Lin Si-Si, Gao Jing-Fang
Department of Psychiatry and Psychology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310000, Zhejiang Province, China.
Department of Psychiatry and Psychology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310000, Zhejiang Province,
World J Clin Cases. 2022 Apr 6;10(10):3261-3267. doi: 10.12998/wjcc.v10.i10.3261.
Obsessive-compulsive disorder (OCD) is a common mental disorder that varies greatly in manifestation and causes much distress to individuals. We describe a case in which a Chinese woman with OCD became delusional after childbirth, and discuss the possible phenomenological and psychological alterations.
A 27-year-old woman presented to the Psychiatry Department of our hospital with obsessions and compulsions. After taking medication, her symptoms were alleviated. Three years later, during her pregnancy, the obsessions returned and even progressed into paranoid delusions after childbirth. After multiple adjustments of treatment along with several fluctuations, she finally achieved remission and gained reasonable insight.
This case suggests that the patient with OCD appeared to move along a continuum of beliefs, and highlights the importance of effective intervention during pregnancy, which would exert a significant impact on postpartum exacerbation outcomes.
强迫症（OCD）是一种常见的精神障碍，其表现形式差异很大，给个体带来很大痛苦。我们描述了一例患有强迫症的中国女性产后出现妄想的病例，并讨论了可能的现象学和心理变化。
一名27岁女性因强迫观念和强迫行为就诊于我院精神科。服药后症状缓解。三年后，她怀孕时强迫观念复发，产后甚至发展为偏执妄想。经过多次治疗调整以及病情的几次波动，她最终病情缓解并获得了合理的自知力。
该病例表明强迫症患者似乎沿着一系列信念发展，强调了孕期有效干预的重要性，这对产后病情加重的结果会产生重大影响。
