Hostname: page-component-76fb5796d-vvkck Total loading time: 0 Render date: 2024-04-25T13:49:57.703Z Has data issue: false hasContentIssue false

Comprehensive Treatment of Three Patients with Comorbid OCPD and ADHD

Published online by Cambridge University Press:  07 November 2014

Abstract

Three patients were seen in an outpatient setting with work difficulties involving disorganization and task completion.They were evaluated and found to have significant symptoms of both attention-deficit/hyperactivity disorder, inattentive subtype and obsessive-compulsive personality disorder and were then treated with a creative combined behavioral and medication treatment, which emphasized the use of external aides (eg, paraprofessionals). Significant symptom reduction was observed as a result of this combined intervention.

Type
Case Report
Copyright
Copyright © Cambridge University Press 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Diagnostic and Statistical Manual of Mental Disorders. 4th ed. text rev. Washington, DC: American Psychiatric Association; 2000.Google Scholar
2.Grisham, JR, Frost, RO, Steketee, G, Kim, HJ, Hood, S. Age of onset of compulsive hoarding. J Anxiety Disord 2006;20:675686.CrossRefGoogle ScholarPubMed
3.Hyler, SE. Personality Diagnostic Questionnaire-4 (PDQ-4). New York, NY: New York State Psychiatric Institute; 1994.Google Scholar
4.Hyler, SE, Skodol, AE, Kellman, HD, Oldham, JM, Rosnick, L. Validity of the Personality Diagnostic Questionnaire-revised: comparison with two structured interviews. Am J Psychiatry. 1990;147:10431048.Google ScholarPubMed
5.Fossati, A, Maffei, C, Bagnato, M, et al.Brief communication: criterion validity of the Personality Diagnostic Questionnaire-4+ (PDQ-4+) in a mixed psychiatric sample. J Personal Disord. 1998;12:172178.CrossRefGoogle Scholar
6.Wilberg, T, Dammen, T, Friis, S. Comparing Personality Diagnostic questionnaire-4+ with Longitudinal, Expert, All Data (LEAD) standard diagnoses in a sample with a high prevalence of axis I and axis II disorders. Compr Psychiatry. 2000;41:295302.CrossRefGoogle Scholar
7.Adler, LA, Kessler, RC, Spencer, T. Adult ADHD Self-Report Scale-v1.1 (ASRS-v1.1) Symptom Checklist. New York, NY: World Health Organization; 2003.Google Scholar
8.Brown, TE. Brown Attention-Deficit Disorder Scales (BADDS). San Antonio, Tex: The Psychological Corporation. Harcourt Brace & Company; 1996.Google Scholar
9.Brown, TE. The Brown Attention-Activation Disorder Scale (BAADS). New Haven, Conn: Yale University Press; 1992.Google Scholar
10.Kessler, RC, Adler, L, Ames, M, et al.The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005;35:245256.CrossRefGoogle Scholar
11.Adler, LA, Spencer, T, Faraone, SV, et al.Validity of pilot Adult ADHD Self-Report Scale (ASRS) to rate adult ADHD symptoms. Ann Clin Psychiatry. 2006;18:145148.CrossRefGoogle ScholarPubMed
12.Novaco, RW, Welsh, W. Anger disturbances: Cognitive mediation and clinical prescriptions. In: Howells, K, Hollin, C, eds. Clinical Approaches to Violence. London, UK: John Wiley & Sons; 1989:3960.Google Scholar
13.Leahy, R, Holland, S. Treatment Plans and Interventions for Depression and Anxiety Disorders. New York, NY: The Gulford Press; 2000.CrossRefGoogle Scholar
14.Hartl, TL, Frost, RO, Allen, GJ, et al.Actual and perceived memory deficits in individuals with compulsive hoarding. Depress Anxiety. 2004;20:5969.CrossRefGoogle ScholarPubMed
15.Lawrence, NS, Wooderson, S, Mataix-Cols, D, David, R, Speckens, A, Phillips, ML. Decision making and set shifting impairments are associated with distinct symptom dimensions in obsessive-compulsive disorder. Neuropsychology. 2006;20:409.CrossRefGoogle ScholarPubMed
16.Saxena, S. Is compulsive hoarding a genetically and neurobiologically discrete syndrome? Implications for diagnostic classification. Am J Psychiatry. 2007;164:380384.CrossRefGoogle ScholarPubMed
17.Saxena, S, Brody, AL, Maidment, KM, et al.“Cerebral glucose metabolism in obsessive-compulsive hoarding”. Am J Psychiatry. 2004;161:10381048.CrossRefGoogle Scholar