Am J Psychiatry 1990; 147:652-654
Copyright © 1990 by American Psychiatric Association
Neuroleptic addition in fluvoxamine-refractory obsessive-compulsive disorder
CJ McDougle, WK Goodman, LH Price, PL Delgado, JH Krystal, DS Charney and GR Heninger
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519.
Nine of 17 patients with obsessive-compulsive disorder responded when
neuroleptic was added to fluvoxamine with or without lithium. Comorbid
occurrence of tic spectrum disorders or of schizotypal personality disorder
was associated with response. Abnormalities in brain dopamine and serotonin
may be implicated in such patients.