Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Department of Psychiatry, Post Graduate Institute of Medical Education & Research Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Asian J Psychiatr. 2018 Dec;38:9-11. doi: 10.1016/j.ajp.2018.10.013. Epub 2018 Oct 11.
Management of obsessive compulsive disorder (OCD) remains a challenge, particularly in individuals having co-existing psychotic symptoms. Even in patients with schizophrenia having a fair to good response in psychotic symptoms, these obsessive-compulsive symptoms defy response to antipsychotic and anti-obsessive pharmaco-therapeutic approach to a great extent. Recently developed neuromodulation techniques such as transcranial direct current stimulation (tDCS) can serve a viable and effective approach to manage such cases. The present paper documents the first utilization of tDCS (cathode: supplementary motor area; anode: right occipital cortex) as an add-on approach to pharmacotherapy to manage co-morbid OCD in a case of chronic schizophrenia.
强迫症（OCD）的治疗仍然是一个挑战，尤其是对于同时存在精神病症状的患者。即使在精神分裂症患者中，精神病症状得到了较好的反应，这些强迫症状在很大程度上也无法对抗抗精神病药物和抗强迫药物治疗。最近开发的神经调节技术，如经颅直流电刺激（tDCS），可以作为一种可行且有效的方法来治疗此类病例。本文记录了首例将 tDCS（阴极：辅助运动区；阳极：右枕叶皮层）作为一种附加治疗方法，用于治疗慢性精神分裂症合并强迫症的病例。
