Psychopharmacotherapy of obsessive-compulsive symptoms within the framework of Tourette syndrome.
Psychopharmacotherapy of obsessive-compulsive symptoms within the framework of Tourette syndrome.
Curr Neuropharmacol. 2018 Aug 27;:
Authors: Rothenberger A, Roessner V
Abstract
While Behavioral Therapy (BT) should be recommended as the first step in the treatment of OCD as well as TS, medication can be added for augmentation and in certain situations (e.g. family preference, BT not available or feasible) the priority may even reverse. This narrative review is given on the complexity of drug treatment in patients comorbid for obsessive-compulsive disorder (OCD) and Tourette syndrome (TS) and other tic problems. OCD with TS is a co-occuring combination of two generally delimitable, but in detail also overlapping disorders which wax and wane with time but have different courses and necessities and options of treatment. Distinct subtypes like "tic-related OCD" are questionable. Obsessive-compulsive symptoms (OCS) and tics are frequently associated (OCS in TS up to 90%, tics in OCD up to 37%). Sensory-motor phenomena like urges and just-right feelings reflect some behavioral overlap. The main additional psychopathologies are attention-deficit hyperactivity disorder (ADHD), mood problems and anxiety. Also, hair pulling disorder and skin picking disorder are related to OCD with TS. Hence, the assessment and drug treatment of its many psychopathological problems needs high clinical experience, careful planning, and ongoing evaluation/adapta...
Source: Current Neuropharmacology - Category: Drugs & Pharmacology Authors: Rothenberger A, Roessner V Tags: Curr Neuropharmacol Source Type: research
More News: Abilify | ADHD | Anxiety | Brain | Depression | Drugs & Pharmacology | Hyperactivity | Men | Neurology | Obsessive Compulsive Disorder | Risperdal Consta | Skin | Tics | Tourette Syndrome