Presented is the case of a 75-year-old woman with obsessive compulsive disorder with an unusual age of onset at age 72 years. The patient was resistant to various treatments, but responded to lithium augmentation of fluoxetine. KEY woms-Obsessive compulsive disorder, geriatrics, pharmacotherapy.
Behaviour Therapy for Obsessive Compulsive Disorder in a 78-Year-Old Woman
✍ Scribed by CATRIONA COLVIN; STEPHEN J. A. BODDINGTON
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 104 KB
- Volume
- 12
- Category
- Article
- ISSN
- 0885-6230
No coin nor oath required. For personal study only.
✦ Synopsis
Objective. To describe a case of late onset obsessive compulsive disorder (OCD) and determine the impact of a behavioural intervention on OCD symptoms.
Design. A single case design was undertaken in which the severity of the patient's OCD symptoms was measured before and after treatment.
Setting. The intervention was undertaken in the patient's home.
Patient. A 78-year-old woman with a history of depression who experienced sudden onset and rapid escalation of OCD following a domestic accident.
Intervention. A behavioural procedure involving continuous in vivo exposure and response prevention over an 8-hour period.
Measures. The Y-BOCS self-rating scale (Yale Brown Obsessive Compulsive Scale) and clinical observation.
Results. Y-BOCS score improved from 35 prior to treatment to 12 post treatment (mean for OCD population 25X1; SD 6, . Improvement was maintained at 2 months follow-up (Y-BOCS 11). Improvements in confusion and agitation were also observed.
Conclusions. This case study supports the use of behavioural interventions for elderly patients suering from OCD. Risk factors and treatment designs are discussed in view of the literature.
📜 SIMILAR VOLUMES
## Abstract This is a commentary on a Cochrane review, published in this issue of EBCH, first published as: O'Kearney RT, Anstey KJ, von Sanden C. Behavioural and cognitive behavioural therapy for obsessive compulsive disorder in children and adolescents. __Cochrane Database of Systematic Reviews__