Homoeopathic Management of Obsessive-Compulsive Disorder- Case Reports

Abstract

Obsessive-compulsive disorder (OCD) is represented by a diverse group of symptoms that include intrusive thoughts, rituals, preoccupations and compulsions. It reduces the quality of life of an individual and affects the patient’s occupational, emotional, marital and social functioning.

In this case report 2 cases of OCD, one with predominant obsessions and one with both obsessions and compulsions which were treated in psychiatry OPD of National Homoeopathy Research Institute in Mental Health, Kottayam are presented in this article. Both cases were analysed with Kent’s approach and treated with Argentum nitricum and Carcinosinum respectively. The cases were assessed for severity at baseline and follow-up visits using Yales-Brown Obsessive Compulsive Scale (YBOCS). Baseline score 25 of case no.1 was reduced gradually to 0 by 11 months and baseline score 47 of case 2 turned to 0 by 9 months and maintained till the end of 2 years. There was no relapse in either case during the observation period. Causal attribution to changes after the intervention is discussed as per MONARCH criteria. Both cases have shown the positive role of individualised homoeopathy in reducing obsessions and compulsions in OCD. Controlled trials are necessary to establish evidence of effectiveness and efficacy.