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Obsessive–compulsive spectrum

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phenomenology and co-morbidity of the disorders with obsessive compulsive disorder. Within the population of patients with OCD up to 40% have a history of a tic disorder and 60% of people with Tourette's syndrome have obsessions and/or compulsions. Plus 30% of people with Tourette's syndrome have clinically diagnosable OCD. Course of illness is another factor that suggests correlation because it has been found that tics displayed in childhood are a predictor of obsessive and compulsive symptoms in late adolescence and early adulthood. However, the association of Tourette's and tic disorders with OCD is challenged by neuropsychology and pharmaceutical treatment. Whereas OCD is treated with
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An obsession is defined as "a recurring thought, image, or urge that the individual cannot control". Compulsion can be described as a "ritualistic behavior that the person feels compelled to perform". The model suggests that many conditions overlap with OCD in symptomatic profile, demographics, family history, neurobiology, comorbidity, clinical course and response to various pharmacotherapies. Conditions described as being on the spectrum are sometimes referred to as
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Hypochondriasis is excessive preoccupancy or worry about having a serious illness. These thoughts cause a person a great deal of anxiety and stress. The prevalence of this disorder is the same for men and women. Hypochondriasis is normally recognized in early adult age. Those with hypochondriasis are
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Body dysmorphic disorder is defined by an obsession with an imagined defect in physical appearance, and compulsive rituals in an attempt to conceal the perceived defect. Typical complaints include perceived facial flaws, perceived deformities of body parts and body size abnormalities. Some compulsive
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is body-focused repetitive behavior disorder which causes an individual to pull out their hair from various parts of their body without a purpose. The cause for trichotillomania remains unknown. Like OCD, trichotillomania is not a nervous condition but stress can trigger this habit. For some people
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where impulsivity is said to persist due to deficits in the ability to inhibit repetitive behavior with known negative consequences, while compulsivity persists as a consequence of deficits in recognizing completion of tasks." OCD is a mental disorder characterized by obsessions and/or compulsions.
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Yaryura-Tobias JA (October 2001). "Response to Dr. S. Curran and Dr. K. Matthew's Letter to the editor (World J Biol Psychiatry 2001, 2: 107) concerning Yaryura-Tobias et al (2000) negative outcome after neurosurgery for refractory obsessive–compulsive spectrum disorder, World J Biol Psychiatry 1:
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Tourette's syndrome is a neurological disorder characterized by recurrent involuntary movements (motor tics) and involuntary noises (vocal tics). The reason Tourette's syndrome and other tic disorders are being considered for placement in the obsessive compulsive spectrum is because of the
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behaviors observed include mirror checking, ritualized application of makeup to hide the perceived flaw, excessive hair combing or cutting, excessive physician visits and plastic surgery. Body dysmorphic disorder is not gender specific and onset usually occurs in teens and young adults.
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pulling their hair out of boredom is normal, but that is not the case for someone that is dealing with trichotillomania. Emotions do not affect the behavior but these behaviors are more prevalent in those with depression. Review articles recommend behavioral interventions such as
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constantly thinking of their body functions, minor bumps and bruises as well as body images. Hypochondriacs go to numerous outpatient facilities for confirmation of their own diagnosis. Hypochondriasis is the belief that something is wrong but it is not known to be a delusion.
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Danielle C. Cath; Natalie Ran; Johannes H. Smit; Anton J.L.M. van Balkoma; Hannie C. Comijsa (2008). "Symptom Overlap between Autism Spectrum Disorder, Generalized Social Anxiety Disorder and Obsessive-Compulsive Disorder in Adults: A Preliminary Case-Controlled Study".
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Giulio Perugi; Hagop S Akiskal; Sandra Ramacciotti; Stefano Nassini; Cristina Toni; Alessandro Milanfranchi; Laura Musetti (1999). "Depressive comorbidity of panic, social phobic, and obsessive–compulsive disorders re-examined: is there a bipolar ii connection?".
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Brakoulias, Vlasios; Starcevic, Vladan; Sammut, Peter; Berle, David; Milicevic, Denise; Moses, Karen; Hannan, Anthony (April 2011). "Obsessive-Compulsive Spectrum Disorders: a Comorbidity and Family History Perspective".
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Bellodi L, Cavallini MC, Bertelli S, Chiapparino D, Riboldi C, Smeraldi E (April 2001). "Morbidity risk for obsessive–compulsive spectrum disorders in first-degree relatives of patients with eating disorders".
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Curran S, Matthews K (April 2001). "Response to Yaryura-Tobias et al (2000) negative outcome after neurosurgery for refractory obsessive–compulsive spectrum disorder, World J Biol Psychiatry 1: 197-203".
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Sarris, Jerome; Camfield, David; Berk, Michael (2012). "Complementary medicine, self-help, and lifestyle interventions for Obsessive Compulsive Disorder (OCD) and the OCD spectrum: A systematic review".
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However, recently there is a growing support for proposals to narrow down this spectrum to only include body dysmorphic disorder, hypochondriasis, tic disorders, and body focused repetitive behaviors.
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Díaz Mársá M, Carrasco JL, Hollander E (1996). "Body dysmorphic disorder as an obsessive-compulsive spectrum disorder" [Body dysmorphic disorder as an obsessive–compulsive spectrum disorder].
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Brakoulias, V; Starcevic, V.; Sammut, P.; Berle, D.; Milicevic, D.; Moses, K.; et al. (2011). "Obsessive-compulsive spectrum disorders: a comorbidity and family history perspective".
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Yaryura-Tobias JA, Stevens KP, Pérez-Rivera R, Boullosa OE, Neziroglu F (October 2000). "Negative outcome after neurosurgery for refractory obsessive–compulsive spectrum disorder".
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Phillips KA, McElroy SL, Hudson JI, Pope HG (1995). "Body dysmorphic disorder: an obsessive–compulsive spectrum disorder, a form of affective spectrum disorder, or both?".
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Stein DJ, Le Roux L, Bouwer C, Van Heerden B (1998). "Is olfactory reference syndrome an obsessive–compulsive spectrum disorder?: two cases and a discussion".
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Lochner, Christine; Stein, Dan J. (2010). "Obsessive-Compulsive Spectrum Disorders in Obsessive-Compulsive Disorder and Other Anxiety Disorders".
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is a model of medical classification where various psychiatric, neurological and/or medical conditions are described as existing on a
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Hergüner S, Ozyildirim I, Tanidir C (December 2008). "Is Pica an eating disorder or an obsessive–compulsive spectrum disorder?".
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Bradford JM (1999). "The paraphilias, obsessive compulsive spectrum disorder, and the treatment of sexually deviant behaviour".
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Ravindran, Arun V; da Silva, Tricia L; Ravindran, Lakshmi N; Richter, Margaret A; Rector, Neil A (May 2009).
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Swedo SE, Leonard HL (December 1992). "Trichotillomania. An obsessive compulsive spectrum disorder?".
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Blaszczynski A (February 1999). "Pathological gambling and obsessive–compulsive spectrum disorders".
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The following conditions have been hypothesized by various researchers as existing on the spectrum.
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McElroy SL; Phillips KA; Keck PE Jr. (October 1994). "Obsessive compulsive spectrum disorder".
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Himle, Michael B.; Flessner, Christopher A.; Woods, Douglas W. (2004).
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Actas Luso-españolas de Neurología, Psiquiatría y Ciencias Afines
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Progress in Neuro-psychopharmacology & Biological Psychiatry
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Allen, Andrea; King, Audrey; Hollander, Eric (September 2003).
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Hollander, Eric; Benzaquen, Stephanie D. (January 1997).
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The Journal of Neuropsychiatry and Clinical Neurosciences
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Journal of Early and Intensive Behavior Intervention
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Index

Obsessive-compulsive spectrum
spectrum
obsessive–compulsive disorder
impulsive
compulsive
Body dysmorphic disorder
delusional disorder
Eating disorders
anorexia nervosa
bulimia nervosa
binge eating disorder
Hypochondriasis
Kleptomania
Impulse control disorders
Olfactory reference syndrome
Paraphilias
Pathological gambling
Pica
sexual addictions
Tourette syndrome
Stereotypic movement disorder
Body-focused repetitive behaviors
trichotillomania
Autism spectrum disorder
Social phobia
Compulsive hoarding
Depersonalization-derealization disorder
Body dysmorphic disorder
Hypochondriasis
SSRI

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