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Obsessions with aggressive content emerging during the course of panic disorder: a different subtype of obsessive-compulsive disorder?

Author(s): Fontenelle LF, Mendlowicz MV, Kalaf J, Domingues AM, Versiani M

Affiliation(s): Institute of Psychiatry of the Federal University of Rio de Janeiro (IPUB/UFRJ), Icarai-Niteroi-RJ, Brazil. lfontenelle@gmail.com

Publication date & source: 2005-11, Int Clin Psychopharmacol., 20(6):343-6.

Publication type: Case Reports

We report the clinical and therapeutic features of three patients with an obsessive-compulsive syndrome that emerged during the course of panic disorder. The DSM-IV criteria for panic disorder places central attention on the patient's phobic responses to the panic attacks and their perceived consequences. These phobic responses may develop into a syndrome that closely resembles obsessive-compulsive disorder (OCD) but typically responds to conventional anti-panic approaches. Our cases suggest that patients with OCD should be probed for an underlying panic disorder. This 'panic disorder-related subtype of OCD' may be associated with an excellent treatment response and increased rates of remission.

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