Obsessive Compulsive Disorder
- Epidemiology
- Comorbidity
- OCD and Tic Disorder
- OCD and Depression
- OCD and Other Anxiety Disorders
- OCD and Phobia
- OCD and OCPD
- OCD and Schizophrenia
- Course and Prognosis
- Etiology
- Specific Clinical Response
- Serotonin Antagonists
- Pharmacological Challenges
- Dopamine
- Immune Factors
- Brain Imaging Studies
- Genetics
- Other Biological Data
- Behavioral Factors
- Psychosocial Factors
- Treatment of OCD
- Efficacy of Serotonergic vs Adrenergic Antidepressants
- Long Term Treatment of OCD
- Drug Dosage
- Psychological Approaches
- Treatment Resistant OCD
- Switching Medications
- Augmentation
- Risperidone
- Pindolol
- Other Options
- Intravenous Clomipramine
- Monoamine Oxidase Inhibitors
- Last-line Therapies
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Last line Therapies: Physical and Anti Aging Therapy
The evidence accumulated so far with regard to Electroconvulsive Therapy (ECT) is not compelling, and altogether, it seems that the pure anti-obsessional effect of ECT is questionable. ECT should probably be reserved for the symptomatic (antidepressive) treatment of severely depressed and suicidal OCD patients.
Neurosurgery has been reported to be effective in some OCD patients, with procedures that disconnect the outflow pathways originating from the orbitofrontal cortex. Cingulotomy can help some intractable patients, but while immediate results may be striking, the long-term prognosis is more reserved.