Obsessive-compulsive disorder natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Abhishek Reddy
Overview
The course of obsessive compulsive disorder is difficult to predict, and minimal research has been done on it. However, it is known that stress exacerbates the symptoms of OCD, and if left untreated, OCD often develops into a chronic condition.[1]
Natural History
- OCD tends to have a waxing and waning course. The fact that many individuals do not seek treatment may be due in part to stigma associated with OCD, and because sufferers of OCD do not realize that what they are suffering from is OCD, mainly because the typical depiction of the disorder in the media and elsewhere only covers a few of the many symptoms of OCD.
Natural History in Cases with History of an Anxiety Disorder in Addition to OCD
- Sufferers of OCD who are married often have an increased likelihood of recovering from OCD due to the protective nature of the individual's spouse in which the spouse provides support and assistance in addressing symptoms that aide remission.[2][3][4]
- Those with more severe OCD have been found to often be less likely to remit from the disorder.[5]
Complications
- Complications that obsessive-compulsive disorder may cause or be associated with include[6]:
- Health issues such as contact dermatitis due to frequent hand-washing
- Inability to attend work, school or social activities
- Troubled relationships
- Overall poor quality of life
- Suicidal thoughts and behavior
- Anxiety disorders
- Eating disorders
- Alcohol or substance abuse
Prognosis
Cognitive behavioral therapy, behavioral therapy as well as pharmacological treatment is usually the best way to reduce the symptoms of OCD. Anxiety and stress management help in reducing OCD symptoms since OCD symptoms are related to stress.
References
- ↑ What causes OCD
- ↑ Eisen JL, Goodman WK, Keller MB, Warshaw MG, DeMarco LM, Luce DD; et al. (1999). "Patterns of remission and relapse in obsessive-compulsive disorder: a 2-year prospective study". J Clin Psychiatry. 60 (5): 346–51, quiz 352. PMID 10362449.
- ↑ Steketee G, Eisen J, Dyck I, Warshaw M, Rasmussen S (1999). "Predictors of course in obsessive-compulsive disorder". Psychiatry Res. 89 (3): 229–38. PMID 10708269.
- ↑ Boschen MJ, Drummond LM, Pillay A, Morton K (2010). "Predicting outcome of treatment for severe, treatment resistant OCD in inpatient and community settings". J Behav Ther Exp Psychiatry. 41 (2): 90–5. doi:10.1016/j.jbtep.2009.10.006. PMID 19926074.
- ↑ Catapano F, Perris F, Masella M, Rossano F, Cigliano M, Magliano L; et al. (2006). "Obsessive-compulsive disorder: a 3-year prospective follow-up study of patients treated with serotonin reuptake inhibitors OCD follow-up study". J Psychiatr Res. 40 (6): 502–10. doi:10.1016/j.jpsychires.2005.04.010. PMID 16904424.
- ↑ OCD complications