A Case of Cachexia Secondary to Obsessive-Compulsive Disorder
Obsessive-compulsive disorder (OCD), a relatively common psychiatric illness, is diagnosed using DSM-V criteria. Its severity is assessed using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Symptoms are broken down into five categories of obsessive-compulsive (O-C) manifestations: contaminatio...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2020/5783191 |
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| author | Hailey L. Gosnell Anita S. Kablinger |
| author_facet | Hailey L. Gosnell Anita S. Kablinger |
| author_sort | Hailey L. Gosnell |
| collection | DOAJ |
| description | Obsessive-compulsive disorder (OCD), a relatively common psychiatric illness, is diagnosed using DSM-V criteria. Its severity is assessed using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Symptoms are broken down into five categories of obsessive-compulsive (O-C) manifestations: contamination/cleaning, symmetry/ordering, taboo thoughts, doubt about harm/checking, and worry about throwing away items that could prove useful or valuable/hoarding. CBT in the form of exposure response therapy (ERP) and/or SSRI/clomipramine administration is the mainstay of treatment. We present a unique OCD case in the nature of obsessions and compulsions, cachexia presentation without anorexia, and history of multiple inpatient psychiatric admissions. Our patient’s obsessions focus on eating at specific times, prompting compulsive eating patterns that often result in starvation due to missing timeframes that the patient deems acceptable for eating. His resulting cachexia and eventual worsening of depression to the point of suicidality necessitated multiple inpatient stays and placement at a long-term mental health care facility. |
| format | Article |
| id | doaj-art-54307a55c63c4c6bbd105e60093485fc |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-54307a55c63c4c6bbd105e60093485fc2025-02-03T01:04:59ZengWileyCase Reports in Psychiatry2090-682X2090-68382020-01-01202010.1155/2020/57831915783191A Case of Cachexia Secondary to Obsessive-Compulsive DisorderHailey L. Gosnell0Anita S. Kablinger1School of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA, USACarilion Department of Psychiatry and Behavioral Medicine, Roanoke, VA, USAObsessive-compulsive disorder (OCD), a relatively common psychiatric illness, is diagnosed using DSM-V criteria. Its severity is assessed using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Symptoms are broken down into five categories of obsessive-compulsive (O-C) manifestations: contamination/cleaning, symmetry/ordering, taboo thoughts, doubt about harm/checking, and worry about throwing away items that could prove useful or valuable/hoarding. CBT in the form of exposure response therapy (ERP) and/or SSRI/clomipramine administration is the mainstay of treatment. We present a unique OCD case in the nature of obsessions and compulsions, cachexia presentation without anorexia, and history of multiple inpatient psychiatric admissions. Our patient’s obsessions focus on eating at specific times, prompting compulsive eating patterns that often result in starvation due to missing timeframes that the patient deems acceptable for eating. His resulting cachexia and eventual worsening of depression to the point of suicidality necessitated multiple inpatient stays and placement at a long-term mental health care facility.http://dx.doi.org/10.1155/2020/5783191 |
| spellingShingle | Hailey L. Gosnell Anita S. Kablinger A Case of Cachexia Secondary to Obsessive-Compulsive Disorder Case Reports in Psychiatry |
| title | A Case of Cachexia Secondary to Obsessive-Compulsive Disorder |
| title_full | A Case of Cachexia Secondary to Obsessive-Compulsive Disorder |
| title_fullStr | A Case of Cachexia Secondary to Obsessive-Compulsive Disorder |
| title_full_unstemmed | A Case of Cachexia Secondary to Obsessive-Compulsive Disorder |
| title_short | A Case of Cachexia Secondary to Obsessive-Compulsive Disorder |
| title_sort | case of cachexia secondary to obsessive compulsive disorder |
| url | http://dx.doi.org/10.1155/2020/5783191 |
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