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    Int J Eat Disord. 1995 Dec;18(4):375-9.

    Obsessive-compulsive disorder, trichotillomania, and anorexia nervosa: a case report.

    Source

    Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine-Wichita 67214-3199, USA.

    Abstract

    We report a case study of an 18-year-old female who presented with symptoms associated with several discrete diagnostic syndromes: obsessive-compulsive disorder, trichotillomania, major depression, and anorexia nervosa. Improvement in each occurred after treatment with the serotonin selective reuptake inhibitor, fluoxetine, suggesting that such syndromes share a common serotonin neurotransmitter disturbance. Furthermore, the combined effects of medication and psychotherapy resulted in improvement in assertiveness, sense of security, self-worth, flexibility, and self-regulation. We discuss the pharmacological and psychotherapeutic implications of possible psychophysiologic similarities among the previously mentioned syndromes.

    PMID:
    8580925
    [PubMed - indexed for MEDLINE]

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