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Pica responding to SSRI: an OCD spectrum disorder?
World J Biol Psychiatry 2009; 10(4 Pt 3):936-8WJ

Abstract

Pica is a common disorder in childhood, however, in adults it is associated with mental retardation, psychosis and pregnancy. A few case reports have described it being associated with obsessive compulsive disorder in adults. We describe the case of an adult female patient who developed an impulse to ingest chalk only in stressful situations. These thoughts were ego-dystonic and kept on hammering her mind until she ate it. She was diagnosed as having Major Depressive Disorder with relational problems and pica. We prescribed her escitalopram with clonazepam and asked her to ventilate her feelings during stressful situations. Her depression improved within three weeks, with remarkable improvement in pica symptoms. We concluded that stress may induce the pica in some adults and that such feelings have impulsive/compulsive characters. In addition, appropriate management of stress may help to alleviate the symptoms of pica.

Authors+Show Affiliations

Department of Psychiatry, University College of Medical Sciences and GTB Hospital, Shahdara, Delhi, India.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17853279

Citation

Bhatia, Manjeet S., and Ravi Gupta. "Pica Responding to SSRI: an OCD Spectrum Disorder?" The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry, vol. 10, no. 4 Pt 3, 2009, pp. 936-8.
Bhatia MS, Gupta R. Pica responding to SSRI: an OCD spectrum disorder? World J Biol Psychiatry. 2009;10(4 Pt 3):936-8.
Bhatia, M. S., & Gupta, R. (2009). Pica responding to SSRI: an OCD spectrum disorder? The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry, 10(4 Pt 3), pp. 936-8.
Bhatia MS, Gupta R. Pica Responding to SSRI: an OCD Spectrum Disorder. World J Biol Psychiatry. 2009;10(4 Pt 3):936-8. PubMed PMID: 17853279.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pica responding to SSRI: an OCD spectrum disorder? AU - Bhatia,Manjeet S, AU - Gupta,Ravi, PY - 2007/9/14/pubmed PY - 2010/3/20/medline PY - 2007/9/14/entrez SP - 936 EP - 8 JF - The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry JO - World J. Biol. Psychiatry VL - 10 IS - 4 Pt 3 N2 - Pica is a common disorder in childhood, however, in adults it is associated with mental retardation, psychosis and pregnancy. A few case reports have described it being associated with obsessive compulsive disorder in adults. We describe the case of an adult female patient who developed an impulse to ingest chalk only in stressful situations. These thoughts were ego-dystonic and kept on hammering her mind until she ate it. She was diagnosed as having Major Depressive Disorder with relational problems and pica. We prescribed her escitalopram with clonazepam and asked her to ventilate her feelings during stressful situations. Her depression improved within three weeks, with remarkable improvement in pica symptoms. We concluded that stress may induce the pica in some adults and that such feelings have impulsive/compulsive characters. In addition, appropriate management of stress may help to alleviate the symptoms of pica. SN - 1814-1412 UR - https://www.unboundmedicine.com/medline/citation/17853279/Pica_responding_to_SSRI:_an_OCD_spectrum_disorder L2 - http://www.tandfonline.com/doi/full/10.1080/15622970701308389 DB - PRIME DP - Unbound Medicine ER -