Obsessive Compulsive Neurosis - Symptom, Treatment and cause of Obsessive Compulsive Neurosis
Obsessive Compulsive Neurosis DescriptionA form of neurosis (see separate entry) in which the patient has a totally irrational desire to undertake a repetitive task. Obsessive Compulsive Neurosis CauseMore common in women than in men and occasionally related to previous brain injury or infection (eg. encephalitis). Obsessive Compulsive Neurosis SymptomThe desire to perform a task constantly intrudes into the patient's thoughts, and even after completing the task, they feel that they must do it again and again. One of the most common desires is hand washing when patient cannot be convinced that his/her hands are clean, and must scrub them repeatedly, often to the point where serious dermatitis of the hands develops. Other repetitive desires include constantly checking that a tap is turned off, a door is closed, the fly is zipped up, a window is locked, or innumerable other similar routine tasks have been carried out. Compulsive exercise or running to the point of total exhaustion is another form of obsessive compulsive neurosis. The patient may feel that by performing the rituals, she will regain control of a personality and emotions that are felt to be out of control. The patient is well aware that the habit is abnormal, but is powerless to stop it. Another form is the body dismorphic disorder, in which the patient is obsessed with their appearance, and particularly their facial appearance, and constantly check in mirrors for any abnormality in the way they look. InvestigationNo diagnostic tests. Obsessive Compulsive Neurosis TreatmentPsychotherapy, behavioural therapy and medication (eg. antidepressants such as paroxetine, sertraline). ComplicationsMore frightening compulsions may occur such as the constant desire to hit or hurt someone else, to steal, to vandalise or to injure themselves in some way. In extreme cases, these desires may lead to criminal acts or suicide. Prognosis of Obsessive Compulsive NeurosisLong term treatment usually required. Control of symptoms only reasonable. |
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