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The overlap of obsessive-compulsive disorder and social phobia and its treatment

The overlap of obsessive-compulsive disorder and social phobia and its treatment
The overlap of obsessive-compulsive disorder and social phobia and its treatment
Both obsessive-compulsive disorder (OCD) and social phobia are common in community and clinical settings, and it should be expected that a proportion of patients with one of these conditions will also fulfill either current or lifetime criteria for the other condition. However, comorbid social phobia is more common among patients with a primary diagnosis of OCD than is comorbid OCD in patients with a primary diagnosis of social phobia. This article explores the extent of the association of OCD and social phobia in epidemiological studies, and examines the possible role of underlying depression and other disorders in mediating the appearance of the comorbid condition. Although there have been no published randomized controlled trials in patients with this particular pattern of co-morbidity, it seems sensible to adopt pharmacologic and psychologic treatment approaches which have been found efficacious in both OCD and social phobia. Pharmacologic management therefore centers on first-line treatment with a selective serotonin reuptake inhibitor. Psychologic intervention should draw on the range of cognitive and behavioral approaches required for optimal outcomes in OCD and social phobia, as discrete conditions
comorbidity, combined modality therapy, diagnosis, therapeutic use, humans, therapy, psychology, combination, depressive disorder, psychotropic drugs, drug therapy, phobic disorders, obsessive-compulsive disorder
1092-8529
47-53
Baldwin, D.S.
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Brandish, E.K.
b1929004-19c4-479b-8862-f194f2deb2f9
Meron, D.
65e463bd-1283-445f-ac48-dbde36e85415
Baldwin, D.S.
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Brandish, E.K.
b1929004-19c4-479b-8862-f194f2deb2f9
Meron, D.
65e463bd-1283-445f-ac48-dbde36e85415

Baldwin, D.S., Brandish, E.K. and Meron, D. (2008) The overlap of obsessive-compulsive disorder and social phobia and its treatment. CNS Spectrums, 13 (9 Suppl 14), 47-53.

Record type: Article

Abstract

Both obsessive-compulsive disorder (OCD) and social phobia are common in community and clinical settings, and it should be expected that a proportion of patients with one of these conditions will also fulfill either current or lifetime criteria for the other condition. However, comorbid social phobia is more common among patients with a primary diagnosis of OCD than is comorbid OCD in patients with a primary diagnosis of social phobia. This article explores the extent of the association of OCD and social phobia in epidemiological studies, and examines the possible role of underlying depression and other disorders in mediating the appearance of the comorbid condition. Although there have been no published randomized controlled trials in patients with this particular pattern of co-morbidity, it seems sensible to adopt pharmacologic and psychologic treatment approaches which have been found efficacious in both OCD and social phobia. Pharmacologic management therefore centers on first-line treatment with a selective serotonin reuptake inhibitor. Psychologic intervention should draw on the range of cognitive and behavioral approaches required for optimal outcomes in OCD and social phobia, as discrete conditions

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More information

Published date: September 2008
Keywords: comorbidity, combined modality therapy, diagnosis, therapeutic use, humans, therapy, psychology, combination, depressive disorder, psychotropic drugs, drug therapy, phobic disorders, obsessive-compulsive disorder

Identifiers

Local EPrints ID: 70079
URI: https://eprints.soton.ac.uk/id/eprint/70079
ISSN: 1092-8529
PURE UUID: d03263d1-8901-45f4-97ef-6c8c3203c164

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Date deposited: 05 Mar 2010
Last modified: 19 Jul 2017 00:04

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