Indian Journal of Private Psychiatry

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VOLUME 14 , ISSUE 1 ( January-June, 2020 ) > List of Articles

Original Article

Episodic, Event-triggered Staring Compulsion: An Unusual Form of Obsessive-compulsive Disorder

Harish Kulkarni

Keywords : Obsessive-compulsive disorder, Reading, Young adult,Keywords: Compulsive behavior

Citation Information : Kulkarni H. Episodic, Event-triggered Staring Compulsion: An Unusual Form of Obsessive-compulsive Disorder. Ind J Priv Psychiatry 2020; 14 (1):9-10.

DOI: 10.5005/jp-journals-10067-0053

License: CC BY-NC 4.0

Published Online: 11-12-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Obsessive-compulsive disorder (OCD) has varied presentations. An OCD with predominant mental compulsion is rare. A case presented here is of a 21-year-old male patient with staring episodes. He got the urge to stare at uninteresting and insignificant visual cues while reading. Symptoms appeared only while reading academic books and during his examinations. Symptoms caused him significant distress and dysfunction; hence, he was unable to read for the examinations. His unsuccessful attempts to overcome the act of staring made him more anxious. Other differential diagnoses like impulse control disorder, attention deficit hyperactivity disorder, mania, and generalized anxiety disorder were ruled out and diagnosis of OCD was made. The patient was treated with selective serotonin reuptake inhibitors: paroxetine 25 mg and later fluoxetine up to 60 mg with propranolol and clonazepam initially. Significant improvement was noted on follow-ups, which maintained even after medications were withdrawn.


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