Somatic Treatments Excluding Psychopharmacology in Obsessive- Compulsive Disorder: A Review.
Affiliation: Firat (Euphrates) Universitesi, Firat Tip Merkezi, Psikiyatri Anabilim Dali, 23119 Elazig, Turkey.
Keywords: Somatic treatment, review, obsessive compulsive disorder.
Somatic treatments other than psychotropic drugs are increasingly used in the patients with obsessive
compulsive disorder (OCD), however there has been little systematic review of them. Therefore, the present review
deals with a variety of somatic treatment methods excluding psychotropic drugs. A literature search was performed on the
PubMed database from the beginning of 1980, to September 2012, for published English, Turkish and French-language
articles of somatic treatment approaches (excluding psychopharmacological agents) in the treatment of OCD. The search
was carried out by using some terms in detail. Afterwards, the obtained investigations on electroconvusive therapy (ECT),
deep brain stimulation (DBS), neurosurgical methods and transcranial magnetic stimulation (TMS) were presented. Although
psychopharmacological treatment and psychotherapeutic approaches are primary treatment modalities in the management
of OCD, other somatic treatment options seem to be used as alternatives, especially for patients with treatmentresistant
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