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Bowel obsessions responsive to tricyclic antidepressants in four patients

Published Online:https://doi.org/10.1176/ajp.144.10.1347

The authors report on four patients with disabling bowel obsessions who responded to tricyclic antidepressant medication despite the absence of depressive symptoms. The relationship of this symptom constellation to DSM-III obsessive-compulsive disorder and social phobia is discussed.

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