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Obsessive–Compulsive Disorder
Abstract
A 19-year-old man is brought to his primary physician by his father, who explains that his son washes his hands a hundred times a day, will not touch anything that has been touched by someone else without scrubbing it first, and has a fear of germs that has left him isolated in his bedroom, unable to eat, and wishing he were dead. Although the father reports that his son has always been finicky, this problem started approximately 2 years ago and has gradually become completely disabling. How should this patient be evaluated and treated?
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“Scientific literature shows that the prevalence of OCD is not determined by gender (a ratio of 1:1) [44].”
Citations
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Metadata
- Authors
- Grant, J. E.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Grant, Jon E.
- ORCID
- Grant, Jon E.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2014-08-14
- Volume
- 371
- Issue
- 7
- Pages
- 646-653
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2318858880
- Cited by
- 148
- References
- 49
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 5 · 2023: 13 · 2022: 6 · 2021: 12 · 2020: 52 · 2019: 8 · 2018: 10 · 2017: 9 · 2016: 7 · 2015: 8
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- obsessive-compulsive disorder, hand washing, compulsive behavior, social isolation, suicidal ideation, young adults, psychiatric assessment, treatment
- MeSH terms
- Antidepressive Agents, Tricyclic, Combined Modality Therapy, Diagnosis, Differential, Diagnostic Errors, Humans, Implosive Therapy, Male, Obsessive-Compulsive Disorder, Cognitive Behavioral Therapy, Selective Serotonin Reuptake Inhibitors, Practice Guidelines as Topic, Deep Brain Stimulation, Young Adult
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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