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强迫症研究网-专家介绍
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作为上海交通大学医学院精神卫生系医学心理学教研室的授课老师,教授 医学心理学 和 普通心理学 课程。 医学硕士,上海市精神卫生中心副主任医师长期从事心理科临床工作 擅长心境障碍 焦虑症 强迫症 失眠等心理疾病的诊断及药物 心理治疗 具有丰富的临床经验。
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目前强迫症的治疗主要使用SRI 五羟色胺再摄取抑制剂 类和SSRI 选择性五羟色胺再摄取抑制剂 类药物。
强迫症研究网-关于我们
http://cnocd.org/page/about_us.jsp
强迫症研究网是上海交通大学医学院附属精神卫生中心 上海市精神卫生中心 强迫障碍研究组的官方网站,旨在为广大强迫症患者提供有关强迫症的正确知识、提供详细心理测试、以及参与有关强迫症的病理机制、治疗策略研究的机会 此外,强迫症研究网也将为强迫症患者提供交流平台,并有机会获得专业人员的答疑解惑。
强迫症研究网-强迫相关障碍
http://cnocd.org/page/data/data_obstacle.jsp
美国 精神疾病的诊断和统计手册-第五版 DSM-5 中的强迫相关障碍是指一组症状具有强迫性质的精神障碍,包括躯体变形障碍、强迫囤积障碍、拔毛癖、抠皮障碍、物质/药物相关的强迫相关障碍等。 该类患者常存在关于躯体变形的先占观念,患者认为自己外表有一处或多处缺陷或瑕疵,因而觉得自己丑陋、不正常或缺乏吸引力,常需要通过过度的重复动作 如反复地照镜子、化妆、抠皮或寻求他人的保证 或心理仪式 如将自己的外表与他人比较 来检查外表是否正常或掩饰瑕疵。 这类患者中常可见到许多关于毛发的仪式动作,比如患者会选择性地拔出特定颜色或质地的毛发,或者以某种特殊形式拔出毛发 如完整地连根拔除 ,或对已被拔除的毛发做些特殊的处理 如用两指挫动毛发,把毛发咬成一段一段,吞下毛发等。 它包括 1 躯体变形-存在真实缺陷 它类似于躯体变形障碍但这类患者的外表缺陷可以被其他人察觉并被认为是严重的。 2 躯体变形 缺乏重复动作 患者缺乏基于对外表的担心而产生的重复动作及心理仪式。
强迫症研究网-诊断标准
http://cnocd.org/page/clinical/clinical_standard.jsp
一、美国 精神疾病的诊断和统计手册 DSM-5 强迫症诊断标准. A 存在强迫观念或 和 强迫行为. 强迫观念的定义 1 和 2. 强迫行为的定义 1 和 2. 1、患者被迫地对强迫观念做出反应或按照必须严格遵循的规则而被迫做出的重复行为 如 清洗、排序、检查 或精神活动 如 祈祷、计数、默念词语。 B 强迫观念或行为常需要消耗大量的时间 每天至少1个小时 ,引起患者巨大的痛苦,明显扰乱其社会、职业或其他重要方面的功能。 D 这些困扰无法更合理地被其它精神障碍解释 如 过度担心,可见于广泛性焦虑障碍 关于外形存在先占观念,可见于躯体形式障碍 对丢弃物品存在困难,可见于储藏癖 拔毛发行为,可见于拔毛癖 皮肤缺损,可见于剥皮障碍 刻板行为,可见于刻板性运动障碍 仪式化进食行为,可见于进食障碍 关于成瘾物质或赌博存在先占观念,可见于精神活性物质所致的精神障碍 关于罹患躯体疾病存在先占观念,可见于躯体形式障碍 存在性冲动或性幻想,可见于性异常 冲动,可见于冲动控制障碍 自罪想法,可见于抑郁发作 思维插入或妄想性先占观念,可见于精神分裂症或其他精神病性精神疾病 重复刻板行为,可见于孤独谱系障碍。
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