Annals of Case Reports and Clinical Studies (ISSN: 2834-5673) | Volume 4, Issue 4 | Review Article | Open Access DOI
Nitsa Nacasch*
Nitsa Nacasch¹, Lilach Rachamim², Iyar Zagagi¹, Anat Sirkis Gork¹, Naama de la Fontaine¹, Leo Wolmer²,³, Nitzan Margalit², Zohar Joseph¹
1Division of Psychiatry, Chaim Sheba Medical Center, Tel Hashomer, Israel
2Cohen & Irving B. Harris Resilience Center for Trauma and Disaster Intervention by the Association for Children at Risk, Tel Aviv, Israel
3Baruch Ivcher School of Psychology, Reichman university Herzliya, Herzliya, Israel
*Correspondence to: Nitsa Nacasch
Fulltext PDFWe present treatment outcomes of 10 cases of combat and terror related posttraumatic stress disorder (PTSD) referred to the Sheba Medical Center Trauma Unit due to trauma-related symptoms. After careful assessment, referred patients were diagnosed with comorbid obsessive-compulsive disorder (OCD) and PTSD. All patients had no prior diagnosis of OCD and all reported that OCD symptoms were preceded by severe combat and terror experiences. Treatment focus (OCD or PTSD) was determined based on the relative impact of either PTSD or OCD on patients' baseline functioning and quality of life. Treatment efficacy was assessed using Yale-Brown Obsessive Compulsive Scale (YBOCS) and Posttraumatic Symptom Scale Interview version (PSS-I). Cognitive behavioral treatment (CBT) for OCD was associated with marked improvement in OCD symptoms. Yet, PTSD symptoms did not improve. CBT for PTSD was associated with marked improvement in PTSD symptoms, but OCD symptoms did not improve. Our data support the potential clinical utility of OCD specifier i.e. post-traumatic OCD. More rigorous studies are needed in order to fine-tune the assessment and treatment for this comorbidity.
Obsessive–compulsive disorder; Posttraumatic stress disorder; Co morbid obsessive-compulsive symptoms; Terror and combat induced trauma
Nitsa Nacasch, Lilach Rachamim, Iyar Zagagi, Anat Sirkis Gork, Naama de la Fontaine, Leo Wolmer, et al. Exposure Treatment for Veterans with Comorbid PTSD and OCD. Ann Case Rep Clin Stud. 2025;4(4):1- 14.