Question

Mrs. DW is a 32-year-old with a 10-year history of 'emotional problems'. These have largely been dealt with by her primary care doctor, who has prescribed low-dose TCAs for the last 3 years. Mrs. DW's life is severely restricted by a number of rituals which she obsessively carries out. They include washing of sinks, baths and toilets; disinfection of kitchen surfaces; and vacuuming. These activities occupy her up to 8 hours a day. Current prescribed medications: • Diazepam 10 mg TID • Amitriptyline 25 mg BID *Both have been prescribed for 3 years. Mrs. DW is concerned about possible addiction to her medication, as previous attempts to stop it have been unsuccessful. In addition, both she and her family feel that, more can be achieved, and are willing to work at solving the problems faced by Mrs. DW. Is this appropriate therapy for OCD? and if not, what would be a better first choice? Choose the best answer. (A) No, TCAs are not appropriate for OCD because it can worsen the symptoms of OCD. The first choice is SSRI (B) Yes, these drugs are appropriate for OCD (C) Yes, these drugs are appropriate for OCD. But the first choice is SSRI (D) No, benzodiazepines are not recommended for OCD. The first choice is SSRI

          Mrs. DW is a 32-year-old with a 10-year history of 'emotional problems'. These have largely been dealt with by her primary care doctor, who has prescribed low-dose TCAs for the last 3 years. Mrs. DW's life is severely restricted by a number of rituals which she obsessively carries out. They include washing of sinks, baths and toilets; disinfection of kitchen surfaces; and vacuuming. These activities occupy her up to 8 hours a day.
Current prescribed medications:
• Diazepam 10 mg TID
• Amitriptyline 25 mg BID
*Both have been prescribed for 3 years.
Mrs. DW is concerned about possible addiction to her medication, as previous attempts to stop it have been unsuccessful. In addition, both she and her family feel that, more can be achieved, and are willing to work at solving the problems faced by Mrs. DW. Is this appropriate therapy for OCD? and if not, what would be a better first choice?
Choose the best answer.

(A) No, TCAs are not appropriate for OCD because it can worsen the symptoms of OCD. The first choice is SSRI
(B) Yes, these drugs are appropriate for OCD
(C) Yes, these drugs are appropriate for OCD. But the first choice is SSRI
(D) No, benzodiazepines are not recommended for OCD. The first choice is SSRI

Mrs. DW is a 32-year-old with a 10-year history of 'emotional problems'. These have largely been dealt with by her primary care doctor, who has prescribed low-dose TCAs for the last 3 years. Mrs. DW's life is severely restricted by a number of rituals which she obsessively carries out. They include washing of sinks, baths and toilets; disinfection of kitchen surfaces; and vacuuming. These activities occupy her up to 8 hours a day.
Current prescribed medications:
• Diazepam 10 mg TID
• Amitriptyline 25 mg BID
*Both have been prescribed for 3 years.
Mrs. DW is concerned about possible addiction to her medication, as previous attempts to stop it have been unsuccessful. In addition, both she and her family feel that, more can be achieved, and are willing to work at solving the problems faced by Mrs. DW. Is this appropriate therapy for OCD? and if not, what would be a better first choice?
Choose the best answer.

(A) No, TCAs are not appropriate for OCD because it can worsen the symptoms of OCD. The first choice is SSRI
(B) Yes, these drugs are appropriate for OCD
(C) Yes, these drugs are appropriate for OCD. But the first choice is SSRI
(D) No, benzodiazepines are not recommended for OCD. The first choice is SSRI

Added by Cristian W.

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