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OCD-Management & prognosis

OCD-Management & prognosis



  • First Line – SSRIs and Clomipramine [adverse side effect profile]
  • If first line fails then antipsychotics [Haloperidol, quetiapine, risperidone, olanzapine]
  • Other Drugs [Venlafaxine, Lithium, valproate and carbamazepine]


  • Cognitive Behavior therapy [Exposure & Response prevention]
  • Desensitization, thought stopping, flooding and aversive conditioning

Other T/T modalities – ECT, Psychosurgery [Cingulotomy, capsulotomy – Caudate tractotomy]


Acute Onset – 50%. 20-30% Significant improvement, 40-50% moderate, rest may so deterioration

Panic Disorder-Management

Panic Disorder-Management

Establishing a Differential Diagnosis:

  • MI / Angina / Other Cardiac Conditions
  • Asthma / Other Pulmonary conditions
  • Hypothyroidism, Hypoglycemia, Carcinoid Syndrome, Pheochromocytoma.

After ruling out all the above-mentioned conditions, the management of panic disorder involves:

  • BDZ and SSRIs
  • Psychotherapy – Cognitive Behavioral therapy
  • Relaxation techniques
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