Substance or medication-induced obsessive-compulsive disorder: Difference between revisions
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{{ | {{Obsessive-compulsive disorder}} | ||
{{CMG}} {{AE}} {{KS}} | {{CMG}}; {{AE}} {{Sonya}}, {{KS}} | ||
==Overview== | ==Overview== | ||
According to the [[DSM]]-V, substance/medication-induced obsessive-compulsive or related disorder is diagnosed in patients with obsessions and [[compulsion]]s characteristic of OCD, but that develop during or after substance [[intoxication]] or [[withdrawal]] or after exposure to medications. | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 9: | Line 9: | ||
*[[OCD|Obsessive-compulsive]] and related disorder (i.e., not induced by a substance) | *[[OCD|Obsessive-compulsive]] and related disorder (i.e., not induced by a substance) | ||
*[[OCD|Obsessive-compulsive]] and related disorder due to another medical condition | *[[OCD|Obsessive-compulsive]] and related disorder due to another medical condition | ||
*Substance | *Substance [[intoxication]]<ref name="DSMV">{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
===DSM-V Diagnostic Criteria for Substance/Medication-Induced Obsessive-Compulsive and Related Disorder <ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ===DSM-V Diagnostic Criteria for Substance/Medication-Induced Obsessive-Compulsive and Related Disorder <ref name="DSMV">{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ||
{{cquote| | {{cquote| | ||
*A.[[OCD|Obsessions]], compulsions, [[skin picking]], [[Trichotillomania|hair pulling]], other body-focused repetitive behaviors,or other symptoms characteristic of the [[OCD|obsessive-compulsive]] and related disorders predominate in the clinical picture. | *A. [[OCD|Obsessions]], compulsions, [[skin picking]], [[Trichotillomania|hair pulling]], other body-focused repetitive behaviors,or other symptoms characteristic of the [[OCD|obsessive-compulsive]] and related disorders predominate in the clinical picture. | ||
'''''AND''''' | '''''AND''''' | ||
*B.There is evidence from the history, physical examination, or laboratory findings of both (1)and (2): | *B. There is evidence from the history, physical examination, or laboratory findings of both (1)and (2): | ||
:*1.The symptoms in Criterion A developed during or soon after substance intoxication or withdrawal or after exposure to a medication. | :*1. The symptoms in Criterion A developed during or soon after substance intoxication or withdrawal or after exposure to a medication. | ||
:*2.The involved substance/medication is capable of producing the symptoms in Criterion A. | :*2. The involved substance/medication is capable of producing the [[symptoms]] in Criterion A. | ||
'''''AND''''' | '''''AND''''' | ||
*C.The disturbance is not better explained by an [[OCD|obsessive-compulsive]] and related disorder that is not substance/medication-induced. Such evidence of an independent [[OCD|obsessive-compulsive]] and related disorder could include the following: | *C. The disturbance is not better explained by an [[OCD|obsessive-compulsive]] and related disorder that is not substance/medication-induced. Such evidence of an independent [[OCD|obsessive-compulsive]] and related disorder could include the following: | ||
:*The symptoms precede the onset of the substance/medication use; the symptoms persist for a substantial period of time (e.g., about 1 month) after the cessation of acute | :*The [[symptoms]] precede the onset of the substance/medication use; the [[symptoms]] persist for a substantial period of time (e.g., about 1 month) after the cessation of acute [[withdrawal]] or severe [[intoxication]]; or there is other evidence suggesting the existence of an independent non-substance/medication-induced [[OCD|obsessive-compulsive]] and related disorder (e.g., a history of recurrent non-substance/medication related episodes). | ||
withdrawal or severe intoxication; or there is other evidence suggesting the existence of an independent non-substance/medication-induced [[OCD|obsessive-compulsive]] and related disorder (e.g., a history of recurrent non-substance/medication related episodes). | |||
'''''AND''''' | '''''AND''''' | ||
*D.The disturbance does not occur exclusively during the course of a [[delirium]]. | *D. The disturbance does not occur exclusively during the course of a [[delirium]]. | ||
'''''AND''''' | '''''AND''''' | ||
*E.The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. | *E. The disturbance causes clinically significant [[distress]] or impairment in social, occupational, or other important areas of functioning. | ||
<SMALL>''Note:This diagnosis should be made in addition to a diagnosis of substance intoxication or substance withdrawal only when the symptoms in Criterion A predominate in the clinical picture and are sufficiently severe to warrant clinical attention .''</SMALL> | <SMALL>''Note: This diagnosis should be made in addition to a diagnosis of substance [[intoxication]] or substance [[withdrawal]] only when the [[symptoms]] in Criterion A predominate in the clinical picture and are sufficiently severe to warrant clinical attention.''</SMALL> | ||
}} | }} | ||
Latest revision as of 17:38, 30 August 2018
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Obsessive-compulsive disorder Microchapters |
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Differentiating Obsessive-Compulsive Disorder from other Diseases |
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Obsessive-Compulsive Disorder due to Another Medical Condition |
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Diagnosis |
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Treatment |
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Substance or medication-induced obsessive-compulsive disorder On the Web |
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Directions to Hospitals Treating Obsessive-compulsive disorder |
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Risk calculators and risk factors for Substance or medication-induced obsessive-compulsive disorder |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sonya Gelfand, Kiran Singh, M.D. [2]
Overview
According to the DSM-V, substance/medication-induced obsessive-compulsive or related disorder is diagnosed in patients with obsessions and compulsions characteristic of OCD, but that develop during or after substance intoxication or withdrawal or after exposure to medications.
Differential Diagnosis
- Delirium
- Obsessive-compulsive and related disorder (i.e., not induced by a substance)
- Obsessive-compulsive and related disorder due to another medical condition
- Substance intoxication[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Substance/Medication-Induced Obsessive-Compulsive and Related Disorder [1]
| “ |
AND
AND
AND
AND
Note: This diagnosis should be made in addition to a diagnosis of substance intoxication or substance withdrawal only when the symptoms in Criterion A predominate in the clinical picture and are sufficiently severe to warrant clinical attention. |
” |
References
- ↑ 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.