Table 2. Descriptive data of individuals with psychosis developing prior to OCD

     

Length of time of


   

Sex
(age in years)

Psychotic symptoms

OCD symptoms

Psychotic symptoms 

OCD symptoms

Diagnosis and treatment (dosage in mg)

Comments

Man (20)

Delusion of reference

Delusion of persecution

Auditory and visual hallucinations

Obsessive doubts of contamination

Washing compulsions

7 years

1 year

OCD and atypical psychosis

  • Sertraline 200
  • Risperidone 6

80% improvement

Woman (25)

Delusion of persecution

Delusion of reference

Illness and contamination obsessions

Washing and checking compulsions

2.5 years

2 years

OCD and schizophrenia

  • Clomipramine 150
  • Risperiodne 4
  • Trihexyphenadyl 2

Near total improvement

Man (24)

Delusion of reference

Delusion of persecution

Delusional misinterpretation

2nd and 3rd person auditory hallucinations

Obsessive ruminations and images

Obsessive urges to write all ruminations

Writing compulsions

4 years

1 year

OCD and schizophrenia

  • Sertraline 200
  • Trifluopefrazamine 30
  • Trihexyphenadyl 4

60% improvement in psychotic symptoms

Minimal improvement compulsions

Woman (25)

Thought broadcast

Delusional misinterpretation

Delusion of control

Delusions of persecution

Delusions of reference

2nd and 3rd person auditory hallucinations

Sexual obsessions

3 years

1 year

OCD and schizophrenia

  • Fluoxetine 80
  • Risperidone 8
  • Electroconvulsive therapy
  • Exposure and reponse prevention

Near total improvement in psychotic symptoms

25% to 50% improvement in obsessive–compulsive symptoms

Close Window