Obsessive-Compulsive Disorder


Risk

  • Lifetime prevalence is 1–3%, with bimodal onset in childhood and late adolescence/early adulthood

  • Males and females affected equally

Perioperative Risks

  • Drug interactions, notably risk of serotonin syndrome in pts on serotonergic agents such as SSRIs and clomipramine

  • Anxiety/panic attacks

  • OCD-related behavior interfering with preop and postop instructions

Worry About

  • Serotonin syndrome

  • Coexistent psychiatric illness

  • Anxiety/panic attacks

  • Behaviors triggered by OCD complicating recovery (e.g., noncompliance with bedrest, interference with dressings.)

  • Nutritional status if coexistent with an eating disorder

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