pica and Obsessive-Compulsive-Disorder

Topics: Adult; Anemia, Iron-Deficiency; Depression; Feeding and Eating Disorders; Female; Fluoxetine; Humans; Obsessive-Compulsive Disorder; Pica; Recurrence; Selective Serotonin Reuptake Inhibitors; Spain

Pica is considered as an eating-nutritional disorder in childhood and is generally analysed within obsessive-compulsive disorders. A 15-year-old female patient was admitted to the urology clinic with nausea, vomiting, and stomach-ache. A 23 x 23 mm opacity was identified in left T-11-12 level in direct urinary graph. Full abdomen ultrasonography was reported to be normal. Later, it was learned that the patient had the habit of eating stone. The patient was diagnosed with obsessive-compulsive disorder following psychiatric consultation, and appropriate treatment was given.

Topics: Adolescent; Diagnosis, Differential; Female; Humans; Kidney Calculi; Obsessive-Compulsive Disorder; Pica; Urinary Bladder Calculi

Pica is a common disorder in childhood, however, in adults it is associated with mental retardation, psychosis and pregnancy. A few case reports have described it being associated with obsessive compulsive disorder in adults. We describe the case of an adult female patient who developed an impulse to ingest chalk only in stressful situations. These thoughts were ego-dystonic and kept on hammering her mind until she ate it. She was diagnosed as having Major Depressive Disorder with relational problems and pica. We prescribed her escitalopram with clonazepam and asked her to ventilate her feelings during stressful situations. Her depression improved within three weeks, with remarkable improvement in pica symptoms. We concluded that stress may induce the pica in some adults and that such feelings have impulsive/compulsive characters. In addition, appropriate management of stress may help to alleviate the symptoms of pica.

Topics: Adult; Anticonvulsants; Citalopram; Clonazepam; Drug Therapy, Combination; Female; Humans; Obsessive-Compulsive Disorder; Pica; Selective Serotonin Reuptake Inhibitors; Stress, Psychological

Topics: Antidepressive Agents, Second-Generation; Child; Feeding and Eating Disorders; Fluoxetine; Humans; Male; Obsessive-Compulsive Disorder; Pica

Topics: Adolescent; Bipolar Disorder; Dental Care for Chronically Ill; Encyclopedias as Topic; Humans; Information Services; Internet; Obsessive-Compulsive Disorder; Pica; United Kingdom; Young Adult

Topics: Anemia, Iron-Deficiency; Celiac Disease; Child; Diagnostic Errors; Glutens; Humans; Male; Obsessive-Compulsive Disorder; Pica

Association of pica, iron deficiency anaemia (IDA) and celiac disease (CD) have been reported in the literature. An unusual but completely reversible form of pica in the form obsessive compulsive sponge eating (pervasive disorder) was reported as an odd manifestation of IDA and CD.. The medical practice is full of challenges and complexity; and clinicians need to be vigilant all the time in their practice to appreciate unusual and rare manifestations of common clinical conditions like IDA and CD.

Topics: Anemia, Iron-Deficiency; Celiac Disease; Child; Child, Preschool; Diagnosis, Differential; Female; Humans; Iron; Male; Obsessive-Compulsive Disorder; Pica

Topics: Adolescent; Adult; Behavior Therapy; Female; Human Coprophagia; Humans; Male; Obsessive-Compulsive Disorder; Pica; Selective Serotonin Reuptake Inhibitors

The concept of a spectrum of obsessive-compulsive related disorders may have clinical and research heuristic value in the approach to disorders similar to obsessive-compulsive disorder (OCD) in respect of phenomenology and psychobiology. Like other repetitive and ritualistic behaviours, pica may be postulated to fall at times on this spectrum.. Five cases of pica seen at our clinics are presented here in order to test this hypothesis. Phenomenology, neurobiology (where available) and pharmacotherapy data are provided in order to consider a possible relationship with OCD and OCD spectrum disorders.. In 2 of the cases, pica appeared to be a compulsion and patients had additional symptoms which met diagnostic criteria for OCD. In 2 of the cases, the clinical picture and neurobiological data were reminiscent of an impulse control disorder. Four of the 5 patients responded to treatment with a serotonin re-uptake inhibitor (SRI).. These results are consistent with a hypothesis that at least some cases of pica may usefully be conceptualised as lying within a compulsive-impulsive spectrum of symptoms and disorders.

Topics: 1-Naphthylamine; Adolescent; Adult; Antidepressive Agents; Child; Citalopram; Clomipramine; Female; Humans; Male; Middle Aged; Obsessive-Compulsive Disorder; Pica; Sertraline; Tomography, Emission-Computed, Single-Photon

Topics: Adolescent; Antidepressive Agents, Second-Generation; Diagnosis, Differential; Fluoxetine; Humans; Iron; Iron Deficiencies; Male; Obsessive-Compulsive Disorder; Pica

Hair pulling and eating has not yet received attention in the nonhuman primate literature. Hair pulling and eating was recorded 388 times in two heterogeneous troops of healthy rhesus monkeys that were kept according to modern management practices. The behavior in question consists of the following sequence: pulling with the fingers (1/3 of cases) or with the teeth (2/3 of cases) tufts of hair from one's own or from a partner's coat; chewing the hair and finally swallowing it; the undigested material is excreted in the feces. Hair pulling was almost exclusively (378/388) partner-directed. It was observed 364 times between animals whose dominance relationships were known; it was performed in 96% (349/364) of observations by a dominant but only in 4% (15/364) of observations by a subordinate monkey. The recipient of hair pulling showed typical fear and/or avoidance reactions. In both troops young animals (2-8 years of age) engaged in hair pulling and eating significantly more often than old animals (10-26 years of age). There was no evidence that nutritional, toxicological or climatic factors were responsible for the manifestation of this behavior. It was concluded that, similar to trichotillomania in man, wool pulling and eating in sheep and muskox, and feather picking in poultry, hair pulling and eating is an aggressive behavioral disorder in rhesus monkeys reflecting adjustment problems to a stressful environment.

Topics: Animals; Dominance-Subordination; Female; Macaca; Macaca mulatta; Male; Monkey Diseases; Obsessive-Compulsive Disorder; Pica; Social Behavior; Social Dominance; Trichotillomania

Topics: Adolescent; Feeding and Eating Disorders; Feeding Behavior; Female; Hair; Humans; Menstruation; Obsessive-Compulsive Disorder; Paraphilic Disorders; Parent-Child Relations; Pica; Psychoanalytic Therapy; Sexual Behavior; Vomiting