AI Article Synopsis
- Skin picking disorder (SPD) involves compulsive skin scratching without a primary skin condition and is often linked to psychiatric issues like OCD and depression.
- A case study of a 32-year-old woman with SPD shows that after a four-week paroxetine treatment, her OCD symptoms reduced significantly, and her skin lesions healed completely, with only minor discoloration remaining.
- The study suggests that treating SPD when associated with OCD and abnormal EEG readings can lead to successful outcomes with paroxetine, indicating a need for further research in this area.
Article Abstract
Skin picking disorder (SPD) characterized by repetitive compulsive scratching in the absence of a primary skin disease is strongly associated with psychiatric comorbidities, including obsessive-compulsive disorder (OCD) and depression (MDD). Selective serotonin reuptake inhibitors (SSRIs) have been used in the treatment of SPD with variable success. Nevertheless, the optimum treatment choice for SPD is an issue for clinicians. This case report presents a 32-year-old female SPD patient treated with four-week paroxetine monotherapy. Based upon the clinical interview and standardized questionnaires, the patient was diagnosed with OCD with depressive features and Skin Picking Disorder. In addition to symptom severity scales, quantitative electroencephalography (qEEG) was also applied. Paroxetine treatment was started (titrated from 5 to 40 mg/day) and doubled each week. After four-week paroxetine monotherapy, OCD symptoms were diminished, and skin lesions were completely regressed leaving solely post inflammatory hyperpigmentation. Post-treatment qEEG assessment also showed a normalization of frontal alpha power and amplitude asymmetry. It can be concluded that if OCD includes SPD with abnormal EEG patterns; then the treatment success using paroxetine will be very high.
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| http://dx.doi.org/10.1177/15500594211073390 | DOI Listing |
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