation anxiety disorder

(5) tics

(6) mania

(7) somatization disorders

(8) grooming disorder (trichotillomania, skin picking)

Subcategories

Features

simplex (low comorbidity)

no or limited comorbidity, with major depression the most frequent additional disorder

tic-related

intermediate comorbidity, tics prominent, usually male, high conscientiousness

affective (high comorbidity

affective disorders (anxiety and depression), usually female, low conscientiousness, taboo thoughts, hoarding, ordering

 


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Specialty

Objective

ICD-10