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Obsessive‐compulsive disorder, trichotillomania, and anorexia nervosa: A case report
Author(s) -
Pryor Tamara L.,
Martin Ronald L.,
Roach Neil
Publication year - 1995
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(199512)18:4<375::aid-eat2260180412>3.0.co;2-s
Subject(s) - fluoxetine , anorexia nervosa , psychology , reuptake inhibitor , psychiatry , depression (economics) , serotonin reuptake inhibitor , eating disorders , serotonin , psychotherapist , clinical psychology , medicine , anxiety , antidepressant , receptor , macroeconomics , economics
We report a case study of an 18‐year‐old female who presented with symptoms associated with several discrete diagnostic syndromes: obsessive‐compulsive disorder, trichotillomania, major depression, and anorexia nervosa. Improvement in each occurred after treatment with the serotonin selective reuptake inhibitor, fluoxetine, suggesting that such syndromes share a common serotonin neurotransmitter disturbance. Furthermore, the combined effects of medication and psychotherapy resulted in improvement in assertiveness, sense of security, self‐worth, flexibility, and self‐regulation. We discuss the pharmacological and psychotherapeutic implications of possible psychophysiologic similarities among the previously mentioned syndromes. © 1995 by John Wiley & Sons, Inc.