怎样治疗强迫思维

如何治疗强迫思维配图，仅供参考

Treatment for OCD consists of pharmacotherapy,psychotherapy and in some cases of refractory OCD,surgical therapy. Pharmacotherapy typically begins with SSRIs such as Celexa (citalopram),Lexapro (escitalopram),Prozac (fluoxetine),Luvox (fluvoxamine),Paxil (paroxetine),and Zoloft (sertraline). SSRIs increase the amount of time serotonin remains the synapse by inhibiting reuptake to propagate its effects on the postsynaptic neuron. Therapeutic doses often need to be higher in OCD than depression. Anafranil (clomipramine) is a tricyclic antidepressant (TCA) typically used after trying and failing SSRIs . It is thought that TCAs modulate norepinephrine as well as serotonin in the brain and may be more effective than SSRIs,however,adverse effects include cardiac arrhythmias,convulsions,and coma. Buspar (buspirone) is another medical option which works on serotonin and dopamine receptors in the brain. Not all patients respond to SSRIs alone and atypical antipsychotics such as Risperdal (risperidone) or Zyprexa (olanzapine) are indicated for augmentation of management with SSRIs. These medications work by blocking dopamine in the brain and may have fewer extrapyramidal side effects than their older counterparts,the typical antipsychotics . Some benefits have been reported with antipsychotic medications augmentation although this is controversial . Our patient had tried multiple medications in the past and was currently taking both an SSRI and an atypical antipsychotic medication,however,he had deteriorated in the community following the episode of nocturnal emission where his OCD worsened,suggesting that the medical management of his condition was not satisfactory. Glutamatergic medications including Namemba (memantine),Mucomyst (N-acetylcysteine),and Rilutek (riluzole) have also been used off-label for the treatment of OCD .","department":"