Obsessive Compulsive Disorder in a 4-Year-Old Child

Kulkarni, Harish; Sudarshan, C Y

doi:10.4103/0253-7176.155647

Cited by 4 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are only a few cases of preschool-onset OCD, as early as age 2, that report successful treatment; however, follow-up in these cases was too short (up to 6 months) to conclude any remission, considering the high persistence, high recurrence, and low complete remission rates of OCD. 12 , 17 – 21 , 37 – 39 Notably, all cases reported continued pharmacotherapy (fluoxetine or escitalopram) till the last follow-up, except for one case with a very short duration of illness (only 2 months), which possibly represents a transient anxiety symptom rather than OCD. 17 , 40 In the current case, we did a 3-year follow-up after the completion of treatment, which was long enough to assess clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Preschool-onset obsessive-compulsive disorder with complete remission

Miyawaki¹,

Goto²,

Iwakura³

et al. 2018

NDT

View full text Add to dashboard Cite

Early-onset obsessive-compulsive disorder (OCD) is more severe than later-onset OCD. There are no reports of any early-onset OCD patients being cured, especially with respect to preschoolers. In this case report, we describe the successful treatment and cure of a 6-year-old preschool girl with severe OCD since the age of 3. At the age of 3, the patient began to fear contamination and danger to herself and her family, leading to excessive hand-washing, and several months later, ritualized checking. The OCD symptoms waxed and waned for about 3 years and thereafter worsened gradually over a few weeks, culminating in a refusal to eat and dress. At the age of 6, after a week of inpatient pediatric treatment with no improvement, the patient was transferred to Osaka City University Hospital to seek psychiatric treatment. The patient fully recovered from OCD following family-based cognitive-behavioral therapy (CBT) and short-term use of low-dose fluvoxamine in an inpatient setting. After treatment, the OCD symptoms disappeared with complete remission for over 3 years. Now, aged 9, the patient has good global functioning and is well adjusted in her daily life with no need for any treatment. To the best of our knowledge, this is the first report of preschool-onset OCD with long-term complete remission with inpatient treatment in a preschooler with severe OCD. Some preschoolers with very early-onset OCD may have good prognosis without continuous pharmacotherapy, although the symptoms with the onset are severe enough to require hospitalization. Preschool-onset OCD is likely to be misdiagnosed as separation anxiety disorder. Our findings suggest that family-based CBT, which is the treatment of choice for preschool-onset OCD, can be applicable to inpatient treatment. Early detection and intensive intervention of OCD in preschoolers may improve the chance of remission.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Only a few cases of preschool-onset OCD with a short follow-up have been reported. 17 – 21 However, no case with long-term complete remission has been reported.…”

Section: Introductionmentioning

confidence: 99%

Preschool-onset obsessive-compulsive disorder with complete remission

Miyawaki¹,

Goto²,

Iwakura³

et al. 2018

NDT

View full text Add to dashboard Cite

show abstract

“…[3][4][5][6][7] Preschool onset of OCD is rare and existing literature mainly comprises case reports. 8,9 No specific diagnostic or management guidelines exist and long-term course and outcomes in pediatric OCD are unknown.…”

Section: Introductionmentioning

confidence: 99%

Preschool Onset of Obsessive-compulsive Disorder: A Case Report

Gupta¹,

Talati²,

Jeenger³

et al. 2016

Indian Journal of Private Psychiatry

View full text Add to dashboard Cite

Preschool onset of obsessive-compulsive disorder (OCD) is rare with limited studies on it and with multiple diagnostic and treatment quandaries. We report a case of 5-year-old girl who had obsessive-compulsive symptoms since 4 years of age. She was diagnosed based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition criteria after eliminating other potential diagnoses. She showed good response to a combination of parent-assisted exposure and response prevention therapy and fluoxetine. This case brings into focus the distress associated with very early onset of OCD and discussion of differential diagnoses and treatment options for it.

show abstract