Escitalopram in Preschool-Age Children Diagnosed with ‎Obsessive ‎Compulsive‏ ‏Disorder: A Case Report‎

  • Kemal Utku Yazici Department of Child and Adolescent Psychiatry, Firat University Medical Faculty, Elazig, Turkey
  • Ipek Percinel Osmaniye State Hospital, Department of Child and Adolescent Psychiatry, Osmaniye, Turkey
Keywords: Preschool Child, Obsessive-Compulsive ‎Disorder, Escitalopram

Abstract

When a literature review on pediatric obsessive-compulsive disorder (OCD) is ‎performed, it is observed that there is a dearth of research on preschool period OCD ‎cases. Although cognitive behavioral therapy is recommended as the first line of ‎treatment in preschool OCD cases when patients do not show adequate response to ‎CBT, psychopharmacological treatment offers an alternative. The first line used in ‎psychopharmacological treatment is selective serotonin reuptake inhibitors (SSRI’s). ‎However, no SSRI’s (or any other drug group) have been approved by the FDA for this ‎age group. Moreover, studies related to psychopharmacology in preschool OCD are very ‎limited in the literature, consisting mostly of case reports related to sertraline and ‎fluoxetine. In those studies, it is reported that sertraline and fluoxetine are effective in ‎preschool OCD and generally well-tolerated. In this paper, we discussed the treatment ‎and six-month follow-up period of a 3.5 year-old (42 months) female diagnosed with ‎OCD and for whom escitalopram was used. In the literature, there is a retrospective case ‎series related to this subject consisting of eleven cases, where improvement in symptoms ‎is reported with escitalopram treatment in the five of six cases diagnosed with OCD. As ‎far as we could find in literature, our paper is the second report on this subject. Our case ‎also included the youngest patient to receive escitalopram for preschool period OCD ‎and report its benefits.‎

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Published
2016-02-23
How to Cite
1.
Utku Yazici K, Percinel I. Escitalopram in Preschool-Age Children Diagnosed with ‎Obsessive ‎Compulsive‏ ‏Disorder: A Case Report‎. Iran J Psychiatry. 11(1):64-66.
Section
Case Report(s)