Lewis Angela, Stokes Caroline, Heyman Isobel, Turner Cynthia, Krebs Georgina
South London and Maudsley NHS Foundation Trust, London, UK.
Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Bull Menninger Clin. 2020 Winter;84(1):3-20. doi: 10.1521/bumc_2019_83_06. Epub 2019 Aug 5.
It is not uncommon for patients with obsessive-compulsive disorder (OCD) to present with symptoms that suggest possible risk. This can include apparent risk, which reflects the content of obsessional fears, and genuine risk arising as the unintended consequence of compulsive behaviors. In both situations, risk can cause confusion in relation to diagnosis and treatment. The current article adds to the small existing literature on risk in OCD by presenting case examples illustrating different types of risk in the context of pediatric OCD, along with a discussion of their implications for management. The cases highlight that it is crucial that risk in OCD is considered carefully within the context of the phenomenology of the disorder. Guidance is offered to support clinical decision making and treatment planning.
强迫症（OCD）患者出现提示可能存在风险的症状并不罕见。这可能包括明显风险，它反映了强迫性恐惧的内容，以及作为强迫行为意外后果而产生的真正风险。在这两种情况下，风险都可能导致诊断和治疗方面的困惑。本文通过呈现案例示例，阐述了小儿强迫症背景下不同类型的风险，并讨论了它们对管理的影响，从而补充了现有的关于强迫症风险的少量文献。这些案例强调，在该疾病的现象学背景下仔细考虑强迫症中的风险至关重要。本文提供了指导意见，以支持临床决策和治疗规划。
