Short-term psychodynamic therapy for obsessive-compulsive disorder: A manual-guided approach to treating the “inhibited rebel”

2017 ◽  
Vol 81 (4) ◽  
pp. 341-389 ◽  
Author(s):  
Falk Leichsenring ◽  
Christiane Steinert
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lavanya P. Sharma ◽  
Srinivas Balachander ◽  
Abel Thamby ◽  
Mahashweta Bhattacharya ◽  
Chethana Kishore ◽  
...  

2003 ◽  
Vol 3 (4) ◽  
pp. 413-435 ◽  
Author(s):  
Deborah Osgood-Hynes ◽  
Bradley Riemann ◽  
Thröstur Björgvinsson

Author(s):  
Lavanya P Sharma ◽  
Srinivas Balachander ◽  
Abel Thamby ◽  
Mahashweta Bhattacharya ◽  
Chethana Kishore ◽  
...  

Background: There is an understandable concern that obsessive-compulsive disorder (OCD) may worsen during the COVID-19 pandemic, but there is little empirical data. We report the impact of COVID-19 pandemic on the short-term course of OCD. We also assessed for predictors of relapse and emergence of COVID-19-themed obsessive-compulsive symptoms. Methods: A cohort of patients with a primary diagnosis of OCD (n=240) who were on regular follow-up at a tertiary care specialty OCD Clinic in India were assessed telephonically, about 2 months after the declaration of the pandemic ('pandemic' cohort). Data from the medical records of an independent set of patients with OCD (n=207) who were followed-up during the same period, one year prior, was used for comparison (historical controls). Results: The 'pandemic' group and historical controls did not differ in the trajectories of the Yale-Brown Obsessive-Compulsive Scale (YBOCS) scores (Chi-square for likelihood-ratio test of the Group x Time interaction = 2.73, p= 0.255) and relapse rate [21% vs 20%, adjusted odds ratio = 0.81 (95% CI 0.41 -1.59, p=0.535]. Pre-existing contamination symptoms and COVID-19-related health anxiety measured by the COVID-Threat Scale did not predict relapse. Only a small proportion of patients (6%) reported COVID-19-themed obsessive-compulsive symptoms. Limitations: Follow-up 2 months after pandemic declaration may be too early understand the true impact. Conclusions: The COVID-19 pandemic, at least in the short-run, did not influence the course of illness in those who were on medications. It would be pertinent to evaluate the long-term impact of the pandemic on the course of OCD.


2005 ◽  
Vol 59 (5) ◽  
pp. 527-532 ◽  
Author(s):  
KANAE SAWAMURA ◽  
YOSHIFUMI NAKASHIMA ◽  
MASAYUKI INOUE ◽  
HIROSHI KURITA

2019 ◽  
Vol 9 (12) ◽  
pp. 141 ◽  
Author(s):  
Joana Proença Becker ◽  
Rui Paixão ◽  
Simone Silva ◽  
Manuel João Quartilho ◽  
Eda M. Custódio

Dynamic Psychotherapy (DP) was developed to overcome the limitations of traditional psychoanalysis, responding to a broader demand of patients who seek help to cope with specific problems in the short term, such as Obsessive-Compulsive Disorder (OCD). OCD is a chronic disabling mental disorder that leads to substantial distress, functional disability and severe occupational and social impairments. Recognizing the literature gap in this field, and the improvements reported by dynamic therapists who have dealt with patients suffering from OCD, a study on the treatment of these patients was conducted in order to discuss the effects of this technique. The method involved a narrative literature review and the analysis of two clinical cases to discuss therapeutic processes, which include the specificities of OCD patients and the mechanisms adopted in the treatment through DP. The therapist’s active stance seemed to be essential to encourage the patient to face feared situations and identify the core conflict. Both patients who were treated through DP presented similarities, such as high anxiety, feelings of guilt and inhibition of aggressive and sexual impulses. Through emotional exploration, confrontation of defensive functioning and interpretative interventions of inner conflicts, patients had reached awareness of their hidden feelings and experiences, and their symptoms and feelings of guilt decreased. They also showed significant improvements in their interpersonal relationships. Although both treatments do not fit into short-term therapies, this technique has led to long-term results, providing evidence that DP may produce favorable outcomes in the treatment of OCD.


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