Gadit Amin Muhammad, Smigas Thomas
Department of Psychiatry, Memorial University of Newfoundland, St John's, Canada.
BMJ Case Rep. 2012 Apr 4;2012:bcr0120125675. doi: 10.1136/bcr.01.2012.5675.
A man in his 60's was admitted following a serious suicide attempt secondary to severe obsession with bowel movements and severe depression. He had multiple previous admissions with similar presentations and responded partially to psychotropic medications. It was transpired that obsessive compulsive disorder preceded depression and being overwhelmed with this obsession related to bowel movement, he decided to end his life. Electro-convulsive therapy was commenced with good results. His obsessive-compulsive disorder came under control to a greater extent and there was an improvement in his mood.
一名60多岁的男子在因严重痴迷于排便和严重抑郁而试图自杀未遂后入院。他此前曾多次因类似症状入院,对精神药物治疗有部分反应。后来发现,强迫症先于抑郁症出现,由于被这种与排便有关的痴迷所困扰,他决定结束自己的生命。开始进行电休克治疗,效果良好。他的强迫症在很大程度上得到了控制,情绪也有所改善。