Sangam: A Confluence of Knowledge Streams

A Case of Cachexia Secondary to Obsessive-Compulsive Disorder

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dc.creator Gosnell, Hailey L.
dc.creator Kablinger, Anita S.
dc.date 2020-06-01T11:42:49Z
dc.date 2020-06-01T11:42:49Z
dc.date 2020-05-27
dc.date 2020-05-31T08:00:10Z
dc.date.accessioned 2023-03-01T18:34:44Z
dc.date.available 2023-03-01T18:34:44Z
dc.identifier Hailey L. Gosnell and Anita S. Kablinger, “A Case of Cachexia Secondary to Obsessive-Compulsive Disorder,” Case Reports in Psychiatry, vol. 2020, Article ID 5783191, 4 pages, 2020. doi:10.1155/2020/5783191
dc.identifier http://hdl.handle.net/10919/98629
dc.identifier https://doi.org/10.1155/2020/5783191
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/279708
dc.description Obsessive-compulsive disorder (OCD), a relatively common psychiatric illness, is diagnosed using DSM-V criteria. Its severity is assessed using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Symptoms are broken down into five categories of obsessive-compulsive (O-C) manifestations: contamination/cleaning, symmetry/ordering, taboo thoughts, doubt about harm/checking, and worry about throwing away items that could prove useful or valuable/hoarding. CBT in the form of exposure response therapy (ERP) and/or SSRI/clomipramine administration is the mainstay of treatment. We present a unique OCD case in the nature of obsessions and compulsions, cachexia presentation without anorexia, and history of multiple inpatient psychiatric admissions. Our patient’s obsessions focus on eating at specific times, prompting compulsive eating patterns that often result in starvation due to missing timeframes that the patient deems acceptable for eating. His resulting cachexia and eventual worsening of depression to the point of suicidality necessitated multiple inpatient stays and placement at a long-term mental health care facility.
dc.description Published version
dc.format application/pdf
dc.format application/pdf
dc.format text/xml
dc.language en
dc.publisher Hindawi
dc.rights Creative Commons Attribution 4.0 International
dc.rights http://creativecommons.org/licenses/by/4.0/
dc.rights Copyright © 2020 Hailey L. Gosnell and Anita S. Kablinger. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.title A Case of Cachexia Secondary to Obsessive-Compulsive Disorder
dc.title Case Reports in Psychiatry
dc.type Article - Refereed
dc.type Text


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