Treatment of sexual trauma dissolves contamination fear: Case report

Description

Background: In patients with co-morbid obsessive−compulsive disorder (OCD) and posttraumatic stress disorder (PTSD), repetitive behavior patterns, rituals, and compulsions may ward off anxiety and often function as a coping strategy to control reminders of traumatic events. Therefore, addressing the traumatic event may be crucial for successful treatment of these symptoms.

Objective: In this case report, we describe a patient with comorbid OCD and PTSD who underwent pharmacotherapy and psychotherapy.

Methods: Case Report. A 49-year-old Dutch man was treated for severe PTSD and moderately severe OCD resulting from anal rape in his youth by an unknown adult man.

Results: The patient was treated with paroxetine (60 mg), followed by nine psychotherapy sessions in which eye movement desensitization and reprocessing (EMDR) and exposure and response prevention (ERP) techniques were applied. During psychotherapy, remission of the PTSD symptoms preceded remission of the OCD symptoms. Conclusions: This study supports the idea of a functional connection between PTSD and OCD. Successfully processing the trauma results in diminished anxiety associated with trauma reminders and subsequently decreases the need for obsessive−compulsive symptoms.

Format

Journal

Language

English

Author(s)

Mirjam J. Nijdam
Marthe M. van der Pol
Ron E. Dekens
Miranda Olff
Damiaan Denys

Original Work Citation

Nijdam, M., Pol, M. V. D., Dekens, R., Olff, M., & Denys, D. (2013, January). Treatment of sexual trauma dissolves contamination fear: Case report. European Journal of Psychotraumatology, 4, 19157. doi:10.3402/ejpt.v4i0.19157

Collection

Citation

“Treatment of sexual trauma dissolves contamination fear: Case report,” Francine Shapiro Library, accessed August 12, 2020, https://emdria.omeka.net/items/show/21996.

Output Formats