From the Lindner Center of HOPE and Lindner Center Professional Associates, Mason, Ohio, and the Department of Psychiatry, University of Cincinnati and University of Cincinnati Physicians, Cincinnati, Ohio.
J Clin Psychiatry. 2014 Jan;75(1):e02. doi: 10.4088/JCP.13023tx1c.
Patients with obsessive-compulsive disorder (OCD) often have comorbid psychiatric disorders, such as depression, bipolar disorder, psychotic disorders, and eating disorders, which present challenges to the treating physician. Symptoms of OCD may have an earlier onset and be more severe in patients with comorbid illnesses than in those with OCD alone. Both cognitive-behavioral therapy (using exposure and response/ritual prevention) and medication may be needed to treat patients with OCD and comorbid mood, psychotic, or eating disorders.
强迫症（OCD）患者常伴有精神科共病，如抑郁症、双相情感障碍、精神病性障碍和进食障碍，这给治疗医生带来了挑战。与单纯 OCD 患者相比，伴有共病的 OCD 患者的 OCD 症状可能更早出现且更严重。对于伴有情绪、精神病或进食障碍的 OCD 患者，可能需要同时采用认知行为疗法（使用暴露和反应/仪式预防）和药物治疗。
