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Obsessive Compulsive Disorder (OCD) (Moderate (SSRI (1, 2, 4) (Switch to…
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References
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- Pittenger, C., Kelmendi, B., Bloch, M., Krystal, J.H., & Coric, V. (2005). Clinical treatment of obsessive compulsive disorder. Psychiatry, 2(11), 34-43. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2993523/
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Box 34 hello here it is typing in real time Obessive Compulsive Disorder with comorbid depression panic disorder mild moderate severe therapy ERP
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FDA approved: Prozac, Luvox, Zoloft, Paxil
Non-FDA approved: Celexa, Lexapro
Treatment Refractory: 3 Adequate antidepressant trials and 1 mo. with an adjunct (antipsychotic, clonazepam, lithium, or Buspar) and at least 20 sessions of ERP
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Legend:
ERP = Exposure & Response Prevention
CT = Cognitive Therapy
ACT = Acceptance & Commitment Therapy
DBS = Deep Brain Stimulation
ECT = Electroconvulsive Therapy
TMS = Transcranial Magnetic Stimulation
Serotonin syndrome at any time point?
D/c & switch to another SSRI
D/c & switch to Anafranil
D/c & switch to Effexor or Remeron
ECG changes with Anafranil or Antipsychotic
Obtain baseline ECG and BP
Repeat ECG as needed & monitor BP/HR at each appt.
D/c medication and switch to another agent
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Non-FDA Approved: Effexor, Remeron
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