Wazir Larayeb, Astacio Dario A, Lind Suzanne M
Psychiatry and Behavioral Sciences, Army Medical College, National University of Medical Sciences, Rawalpindi, PAK.
Psychiatry, St. Mary's General Hospital, Passiac, USA.
Cureus. 2023 Jun 30;15(6):e41184. doi: 10.7759/cureus.41184. eCollection 2023 Jun.
Obsessive-compulsive disorder (OCD) is a chronic psychiatric condition characterized by the presence of obsessions, compulsions, or both. Historically OCD was associated with good insight. However, there are more categories to the degrees of insight in OCD patients, namely good, fair, poor, absent, or delusional beliefs. It is also important to note that insight can fluctuate circumstantially. We describe a rare case of first-episode psychosis of undetermined cause presenting with suicidal ideation. After continued treatment, it was discovered to be previously undiagnosed OCD with poor insight.
强迫症（OCD）是一种慢性精神疾病，其特征是存在强迫观念、强迫行为或两者皆有。从历史上看，强迫症与良好的自知力有关。然而，强迫症患者的自知力程度有更多类别，即良好、尚可、差、缺失或妄想信念。还需要注意的是，自知力可能会因情况而波动。我们描述了一例病因不明的首发精神病性障碍病例，该患者伴有自杀观念。经过持续治疗后，发现其为先前未被诊断出的自知力差的强迫症。
