Clinical Challenges in Pedophilia-Themed Obsessive-Compulsive Disorder
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| Title: | Clinical Challenges in Pedophilia-Themed Obsessive-Compulsive Disorder |
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| Authors: | Rui Xavier Vieira, Liliana P. Ferreira, Samuel Pombo, Carla Ferreira |
| Source: | Acta Médica Portuguesa, Vol 34, Iss 10 (2021) |
| Publisher Information: | Ordem dos Medicos, 2021. |
| Publication Year: | 2021 |
| Subject Terms: | Adult, Male, Obsessive-Compulsive Disorder/diagnosis, Medicine (General), Obsessive-Compulsive Disorder, Cognitive Behavioral Therapy, Sexual Behavior, Social Stigma, 05 social sciences, 03 medical and health sciences, R5-920, Cognition, 0302 clinical medicine, Obsessive-Compulsive Disorder/therapy, Medicine, Humans, 0501 psychology and cognitive sciences, Child, Pedophilia |
| Description: | In obsessive-compulsive disorder, pedophilia-themed obsessions-distressing intrusive thoughts about being sexually attracted to, or sexually abusing, children-are the most distressing for patients and the most misdiagnosed among healthcare professionals. Our aim is to present a case report highlighting the role stigma plays in delaying treatment, the clinical challenges in the diagnosis, and in the treatment of pedophilia-themed obsessive-compulsive disorder, in order to address the lack of literature on the subject. The case concerns a 33-year-old man with suicidal thoughts associated with the unbearable suffering caused by pedophilia-themed obsessions he had been having over the previous decade, without ever asking for help. This situation was highly disabling, leaving him mostly isolated in his bedroom. After the differential diagnosis was made, a treatment plan combining pharmacological and cognitive-behavioural therapy was implemented. After 18 months he showed a degree of remission that made it possible for him to apply for a job. |
| Document Type: | Article |
| ISSN: | 1646-0758 0870-399X |
| DOI: | 10.20344/amp.13296 |
| Access URL: | https://actamedicaportuguesa.com/revista/index.php/amp/article/download/13296/6135 https://pubmed.ncbi.nlm.nih.gov/33159729 https://doaj.org/article/3cecd5ba3286468195c50781fcbdbb27 https://pubmed.ncbi.nlm.nih.gov/33159729/ https://www.ncbi.nlm.nih.gov/pubmed/33159729 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/download/13296/6135 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13296 |
| Rights: | CC BY NC ND |
| Accession Number: | edsair.doi.dedup.....63fd1158c0b5181eaaabbad34d5f963f |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | In obsessive-compulsive disorder, pedophilia-themed obsessions-distressing intrusive thoughts about being sexually attracted to, or sexually abusing, children-are the most distressing for patients and the most misdiagnosed among healthcare professionals. Our aim is to present a case report highlighting the role stigma plays in delaying treatment, the clinical challenges in the diagnosis, and in the treatment of pedophilia-themed obsessive-compulsive disorder, in order to address the lack of literature on the subject. The case concerns a 33-year-old man with suicidal thoughts associated with the unbearable suffering caused by pedophilia-themed obsessions he had been having over the previous decade, without ever asking for help. This situation was highly disabling, leaving him mostly isolated in his bedroom. After the differential diagnosis was made, a treatment plan combining pharmacological and cognitive-behavioural therapy was implemented. After 18 months he showed a degree of remission that made it possible for him to apply for a job. |
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| ISSN: | 16460758 0870399X |
| DOI: | 10.20344/amp.13296 |