title: Integrative Medicine Approach to Pediatric Obsessive-Compulsive Disorder and Anxiety: A Case Report.
abstract: Pediatric obsessive-compulsive disorder (OCD) is prevalent in 1% to 2% of the population. Emerging studies have correlated non-celiac gluten sensitivity with psychiatric conditions such as schizophrenia, depression, mania, and anxiety. This case study is the first reported case of OCD associated with non-celiac gluten sensitivity. The objectives of this case report are to (1) identify gluten sensitivity as a possible contributing factor to OCD in some patients; and (2) point out the possible benefit of an integrative medicine approach to the management of OCD in a patient with suboptimal benefit from a standard treatment regime. A 7-year-old male treated at a multi-physician integrative medicine practice in the United States had marked reduction of OCD symptoms and anxiety along with marked improvement of social behavior and school work after treatment consisting of gluten avoidance and other integrative medicine modalities. The patient's rapid response without side effects behooves the medical research community to further investigate the association of non-celiac gluten sensitivity and pediatric OCD.
authors.affiliation: Perelman School of Medicine at the University of Pennsylvania, Philadelphia (Dr Couture), United States.
authors.forename: Danielle Chung
authors.initials: DC
authors.lastname: Couture
authors.affiliation: Cooper Medical School of Rowan University, Camden, New Jersey; Chung Institute of Integrative Medicine; Won Sook Chung Foundation, Moorestown, New Jersey (Dr Chung), United States.
authors.forename: Myung Kyu
authors.initials: MK
authors.lastname: Chung
authors.affiliation: Research Institute of Global Physiology and Treatment, New York (Dr Shinnick), United States.
authors.forename: Phillip
authors.initials: P
authors.lastname: Shinnick
authors.affiliation: private practice, Perkasie, Pennsylvania (Dr Curzon), United States.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Curzon
authors.affiliation: National Integrated Health Associates, Washington, DC (Dr McClure), United States.
authors.forename: Mark J
authors.initials: MJ
authors.lastname: McClure
authors.affiliation: Adjunct Scholar Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Won Sook Chung Foundation, Moorestown, New Jersey (Dr LaRiccia), United States.
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: LaRiccia
keywords: Anxiety; DMPS; gluten; heavy netal body burden; lead chelation; mercury; obsessive-compulsive disorder