Obsessive-compulsive disorder (English: Obsessive-compulsive
disorder, abbreviated as OCD) is a neurosis characterized by obsessive thoughts and compulsive actions. It is characterized by the coexistence of conscious self-compulsion and conscious self-counter-compulsion. The patient knows that the persistence of obsessive-compulsive symptoms is meaningless and unreasonable, but cannot restrain the recurrence. The more he tries to resist, the more nervous and painful he feels. For those with prolonged disease course, ritual actions may be the main manifestation. Although the mental pain is significantly relieved, their social functions have been seriously damaged. < /p>
3. Sometimes the same words are repeated several times for no reason;
4. I feel that I have to follow a special order when dressing, cleaning, eating, and walking;
5. Count if you have nothing to do, as long as you can count things
1 Psychotherapy
Explanatory psychotherapy is one of the methods of treatment. Patients should calmly analyze their personality characteristics and causes of the disease, including whether they had any psychological trauma that caused obsessive-compulsive disorder in childhood. If you can find out the reason, you should build confidence in winning and try your best to overcome psychological inducements to eliminate anxiety. Use strong willpower to overcome unnatural behaviors and thoughts
2. Drug treatment
Tricyclic antidepressants and monoamine oxidase inhibitors can be used.
① Clomipramine: It has a good effect on obsessive-compulsive symptoms, and it also has a therapeutic effect on accompanying depressive symptoms. The therapeutic dose of clomipramine is 150 to 300 mg/day, taken orally in 2 divided doses. The dose should be small at the beginning and gradually increased. This is a traditional medicine and is currently used at a low rate.
②Sertraline (Zoloft), fluoxetine (Prozac): have good effects on obsessive-compulsive symptoms, especially sertraline, which is safe and well tolerated. The starting dose of Zoloft is 50 mg/day, and the target therapeutic dose is 200 mg/day; the therapeutic dose of fluoxetine is 20 to 80 mg/day.
③Clorazepam: It also has a certain effect on obsessive-compulsive symptoms. The therapeutic dose of clonazepam is 1 to 2 mg/day
3 Psychosurgery treatment
For a small number of obsessive-compulsive disorder patients with severe symptoms and long-term treatment, it can damage certain parts of the patient's brain, such as The inner and lower frontal lobe, cingulate gyrus, etc. are helpful in reducing obsessive-compulsive symptoms and social adaptation function, but the objects must be strictly controlled
Integrated Traditional Chinese and Western Medicine Therapy
4 Traditional Chinese and Western Medicine Combination therapy is a unique medical means and method that plays an important role and has a huge impact in the history of world medicine. It organically combines two medical systems to achieve the best compatible medication regimen and optimal clinical efficacy. The clinical efficacy of this therapy is both higher than that of Western medicine and Chinese medicine. Especially for the prevention and treatment of obsessive-compulsive disorder, it has important clinical significance and high practical value