Obsessive-compulsive disorder comorbid with schizophrenia and bipolar disorder

firemonkey · February 13, 2019, 3:39pm

ncbi.nlm.nih.gov

Obsessive-compulsive disorder comorbid with schizophrenia and bipolar disorder.

LP Sharma and YCJ Reddy, Indian journal of psychiatry, Jan 2019

Obsessive Compulsive Disorder (OCD) and Obsessive Compulsive Symptoms (OCS) are known to be highly comorbid with bipolar disorder and schizophrenia. Comorbid OCD/OCS influences the course of schizophrenia and bipolar disorder. There is also some evidence to suggest that a diagnosis of OCD may be associated with elevated risk for later development of psychosis and bipolar disorder. Comorbid OCD/OCS is associated with a greater severity of schizophrenia phenotype and poorer prognosis. In addition, certain atypical antipsychotics, clozapine in particular are known to induce or worsen OCS in schizophrenia. OCD when comorbid with bipolar disorder mostly runs an episodic course with worsening and improvement of OCD/OCS in depressive and in manic/hypomanic phases respectively. There is limited systematic data on the treatment of OCD in schizophrenia and bipolar disorder. When OCD presents in the context of schizophrenia, management may include treatment with atypical antipsychotics with limited serotonergic properties, changing the antipsychotic, reduction in the dose of the antipsychotic, addition of cognitive-behavior therapy (CBT), or a specific serotonin reuptake inhibitor (SSRI). When OCD is comorbid with bipolar disorder, mood stabilization is the priority. CBT may be preferred over SSRIs to treat OCD/OCS that persist in between the mood episodes because SSRIs may induce a switch or worsen the course of bipolar disorder. SSRIs when indicated have to be used judiciously under the cover of adequate mood stabilization.

Wave · February 13, 2019, 3:45pm

I was diagnosed with OCD as well as bipolar disorder/sza.
I’m pretty sure that risperidone is making my ocd symptoms worse.

anon31257746 · February 13, 2019, 4:39pm

Yeah I have ocd too. I check things. Maybe between 3 and 21 times. Depends if I have anything important to do then I do it more. It’s rediculous

Sardonic · February 13, 2019, 4:43pm

I thought I had OCD but I now realize those were symptoms of schizophrenia (voices, delusional ideas).

NotSeksoEmpirico · February 13, 2019, 9:04pm

I’ve suffered from severe OCD since childhood. However, my “sz”, if you can call it that, seems to be less severe than that of most people here. I hope the poorer prognosis thingy doesn’t apply to me.

LED · February 13, 2019, 9:06pm

I have OCD and sz.

agent101g · February 13, 2019, 9:13pm

I have OCD symptoms, I used to take prozac for them (I’d count syllables in movie script) and it helped. Since getting voices we haven’t talked about the OCD at all and it’s really not being targeted by any medicine I’m taking. It’s annoying but not crippling or anything.

John_Raven · February 13, 2019, 9:56pm

My whole family has OCD but I have severe OCD with schizophrenia