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Weightlifting
Published in Ira Glick, Danielle Kamis, Todd Stull, The ISSP Manual of Sports Psychiatry, 2018
Ian Steele, Harrison Pope, Gen Kanayama
Weightlifters showing features of muscle dysmorphia or exercise dependence may often fail to see their behaviors as problematic, and these diagnoses may be missed if not specifically sought out by clinicians. Individuals with these disorders must also be screened for comorbid conditions, such as major mood disorders, anxiety disorders, and obsessive-compulsive spectrum disorders. Although there are currently no well-studied evidentiary-based treatments for muscle dysmorphia and exercise dependence, we would suggest that these disorders may benefit from treatment strategies developed for conditions with similar presentations and symptoms (e.g., treatments for other forms of body dysmorphic disorder and treatments for other forms of behavioral addictions). These potential treatments include psychoeducation, motivational interviewing, CBT, and ACT. Psychopharmacological treatment may also be of value, perhaps especially in patients exhibiting comorbid disorders.
Binge eating disorder: Etiology, assessment, diagnosis, and treatment
Published in G. Michael Steelman, Eric C. Westman, Obesity, 2016
CBT offers many techniques that work very well to help clients understand and manage BED. Although not formally considered an obsessive–compulsive spectrum disorder, compulsive overeating often responds extremely well to some of the same CBT techniques used to treat OCD and related conditions.
Obesity and Impulsive and Compulsive Disorders
Published in Susan L. McElroy, David B. Allison, George A. Bray, Obesity and Mental Disorders, 2006
Latha V. Soorya, Bryann R. Baker, Lisa Sharma, Eric Hollander
This chapter examines the relationship between impulsive and compulsive disorders as well as select obsessive-compulsive spectrum disorders (OCSDs). Although there is no direct link between impulsive and compulsive disorders and obesity, individual disorders are associated with both weight loss and weight gain. OCSD disorders with the strongest association with clinical obesity include binge-eating disorder (BED) and Prader–Willi Syndrome (PWS). The compulsive eating associated with these disorders and the links between binge eating, PWS, and obsessive-compulsive disorder (OCD) will be explored closely in this chapter. Obesity and weight gain may be directly related to other impulse control disorders as a result of generalized problems with impulse control or may be indirectly related due to sedentary lifestyles (e.g., pathological gambling) and/or medication side effects. The associated features and medication side effects can result in clinically significant weight gain. This chapter will review the weight gain issues associated with select compulsive, impulsive, and developmental disorders comprising OCSD. In addition to reviews of extant literature, data on baseline weight will be presented across our own clinical populations.
Obsessional slowness in obsessive-compulsive disorder: identifying characteristics and comorbidities in a clinical sample
Published in International Journal of Psychiatry in Clinical Practice, 2023
Erin Crowe, Maria C. Rosário, Ygor A. Ferrão, Lucy Albertella, Euripedes C. Miguel, Leonardo F. Fontenelle
This project is a secondary analysis of 1001 OCD outpatients originally assessed by the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders (CTOC) between 2003 and 2009, from outpatient facilities located within seven universities across Brazil (Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders, 2008). Participants missing data on variables of interest and those who responded ‘past’ on the OS measure (described below) were excluded. The final sample comprised of 667 participants, mostly (n=407; 61.0%) females, aged 9-82years (M=37.86years, SD=12.78years). Participants were classified as either having current OS (+OS) (n=189, 28.3%), or never having OS (-OS) (n=478).
Functional interventions as augmentation strategies for obsessive-compulsive disorder (OCD): scoping review and expert survey from the international college of obsessive-compulsive spectrum disorders (ICOCS)
Published in International Journal of Psychiatry in Clinical Practice, 2022
Alberto Varinelli, Valentina Caricasole, Luca Pellegrini, Natalie Hall, Kabir Garg, Davis Mpavaenda, Bernardo Dell’Osso, Umberto Albert, Naomi A. Fineberg
(OCD OR "obsessive compulsive disorder" OR "obsessive compulsive spectrum disorder" OR "trichotillomania" OR "skin picking disorder" OR "hoarding disorder" OR "body dysmorphic disorder" OR autism OR "developmental disorder" OR "autism spectrum disorder" OR "psychiatric disorder" OR "difficulty reading" OR doubt OR lassitude OR slowness OR indecisiveness OR perfectionism OR "circadian rhythms" OR "executive function" OR anxiety OR "worry about the future" OR procrastination OR flexibility OR compulsions) AND ("alternative intervention" OR "alternative treatment" OR "functional treatment" OR "functional intervention" OR "psychosocial intervention" OR “psychosocial treatment”)
Sydenham’s chorea: an update on pathophysiology, clinical features and management
Published in Expert Opinion on Orphan Drugs, 2019
Luiz Paulo Bastos Vasconcelos, Marcelle Cristina Vasconcelos, Maria Do Carmo Pereira Nunes, Antonio Lucio Teixeira
Interestingly, RF patients may manifest these behavioral symptoms even when chorea is absent. In a cross-sectional study that investigated consecutive patients at a referral center, both groups of RF without chorea (n = 20) and SC (n = 22) had similar frequency of obsessive-compulsive symptoms [46]. Alvarenga et al. (2009) analyzed 678 outpatients referred to a psychiatric clinic searching for obsessive-compulsive spectrum disorders, including OCD, tic disorders, trichotillomania and body dysmorphic disorder. Among 13 patients with previous history of RF, obsessive-compulsive spectrum disorders were the most prevalent conditions [47]. Hounie et al. (2004) carried out a study with 59 RF patients and 39 orthopedic patients as a control group. Patients with RF, regardless the history of SC, were at increased risk for obsessive-compulsive spectrum disorders compared to the control group. The authors proposed that presence of these symptoms in remitted RF patients could represent persistent damage of the basal ganglia during the acute phase of the disease [48].