Table 3. Descriptive data of individuals with OCD and psychosis developing simultaneously

     

Length of time of


   

Sex
(Age in years)

Psychotic symptoms

OCD symptoms

Psychotic symptoms

OCD symptoms

Diagnosis and treatment (dosage in mg)

Comments

Man (22)

Delusion of persecution

Delusion of reference

Delusional misinterpretation

Passivity phenomenon

Sexual obsessions in the form of visual imageries, ruminations, and thoughts

1 year

1 year

OCD and atypical psychosis

  • Fluoxetine 80
  • Haloperidol 15
  • Haloperidol (long acting) 150
  • Trihexyphenidyl 4

60% to 70% improvements in both symptom groups

Man (21)

2nd person auditory hallucinations

Ideas of reference

Obsessive doubts

I year

1 year

OCD and schizophreniform disorder

  • Fluoxetine 20
  • Risperidone 4

Did not follow up

Woman (31)

Delusion of reference

Delusion of persecution

Olfactory hallucination

Tactile hallucination

Religious, sexual, and aggressive obsessions in the form of images, ruminations, doubt, and urges

11 years

11 years

OCD and schizophrenia

  • Clomipramine 150
  • Fluphenazine 25 IM fortnightly
  • Trihexyphenyidyl 2

75% to 80% improvement in both symptom groups

Man (22)

Thought insertion

Delusion of persecution

Contamination and symmetry obsessioins in the form of doubt

Washing and other yielding compulsions

2 years

2 years

OCD and schizophrenia

  • Risperidone 6
  • Fluoxetine 20

Did not improve

Man (35)

Thought insertion

Delusional misinterpretation

Delusion of persecution

Olfactory hallucination

Contamination obsessions in the form of doubt

Symmetry obsessions in the form of urges

Washing and other yielding compulsions

16 years

16 years

OCD and schizophrenia

  • Fluoxetine 80
  • Loxapine 175
  • Trihexyphenyidyl 4

Maintains well

Man (31)

Thought broadcast

Thought insertion

Thought withdrawal

Delusional misinterpretation

Delusion of reference

Delusion of persecution

2nd and 3rd person auditory hallucinations

Contamination obsessions

Obsessive ruminations

Washing compulsions

11 years

11 years

OCD and schizophrenia

  • Sertraline 200
  • Risperidone 10
  • Exposure and risk prevention

60 % improvement in both symptom groups

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