Wilhelm Sabine, Tolin David F, Steketee Gail
Department of Psychiatry, Massachusetts General Hospital, Building 149, 13th Street, Charlestown, MA 02129, USA.
J Clin Psychol. 2004 Nov;60(11):1127-32. doi: 10.1002/jclp.20077.
This issue of In Session is devoted to challenges in the treatment of obsessive-compulsive disorder (OCD). The remarkable diversity of symptoms and the comorbidity in OCD pose substantial challenges to practitioners seeking to treat this disorder. After briefly reviewing the clinical features of OCD and its typical treatment, we provide brief descriptions of the six articles this issue comprises. Articles focus on the treatment of OCD with comorbid depression, compulsive hoarding, incompleteness, and repugnant obsessions, and on treatment of children who have OCD. The final article describes pharmacotherapy for OCD. All articles feature case vignettes and provide practitioners with clinical recommendations.
本期《治疗进行时》专注于强迫症(OCD)治疗中的挑战。强迫症症状的显著多样性以及共病情况给试图治疗该疾病的从业者带来了巨大挑战。在简要回顾强迫症的临床特征及其典型治疗方法后,我们对本期包含的六篇文章进行简要介绍。文章聚焦于伴有共病抑郁、强迫性囤积、未完成感和令人厌恶的强迫观念的强迫症治疗,以及儿童强迫症的治疗。最后一篇文章描述了强迫症的药物治疗。所有文章均配有病例 vignettes,并为从业者提供临床建议。