A 24-year-old man with an 11-year history of obsessive-compulsive disorder with good insight1 presented with an otherwise unremarkable neurologic examination. Besides tic-like compulsions and obsessional thoughts about harming himself, he takes 1 minute and 25 seconds to put on each foot sneaker, a task usually expected to be accomplished in less than 5 seconds. The ritual (Figure) includes fingers repetitive movements (A to F), the need to hear the pounding of feet on the ground (G, H), and marching in the same place for sixteen steps (I to L). Obsessive-compulsive disorder is a distressing, time-consuming disease to which the neuropsychiatric science owes an adequate etiopathogenesis and treatment2.
Acknowledgments
The authors are in debit with Péricles Maranhão Neto for his technical assistance.
References
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1American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V). Washington, DC, American Associated Press 2013.
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2Leckman JF, Rauch SL, Mataix-Cols D. Symptom dimensions in obsessive-compulsive disorder: implications for the DSM-V. CNS Spectr 2007;12:376-387.
Publication Dates
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Publication in this collection
July 2014
History
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Received
17 Mar 2014 -
Reviewed
20 Mar 2014 -
Accepted
09 Apr 2014