Clinical profile of “schizo-obsessive” disorder: a case report

Objective: This is a case report discussing the comorbidity of obsessive-compulsive disorder (OCD) and schizophrenia. Greater prevalence rate of obsessive compulsive symptoms in schizophrenia are found and poor outcome reported. Such clinical phenomenon merits recognition as a distinct subgroup of schizophrenia with unique challenges and treatment needs. Method: A case report presenting schizophrenia with preceding OCD over two years. Results: This report describes the clinical course and treatment challenges of a patient with obsessive compulsive schizophrenia (OCS). Conclusion: This case illustrates that OCS is a complex disorder with atypical clinical characteristics. In managing this patient, several clinical dilemmas including diagnostic ambiguity, problems with pharmacotherapy and stigma towards modified electroconvulsive therapy were highlighted.