Woman diagnosed with obsessive-compulsive disorder became delusional after childbirth:A case report  

作　　者：Si-Si Lin Jing-Fang Gao 

机构地区：[1]Department of Psychiatry and Psychology,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2022年第10期3261-3267,共7页世界临床病例杂志

摘　　要：BACKGROUND Obsessive-compulsive disorder(OCD)is a common mental disorder that varies greatly in manifestation and causes much distress to individuals.We describe a case in which a Chinese woman with OCD became delusional after childbirth,and discuss the possible phenomenological and psychological alterations.CASE SUMMARY A 27-year-old woman presented to the Psychiatry Department of our hospital with obsessions and compulsions.After taking medication,her symptoms were alleviated.Three years later,during her pregnancy,the obsessions returned and even progressed into paranoid delusions after childbirth.After multiple adjustments of treatment along with several fluctuations,she finally achieved remission and gained reasonable insight.CONCLUSION This case suggests that the patient with OCD appeared to move along a continuum of beliefs,and highlights the importance of effective intervention during pregnancy,which would exert a significant impact on postpartum exacerbation outcomes.

关 键 词：DELUSION OBSESSION Paranoid thinking PERFECTIONISM Obsessive-compulsive disorder Case report 

分 类 号：R749.7[医药卫生—神经病学与精神病学]