A Rare Presentation of a Case of Obsessive-compulsive Disorder Comorbid with Bipolar Affective Disorder

Chandran, Nimmy; Parmar, Arpit; Deb, Koushik Sinha

doi:10.4103/0253-7176.219655

Indian Journal of Psychological Medicine

2017

DOI: 10.4103/0253-7176.219655

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A Rare Presentation of a Case of Obsessive-compulsive Disorder Comorbid with Bipolar Affective Disorder

Nimmy Chandran¹,

Arpit Parmar²,

Koushik Sinha Deb³

Abstract: Obsessive–compulsive disorder (OCD) is a chronic illness with waxing and waning course. OCD is not uncommonly found to be comorbid with bipolar affective disorder (BPAD). The course and prognosis of OCD have distinctive features in such cases. Only rarely symptoms of OCD emerge during mania in such individuals. We hereby report a very unusual case of OCD comorbid with BPAD in which obsession and compulsion symptoms occurred only during manic episodes with complete remission during periods between manic episode… Show more

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Cited by 2 publications

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Clinical description of rare phenomenology of obsessive–Compulsive disorder

Prasad¹,

Manna²

2022

Indian Journal of Social Psychiatry

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Obsessive–compulsive disorder (OCD) is marked by intrusive thoughts, images, and impulses which are recurrent in nature, disturbing, and senseless. Typical anxiety provoking and distressing themes of the disorder include various forms such as repeated unwanted ideas, repeated urge of hurting to self, fear of contamination, aggressive impulses, sexual thoughts, guilt, and repetitive behaviors to relieve that anxiety in the form of repetitive cleaning, checking, arranging, etc., Here, we tried to describe a phenotypically different and rare form of OCD through a case of a 51-year old lady who had an obsessional fear of her own shadow.

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Clinical description of rare phenomenology of obsessive–Compulsive disorder

Prasad¹,

Manna²

2022

Indian Journal of Social Psychiatry

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Population-based affective-disorder-related biomedical/biophysical multi-hyper-morbidity across the lifespan: A 16-year population study

Cawthorpe¹,

Cohen²

2023

World J Psychiatry

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A condition of exposure to multiple stressors resulting in a mixed clinical picture spanning conventional categories without meeting any of them in full, encompasses a risk for a list of comorbidities preventing appropriate prevention and treatment. New transformative transdiagnostic approaches suggest changes spanning conventional categories. They base their systems of classification on biomarkers as well as on brain structural and functional dysregulation as associated with behavioral and emotional symptoms. These new approaches received critiques for not being specific enough and for suggesting a few biomarkers for psychopathology as a whole. Therefore, they put the value of differential diagnosis at risk of avoiding appropriate derived prevention and treatment. Multiplicity of stressors has been considered mostly during and following catastrophes, without considering the resulting mixed clinical picture and life event concomitant stressors. We herewith suggest a new category within the conventional classification systems: The Complex Stress Reaction Syndrome, for a condition of multiplicity of stressors, which showed a mixed clinical picture for daily life in the post coronavirus disease 2019 era, in the general population. We argue that this condition may be relevant to daily, regular life, across the lifespan, and beyond conditions of catastrophes. We further argue that this condition may worsen without professional care and it may develop into a severe mental health disorder, more costly to health systems and the suffering individuals. Means for derived prevention and treatment are discussed.

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A Rare Presentation of a Case of Obsessive-compulsive Disorder Comorbid with Bipolar Affective Disorder

Cited by 2 publications

References 6 publications

Clinical description of rare phenomenology of obsessive–Compulsive disorder

Clinical description of rare phenomenology of obsessive–Compulsive disorder

Population-based affective-disorder-related biomedical/biophysical multi-hyper-morbidity across the lifespan: A 16-year population study

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