title: Obsessive-compulsive disorder, trichotillomania, and anorexia nervosa: a case report.
abstract: We report a case study of an 18-year-old female who presented with symptoms associated with several discrete diagnostic syndromes: obsessive-compulsive disorder, trichotillomania, major depression, and anorexia nervosa. Improvement in each occurred after treatment with the serotonin selective reuptake inhibitor, fluoxetine, suggesting that such syndromes share a common serotonin neurotransmitter disturbance. Furthermore, the combined effects of medication and psychotherapy resulted in improvement in assertiveness, sense of security, self-worth, flexibility, and self-regulation. We discuss the pharmacological and psychotherapeutic implications of possible psychophysiologic similarities among the previously mentioned syndromes.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine-Wichita 67214-3199, USA.
authors.forename: T L
authors.initials: TL
authors.lastname: Pryor
authors.forename: R L
authors.initials: RL
authors.lastname: Martin
authors.forename: N
authors.initials: N
authors.lastname: Roach
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D003131:Combined Modality Therapy; D005260:Female; D005473:Fluoxetine / Q000627:therapeutic use; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D010552:Personality Assessment; D011613:Psychotherapy; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D014256:Trichotillomania / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology
chemical_list: D005473:Fluoxetine; D017367:Selective Serotonin Reuptake Inhibitors