Author(s)

John E. Berg, Jorid Grimeland

Faculty of Health Sciences, Oslo and Akershus University College, Oslo, Norway.

Obsessive-compulsive disorder (OCD) may mimic other minor and major psychiatric disorders or symptoms. Psychomotor disturbances may also be seen in OCD. Symptoms and complaints could be misinterpreted. Differential diagnostic assessments would be difficult either if the person has OCD or another diagnostic entity with OCD related symptoms. If clinicians in residential or outpatient settings do not realize this, the patients may suffer from inadvertent pharmacological treatment efforts, to no avail. A representative case of the former is presented. Withdrawal of all psychotropic medications cold turkey did not increase symptom load during the following weeks, indicating little benefit from medications. Because of continued complaints from the patient, psychotropic medications were gradually reintroduced, without any improvement. OCD patients may not be helped by extensive use of psychotropics and doctors responsible for them should employ other methods of reducing OCD symptoms than lumping together diverse psychotropics. There is evidence for the value of intensive cognitive behaviour therapy, but also for addressing the social conditions of the patients.

Obsessive-Compulsive Disorder; Medication; Ward Atmosphere

Berg, J. and Grimeland, J. (2012) Obsessive-compulsive disorder in disguise—Case report. Open Journal of Psychiatry, 2, 204-206. doi: 10.4236/ojpsych.2012.23026.