Psychopathology of unusual obsessive-compulsive disorder in childhood: review of four clinical cases

Psicopatologia del disturbo ossessivo-compulsivo atipico in età evolutiva: esame di quattro casi clinici

G. Catone1, P. Bernardo1, S. Pisano1, A. Pascotto1, A. Gritti2

1 Dipartimento di Psichiatria, Neuropsichiatria infantile, Audiofoniatria e Dermatovenereologia; Seconda Università di Napoli (S.U.N), Napoli; 2 Neuropsichiatria Infantile, Facoltà di Scienze dell’ Educazione, Università Suor Orsola Benincasa, Napoli

Objective

We present four clinical cases of young patients with “unusual” obsessive-compulsive disorder (OCD), considering the unequivocal evidence suggesting the existence of possible overlaps between psychotic disorders and OCD symptoms.

Methods

We describe patients to define psychopathological features of symptoms.

Results

Early onset obsessive-compulsive disorder often shows atypical features that make the nosographic collocation difficult.

Conclusions

The uncertain border between obsessive ideas, prevailing ideas and psychotic symptoms such as delusions and/or thought disorder, leads to both diagnostic and therapeutic considerations.

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