Jaber Alizadeh Goradel, Asghar Pouresmali, Mehri Mowlaie, Fariba Sadeghi Movahed,
Volume 4, Issue 2 (4-2016)
Abstract
Objective: Obsessive-Compulsive disorder (OCD) is one of the greatest and debilitating disorders, which many of its patients do not respond to psychotherapy and pharmacotherapy. In this regard, paying attention to new treatments such as transcranial direct current stimulation (tDCS) is important. The purpose of the present research was to examine the effects of tDCS on the obsession-compulsion (OC), anxiety, and depression of a patient suffering from OCD.
Methods: The present study conducted on a 23-year-old female patient with OCD. tDCS sessions were lasted 10 days, one session per day and each session of about 20 minutes with 2.0 mA intensity. The results of Beck depression inventory, Hamilton anxiety rating scale, and Yale Brown obsessive-compulsive scale showed decrease in OC, depression, and anxiety symptoms after 10 sessions of tDCS.
Results: The results of the present research using cathodal tDCS on orbitofrontal cortex in 10 sessions showed that this montage is a powerful and successful treatment for patients with OCD and alleviate their OC, depression, and anxiety symptoms.
Conclusion: The data were analyzed by diagram analysis and improvement percentage. This study showed that anodal tDCS on O2 and cathodal tDCS on orbitofrontal cortex improved OC, anxiety and depression symptoms. However, our findings give introductory confirmation that our patient with OCD has a positive response to cathode tDCS of the OFC.
Sayedeh Elham Sharafi, Mohammadreza Shegarf Nakhaei, Ali Taj,
Volume 12, Issue 4 (10-2024)
Abstract
Objective: Anorexia nervosa (AN) is a severe psychiatric disorder, in which an individual suffers from severe weight loss, and disturbed physical and psychosocial functioning. It was previously diagnosed and reported in Western countries but its prevalence is on the rise in a Middle East country like Iran. This study aims to introduce a patient with AN with hyperprolactinoma.
Methods: This study is a case report. A single, educated but not currently employed 32-year-old female patient was admitted with the chief complaint of a locked knee, weakness, and lethargy; she was hospitalized in the hematology ward due to electrolyte and hematological complications and then referred to the psychiatric service due to severe weight loss.
Results: The etiology and severity of the disorder were evaluated; psychiatric, electrolyte, cardiopulmonary, endocrine, gastrointestinal, neurological, hematological, and renal systems were assessed. Low-calorie intake was considered according to the latest guidelines, which prevented relevant complications and caused the patient’s optimal compliance with treatment.
Conclusion: AN is not necessarily caused by the patient’s body image, and physicians are advised not to rely on such misconceptions for diagnosis. Also, according to the results, the relationship between AN and hyperprolactinoma and pituitary microadenoma is observed. The measures taken led to the patient’s optimal compliance with the treatment.
