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Focus

  • Volume 19
  • Number 4
  • October 2021

From the Guest Editor

Clinical Synthesis

Publication date: 01 October 2021

Pages384–391

Obsessive-compulsive disorder (OCD) is a complex, multifactorial disorder with onset in either childhood or early adulthood. Lifetime prevalence has been estimated to be around 2%−3%. DSM-5 groups OCD together with closely related disorders—body ...

https://doi.org/10.1176/appi.focus.20210017

Publication date: 01 October 2021

Pages392–404

Hoarding disorder is characterized by difficulty parting with possessions because of strong urges to save the items. Difficulty discarding often includes items others consider to be of little value and results in accumulation of a large number of ...

https://doi.org/10.1176/appi.focus.20210016

Publication date: 01 October 2021

Pages405–412

Trichotillomania (hair pulling disorder) and skin-picking (excoriation) disorder are common neuropsychiatric disorders (each with a point prevalence of around 2%) but are underrecognized by professionals. Affected individuals repeatedly pull out their own ...

https://doi.org/10.1176/appi.focus.20210013

Publication date: 01 October 2021

Pages413–419

Body dysmorphic disorder (BDD), characterized by a distressing or impairing preoccupation with nonexistent or slight defects in appearance, is associated with markedly poor quality of life and high rates of suicidality. Onset of BDD is usually in ...

https://doi.org/10.1176/appi.focus.20210012

Publication date: 01 October 2021

Pages430–443

In this update of a previous review, the authors discuss cognitive-behavioral therapy (CBT) with exposure and response prevention for obsessive-compulsive disorder (OCD). This efficacious modality avoids side effects common to psychotropic medication and ...

https://doi.org/10.1176/appi.focus.20210015

Ask the Expert

Ethics Commentary

Communication Commentary

Influential Publications

Publication date: 01 October 2021

Pages468–476

Background: Hoarding disorder (HD) is a new diagnosis in DSM-5 (American Psychiatric Association, 2013). Cognitive-behavioral therapy (CBT) appears promising for the treatment of HD, and has been tested in both individual and group settings. Methods: ...

https://doi.org/10.1176/appi.focus.19403

Publication date: 01 October 2021

Pages477–489

Background: Integrating family into the treatment of obsessive-compulsive disorder (OCD) is standard in pediatric populations; however, in adult populations, patients are typically treated independent of their family. Yet, there is compelling evidence to ...

https://doi.org/10.1176/appi.focus.19404

Publication date: 01 October 2021

Pages490–495

Background: This study sought to examine whether mood, anxiety, and obsessive-compulsive spectrum disorders have unique (comorbidity-independent) associations with suicidal thoughts and behaviors in an acute psychiatric population. Methods: Patients (N =...

https://doi.org/10.1176/appi.focus.19405

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