{"id":58489,"date":"2024-08-15T00:53:27","date_gmt":"2024-08-15T00:53:27","guid":{"rendered":"https:\/\/www.homeobook.com\/?p=58489"},"modified":"2024-08-15T00:53:27","modified_gmt":"2024-08-15T00:53:27","slug":"obsessive-compulsive-disorder-and-homeopathic-management","status":"publish","type":"post","link":"https:\/\/www.homeobook.com\/obsessive-compulsive-disorder-and-homeopathic-management\/","title":{"rendered":"Obsessive Compulsive Disorder and Homeopathic Management"},"content":{"rendered":"
Dr Sripada <\/strong><\/p>\n ABSTRACT KEY WORDS : <\/strong>Obsessive-compulsive disorder, <\/strong>Homoeopathic management, ICD 10, DSM-V<\/p>\n INTRODUCTION DEFINITION<\/strong>– Obsessive compulsive disorder described as recurring obsessions and compulsions \u201csevere enough to be time consuming or cause marked distress or significant impairment.\u201d (OCD) , People with the disorder recognize that their reactions are irrational or disproportionate.<\/p>\n OBSESSION<\/strong> \u2013 recurrent and intrusive thought, feeling, idea or sensation. Time consuming and interfere significantly with people’s normal routine, occupational functioning, usual social activities, relationships with friends and families.<\/p>\n COMPULSION<\/strong> \u2013 is a conscious, standardized recurring pattern of behavior such as counting, checking or avoiding.<\/p>\n Obsessions increase anxiety, whereas compulsion reduces it, but when person resists carrying out a compulsion anxiety increases.\u00a0 A person experiencing this disorder having both obsession and compulsion as ego – dystonic.<\/p>\n Compulsions are of 2 types<\/p>\n HISTORY :<\/strong><\/p>\n EPIDEMIOLOGY :<\/strong><\/p>\n ETIOLOGY OF OBSESSIVE-COMPULSIVE DISORDER: BRAIN IMAGING STUDIES \u2013 have shown increased activity ( metabolism and blood flow) in the frontal lobes, basal ganglia (especially the caudate) of patients with OCD.<\/p>\n GENETICS \u2013 family studies of patients with obsessive compulsive disorder have shown that 35% of their 1st<\/sup> degree relatives suffered of obsessive compulsive disorder .<\/p>\n BEHAVIORAL FACOTRS \u2013 according to learning theorists, obsessions are conditioned stimuli, A relatively neutral stimulus becomes associated with fear or anxiety through a process of respondent conditioning by being paired with events that are by nature noxious or anxiety producing.Thus neutral objects and thoughts become conditioned stimuli capable of producing anxiety.<\/p>\n PSYCHODYNAMIC FACTORS \u2013 Sigmund Freud described 3 major psychological defense mechanisms that determine the form and quality of obsessive- compulsive symptoms and character traits are ISOLATION , UNDOING, REACTION FORMATION.<\/p>\n CLINICAL SYMPTOM PATTERNS:<\/strong><\/p>\n CONTAMINATION – <\/strong>Most common obsession of contamination, followed by washing or accompanied by compulsive avoidance of presumably contaminated object. The feared object is often hard to avoid (example \u2013 dust, urine, germs, feces). Patients may literally rub the skin off their hands by excessive washing or may be unable to leave their homes because of fear of germs. Anxiety along with obsessive shame and disgust.<\/p>\n PATHOLOGICAL DOUBT\u00a0– obsession of doubt followed by compulsion of checking. Obsession often implies some danger of violence ( such as forgetting to turn off the stove or not locking a door). The patients have an obsessional self \u2013 doubt and always feel guilt \u00a0about having forgotten or committed something.<\/p>\n INTRUSIVE THOUGHTS – \u00a0<\/strong>Intrusive obsessional thoughts without a compulsion. such obsessions are usually repetitious thoughts of a sexual or aggressive act that is reprehensible to the patient.<\/p>\n SYMMETRY – Need for symmetry or precision which can lead to compulsion of slowness.take hours to eat a meal or shave their face.<\/p>\n OBSESSIONAL CONVICTIONS – Notions that are often based on the magical formula of thoughts-equals-acts (thinking ill of my son will cause him to die).The obsessional beliefs are characterized by ambivalence.<\/p>\n OBSESSIONAL RUMINATIONS – Prolonged, inconclusive thinking about a subject to the exclusion of others interests. Subject often is religion or metaphysics. Endless internal debates about everyday activities.<\/p>\n OBSESSIONAL IMPULSES – Typically related to self- injury , injury to others, or embarrassing behaviour. Shouting in public places such as temples and or church. Leaping from a window or smothering an infant.<\/p>\n DIAGNOSIS ACCORDING TO ICD 10<\/strong><\/p>\n F42-obsessive compulsive disorder DIAGNOSTIC GUIDELINES : DIAGNOSIS ACCORDING TO DSM-V COMORBIDITY :<\/strong><\/p>\n MANAGEMENT:<\/strong><\/p>\n MIASMATIC UNDERSTANDING:<\/strong><\/p>\n \u00a0<\/strong>RUBRICS:<\/strong><\/p>\n SYNTHESIS REPERTORY:\u00a0<\/strong><\/p>\n KENT’S REPERTORY :<\/strong><\/p>\n THE REPERTORY OF PSYCHIC MEDICINES WITH MATERIA MEDICA<\/strong><\/p>\n THE CONCORDANCE REPERTORY OF THE MATERIA MEDICA \u2013 WILLIAM D. GENTRY<\/strong><\/p>\n BBCR REPERTORY<\/strong><\/p>\n PHATAK’S REPERTORY<\/strong><\/p>\n MURPHY’S REPERTORY<\/strong><\/p>\n KNERR’S REPERTORY<\/strong><\/p>\n HOMOEOPATHIC MATERIA MEDICA : Nux Vomica<\/strong> : are oversensitive and of a careful and angry nature who demand all the things done as they want and easily get angry if the order is not followed..<\/p>\n Carcinosinum<\/strong> : who are very concerned about cleanliness and want a specific pattern to be followed not only in placing things, but also in their dressing style. For instance, they always like color matching while dressing up and also when decorating the room. They demand perfection in every work done to such an extent that it does not seem or look normal<\/p>\n Syphilinum and Medorrhinum : <\/strong>who feel the compulsion to wash their hands again and again due to the persistent thought of getting their hands contaminated or dirty by touching any object. Such patients feel that germs are present on each and every object and get into the habit of washing hands at very short intervals, without giving any consideration to other important work in their lives.<\/p>\n Calcarea Carbonica : <\/strong>who are mentally exhausted and constantly think of going mad or insane. This thought of going mad prevails in the patient\u2019s mind day and night and he or she is unable to put it aside even during sleep.<\/p>\n This fear of going mad leads to great distress and to overcome it, the patient leaves all pending work aside and keeps himself or herself busy in breaking sticks or bending pins.<\/p>\n REFERENCES<\/strong><\/p>\n Dr Sripada, Dr Sripada ABSTRACT Obsessive-Compulsive Disorder (OCD) is defined by recurring obsessions and compulsions that disrupt daily life and cause significant distress. It affects 2-3% of the population, with symptoms often including contamination fears, doubt, and […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":31261,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[115],"tags":[12798],"class_list":{"0":"post-58489","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-practice-of-medicine","8":"tag-ocd-and-homoeopathy"},"yoast_head":"\n
\n<\/strong>Obsessive-Compulsive Disorder (OCD) is defined by recurring obsessions and compulsions that disrupt daily life and cause significant distress. It affects 2-3% of the population, with symptoms often including contamination fears, doubt, and a need for symmetry. Diagnosis is based on ICD-10 and DSM-V criteria, requiring persistent symptoms for at least two weeks. Treatment typically involves SSRIs and behavioral therapy, with homeopathic approaches focusing on individualized remedies. This article examines the complexities of OCD, highlighting its diagnosis and management, especially through homeopathy.<\/p>\n
\n<\/strong>Obsessive-Compulsive Disorder (OCD) is a chronic psychiatric condition that presents a significant challenge to both affected individuals and healthcare providers. Defined by intrusive thoughts (obsessions) and repetitive behaviors (compulsions), OCD can severely impair a person’s ability to function in daily life, affecting social relationships, occupational performance, and overall well-being. The disorder is prevalent across various demographics, with an estimated lifetime prevalence of 2-3%, making it more common than schizophrenia. Despite advances in understanding the neurobiological and psychological underpinnings of OCD, the complexity of its manifestations necessitates a comprehensive management approach. Traditional treatments, including SSRIs and cognitive-behavioral therapy, provide essential relief, yet many individuals seek alternative or complementary therapies. Homeopathy, with its focus on individualized treatment based on the totality of symptoms, offers a promising avenue for managing OCD. This article delves into the multifaceted nature of OCD, providing insights into its diagnostic criteria, underlying mechanisms, and a range of therapeutic options, particularly highlighting the role of homeopathic remedies.<\/p>\n\n
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\n<\/strong>NEUROTRANSMITTERS \u2013 a dysregulation of serotonin is involved in the symptom formation of obsessions and compulsions in the disorder. Not significantly been proved though.<\/p>\n\n
\nRecurrent obsessional thoughts or compulsive acts. Obsessional thoughts are ideas, images or impulses that enter the individual\u2019s again and again in a stereotyped form. They are almost invariably distressing ( because they are violent or obscene or simply because they are perceived as senseless) and the sufferer always tries, unsuccessfully to resist them. Recognized as individual\u2019s own thoughts, even though they are involuntary and repugnant. Compulsive acts are stereotyped behaviors that are repeated again and again. Equally common in men and women ,Onset is usually in childhood or early adult life<\/p>\n
\nFor definite diagnosis, obsessional symptoms or compulsive acts, or both, must be present on most days for at least 2 successive weeks and be a source of distress or interference with the activities.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 The Obsessional symptoms should of the characteristics:<\/p>\n\n
\n<\/strong>OBESSSEIVE- COMPULSIVE AND RELATED DISORDERS<\/p>\n\n
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\n PSORA<\/strong><\/td>\n SYCOSIS<\/strong><\/td>\n SYPHILITIC<\/strong><\/td>\n<\/tr>\n \n Inconsistent and impractical thoughts<\/td>\n Excessive thoughts, fears are manifested outwardly<\/td>\n Obsessional thoughts (killing, stabbing etc) unable to resist the same<\/td>\n<\/tr>\n \n Thoughts resulting in anxieties and fears<\/td>\n Fear of making mistakes, repeatedly checking<\/td>\n <\/td>\n<\/tr>\n \n Anxiety, worry and fear leading to repetitive thoughts<\/td>\n Restless mentally manifest in physical form<\/td>\n Obsessional thoughts leading into compulsions<\/td>\n<\/tr>\n \n Mental restlessness, wants to do something but don\u2019t know what to do, pooling up of thoughts.<\/td>\n Repetitive behaviors,<\/td>\n <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \n
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\n<\/strong>Arsenic Album: <\/strong>very conscious about the order of things and cannot rest if the things are not in their proper place. This compulsion can go to such an extent that even if a painting hanging on the wall is slightly tilted, the mind does not rest till it is properly placed and the patient leaves every other work for this. Such patients also demand neatness in clothing.<\/p>\n\n
\n<\/strong>PG Scholar
\nFather Muller Homoeopathic Medical College , Mangalore
\nSripadasangulagi3@gmail.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"