Pregnancy-induced obsessive compulsive disorder: a case report.
Pregnancy is a well-recognised risk factor in precipitating obsessive-compulsive disorder. We present and discuss a case with the onset of obsessive-compulsive disorder in the fourth month of gestation, which fully recovered two weeks after delivery. The phenomenology of the observed disorder was similar to earlier reports of obsessive-compulsive disorder in pregnancy, i.e. the obsessions and compulsions were predominantly related to the concern of contaminating the foetus resulting in washing compulsions. Despite the initial success with anti-obsessional drugs, the patient stopped the medication in the last month of gestation. Nevertheless, she fully recovered two weeks after the delivery without any psychiatric intervention. There were no obsessive-compulsive symptoms at one-year follow up. The possible mechanisms involved in the aetiology of this case, and future research directions in understanding the role of pregnancy in OCD are discussed.
Kalra
Harish
H
Department of Psychiatry, Royal Perth Hospital, Perth WA 6000, Australia. ajanca@cyllene.uwa.edu.au.
Tandon
Rajul
R
Trivedi
Jitendra Kumar
JK
Janca
Aleksandar
A