Talk:Obsessive–compulsive disorder

Inaccurate history of OCD is presented

The article neglects to mention that the first clinical description of OCD was by Abu Zayd al-Balkhi in the 9th century work Sustenance of the Body and Soul.

For details, see "Obsessional Disorders in al-Balkhi′s 9th century treatise: Sustenance of the Body and Soul" published in the Journal of Affective Disorders, Volume 180, 15 July 2015, Pages 185-189.

I am including the abstract below:

Morbid fears and phobias have been mentioned in religious, philosophical and medical manuscripts since ancient times. Despite early insights by the Greeks, phobias did not appear as a separate clinical phenomenon in Western medicine until the 17th century and has evolved substantially since. However, robust investigations attempting to decipher the clinical nature of phobias emerged in pre-modern times during the oft-overlooked Islamic Golden Era (9th–12th centuries); which overlapped with Europe’s medieval period. An innovative attempt was made by the 9th century Muslim scholar, Abu Zayd al-Balkhi, in his medical manuscript “Sustenance of the Body and Soul,” to define phobias as a separate diagnostic entity. Al-Balkhi was one of the earliest to cluster psychological and physical symptoms of phobias under one category, “al-Fazaá”, and outline a specific management plan. We analyze al-Balkhi’s description of phobias, according to the modern understanding of psychiatric classifications and symptomatology as described in the DSM-5.

Depiction of hell

The medieval picture selected to illustrate hell includes a cauldron which is anti-Semitic. This may be valid in a history topic, but perhaps inappropriate for an article on OCD? Howsonpj (talk) 05:03, 20 October 2022 (UTC)

Sorry if this sounds dumb but how is a cauldron anti-semitic? Urchincrawler (talk) 01:35, 27 April 2023 (UTC)

A cauldron itself is not anti-Semitic. Zoom into the image and notice the cauldron on the left. It looks like it's labeled "Juden". I think it may be difficult to find an artistic depiction of hell without bringing along the artist's ideas of who belongs there. Since the image caption in this article relates to intrusive thoughts about the devil, maybe no photo of hell is really necessary. Theodore Kloba (☎) 20:30, 5 June 2023 (UTC)

No it is not. Stop victimizing peoples. 99.68.41.239 (talk) 22:50, 26 September 2023 (UTC)

Edit inquiry about sub-section "Associated Conditions"

Currently don't have the ability to actually edit it, so putting this in here:

> It has been found that between 18 and 34% of females are currently experiencing or will experience OCD in their lifetime. Of that 18-34%, 7% are likely to have an eating disorder. Fewer than 5% of males have OCD and an eating disorder.

This is super ambiguous in the second sentence. "Of that 18-34%, 7% are likely to have an eating disorder"... so, is it suggesting 7% of that 18%-34%, or 7% of all females? I actually looked through the source and I honestly couldn't find anything that directly affirms the "7%" statistic. The best I could find was: "Again, estimates are higher for females, and the few available studies report that between 7 and 18% of female and 0–5% of male patients have a current comorbid ED." But if this was where the 7% came from, then why was the 18% omitted?

I'm not that good at looking at long papers and statistics. If my findings are true, please add in the 18% and make sure it actually, unambiguously states "7% of all females" in that sentence. Unrealgaming (talk) 18:39, 13 April 2023 (UTC)

There are so many things I could say right now. – AndyFielding (talk) 19:42, 25 July 2023 (UTC)

Semi-protected edit request on 28 August 2023

I think the cover photo of this article referencing excessive hand washing is a horrible example of OCD due to the common misconceptions that this disorder revolves around being a clean freak or is simply a quirky type A personality. OCD can of course involve any kind of obsession and accompanying compulsions. It is not inaccurate that many people with OCD do have clinical obsessions with cleanliness or the idea of contamination, but it needs to be firmly shown that OCD can be exhibited in so many different ways with behavior that is not representative of society’s inaccurate stereotype of it. There are many infographics about OCD online that would work or if you can’t use those images, many different obsessions and compulsions could be explained with an relevant accompanying image or collage of images. Thank you. 76.82.36.226 (talk) 01:24, 28 August 2023 (UTC)

 Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format and provide a reliable source if appropriate. M.Bitton (talk) 16:46, 28 August 2023 (UTC)

To add to that, it is impossible to represent every aspect of OCD in one image. As for online graphics, we can't use them if they are under copyright. Feel free to suggest anything that is free to use for us to consider. If readers really want to know about OCD, they will read the article and not just look at the image. Sundayclose (talk) 18:32, 28 August 2023 (UTC)

Semi-protected edit request on 10 October 2023

Reference to US FDA, New management is available. In details : https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-transcranial-magnetic-stimulation-treatment-obsessive-compulsive-disorder Diy7t (talk) 04:44, 10 October 2023 (UTC)

 Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format and provide a reliable source if appropriate. JTP ^{(talk • contribs)} 05:31, 11 October 2023 (UTC)

According to Transcranial magnetic stimulation#Obsessive–Compulsive Disorder (OCD). I request edit on Obsessive–compulsive disorder. By "Insert X after/before Y" format, I want to insert Transcranial Magnetic Stimulation after Obsessive–compulsive disorder#Procedures to up-to-date. The reliable sources are from U.S. Food and Drug Administration official website and medical news agencies. The reliable sources url are

1. https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-transcranial-magnetic-stimulation-treatment-obsessive-compulsive-disorder
2. https://www.clinicaltmssociety.org/news/2020-08/magventure-receives-fda-clearance-ocd-0
3. https://www.healio.com/news/neurology/20230613/fda-clears-ocd-motor-threshold-cap-for-transcranial-magnetic-stimulation-system

Best Regards,

Diy7t Diy7t (talk) 02:41, 12 October 2023 (UTC)

Semi-protected edit request on 13 October 2023

I think the data of this page is not update. I want to change "Procedures" to "Electroconvulsive therapy", "Transcranial magnetic stimulation"[TMS] and "Surgery". And also want to update the TMS Therapy to recent information.

TMS has 2 sub-topics by randomized-controlled trial research by 2023. 1. Deep Transcranial Magnetic Stimulation that the United States FDA Approved in 2018. 2. Transcranial Magnetic Stimulation that the United States FDA Approved between 2019 - 2023.

Thank you Ss3014 (talk) 01:18, 13 October 2023 (UTC)

 Not done: I'm not quite sure what exactly your concern is. There is a section heading of "Procedures", which in my opinion is a good heading for the section that contains the three procedures you list. I don't think changing "Procedures" to a list of the three is a productive change.

Second, I'm not sure adding the TMS detail is necessary on this page, but there is a link to the TMS page, which has info on Deep TMS.

-- Pinchme123 (talk) 04:24, 13 October 2023 (UTC)

WikiProject Medicine Elective UCF

I agree with including more information specifically about deep TMS as listed above, particularly in the pediatric population (which is being done in other countries like India). SSRIs in children have unknown prepubertal sexual effects in children and the therapeutic dosages in the pediatric population for OCD are often much higher than for MDD (40mg vs 10-20mg of Prozac). I think these specific details would be worth mentioning and I plan to cite relevant review articles regarding pediatric dosing and interventional options like TMS. The research in this area is rapidly growing and I would like to include more than one line about this in the article.

The subheading "Children" would benefit from more information. I would like to change this heading to "Pediatric OCD" and cite more recent work. There is work cited from 1989 which would be supported by more recent review articles. The POTS study (https://pubmed.ncbi.nlm.nih.gov/15507582/) is one of the most heavily cited and referred to in pediatric OCD treatment, but it is not yet included. Additionally, I would want to include the CY-BOCS measurement tool under pediatric OCD. Y-BOCS is already included as the measurement tool in adults, but I also want to mention the tool for children for completeness.

I would like to edit "Some patients fail to improve after taking the maximum tolerated dose of multiple SSRIs for at least two months; these cases qualify as treatment-resistant and can require second-line treatment such as clomipramine or atypical antipsychotic augmentation." to better explain dosing and other interventional treatment options which are now considered at the treatment-resistant stage.

I would like to update the current rates and trends of OCD by the pediatric and adult populations. The current citations regarding rates of OCD (2.3% overall, 1.2% in any given year) are from about 10 years ago, and I would like to update them. I intend to use pubmed searches and my university library to make edits to the article. My intention is to avoid medical jargon. I want to help introduce the topic of OCD in a way that is accurate, up to date, and easily digestible by a non-medical audience. To this end, please let me know if my future edits could be further improved.

Thank you – Rachnasann (talk) 04:26, 26 October 2023 (UTC)

Wiki Education assignment: WikiProject Medicine Fall 2023 UCF COM

This article was the subject of a Wiki Education Foundation-supported course assignment, between 23 October 2023 and 19 November 2023. Further details are available on the course page. Student editor(s): Rachnasann (article contribs).

— Assignment last updated by DLEMERGEBM (talk) 13:38, 3 November 2023 (UTC)