Treatment of obsessive compulsive disorder in the elderly: A review and case example

John E. Calamari; Samantha D. Faber; Brian L. Hitsman; Christopher J. Poppe

doi:10.1016/0005-7916(94)90001-9

Treatment of obsessive compulsive disorder in the elderly: A review and case example

John E. Calamari^*, Samantha D. Faber, Brian L. Hitsman, Christopher J. Poppe

^*Corresponding author for this work

Preventive Medicine

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Abstract

Obsessive compulsive disorder (OCD) is a prevalent form of psychopathology in the elderly, yet limited evaluation of the disorder in this age group has occurred. We review the literature and describe a case of OCD effectively treated in an 80-year-old man. Case study reports suggest that elderly persons are responsive to selective serotonin uptake inhibitors, although medication selection and dosage may need to be adjusted as a result of the medical conditions sometimes present in the elderly. Elderly persons appear able to benefit from exposure and response prevention, although behavioral intervention has not been frequently used. We describe here the first case report where exposure and response prevention procedures were successfully used and this intervention was not confounded with psychopharmacologic treatment.

Original language	English (US)
Pages (from-to)	95-104
Number of pages	10
Journal	Journal of Behavior Therapy and Experimental Psychiatry
Volume	25
Issue number	2
DOIs	https://doi.org/10.1016/0005-7916(94)90001-9
State	Published - Jun 1994

ASJC Scopus subject areas

Experimental and Cognitive Psychology
Psychiatry and Mental health
Clinical Psychology
Arts and Humanities (miscellaneous)

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AB - Obsessive compulsive disorder (OCD) is a prevalent form of psychopathology in the elderly, yet limited evaluation of the disorder in this age group has occurred. We review the literature and describe a case of OCD effectively treated in an 80-year-old man. Case study reports suggest that elderly persons are responsive to selective serotonin uptake inhibitors, although medication selection and dosage may need to be adjusted as a result of the medical conditions sometimes present in the elderly. Elderly persons appear able to benefit from exposure and response prevention, although behavioral intervention has not been frequently used. We describe here the first case report where exposure and response prevention procedures were successfully used and this intervention was not confounded with psychopharmacologic treatment.

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Treatment of obsessive compulsive disorder in the elderly: A review and case example

Abstract

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