Date of Presentation

5-5-2022 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

Obsessive Compulsive Disorder (OCD) is a mentally debilitating condition that can present in a multitude of ways and its manifestations can vary within the diagnosed patient population. OCD can be diagnosed with the presence of either obsessions or compulsions and does not require both. Sometimes, OCD can affect a patient in a way that mimics delusional misidentification syndromes. In these cases, a patient's ego-dystonia can be a key distinguishing feature in diagnosis. In one specific delusional misidentification syndrome, Capgras, a patient possesses fixed beliefs that a known person (or sometimes object) is an imposter. And even though the textbook OCD presentation differs from that of Capgras Delusion, there can be overlapping similarities. As such, a patient's insight and ego-dystonia into these preoccupations may help to point the diagnosis towards an obsessional form of OCD, a critical recognition for proper treatment. This case will highlight the importance of recognizing the distinction between obsessions and delusions to appropriatelv treat a patient with OCD with primarily obsessions.

Keywords

Obsessive-Compulsive Disorder, Delusions, Capgras, Case Reports

Disciplines

Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms | Psychiatric and Mental Health | Psychiatry

Document Type

Poster

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May 5th, 12:00 AM

Obsessions in OCD Mimicking Capgras: A Case Report

Obsessive Compulsive Disorder (OCD) is a mentally debilitating condition that can present in a multitude of ways and its manifestations can vary within the diagnosed patient population. OCD can be diagnosed with the presence of either obsessions or compulsions and does not require both. Sometimes, OCD can affect a patient in a way that mimics delusional misidentification syndromes. In these cases, a patient's ego-dystonia can be a key distinguishing feature in diagnosis. In one specific delusional misidentification syndrome, Capgras, a patient possesses fixed beliefs that a known person (or sometimes object) is an imposter. And even though the textbook OCD presentation differs from that of Capgras Delusion, there can be overlapping similarities. As such, a patient's insight and ego-dystonia into these preoccupations may help to point the diagnosis towards an obsessional form of OCD, a critical recognition for proper treatment. This case will highlight the importance of recognizing the distinction between obsessions and delusions to appropriatelv treat a patient with OCD with primarily obsessions.

 

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