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Tijdschrift voor Psychiatrie 55 (2013) 3, 203 - 208

Case report

Deep brain stimulation in a patient with ocd and the intensive pre- and post-operative psychiatric/psychotherapeutic follow-up. A case study

P. Corveleyn, B. Nuttin, L. Gabriëls

summary
Deep brain stimulation (dbs) is a neurosurgical intervention carried out in meticulously selected patients with a therapy-resistant obsessive-compulsive disorder (ocd). We describe the pre- and post-operative psychiatric care given to a 51-year-old woman before, during and after treatment with deep brain stimulation. The psychiatric follow-up included an intensive search for the optimal stimulation parameters, and considerable attention was given to psycho-education, psychotherapy and counselling. The procedure resulted in a marked improvement in the patient’s ocd and made it easier for the patient to re-construct a meaningful life.

keywords deep brain stimulation, obsessive-compulsive disorder, psychiatric follow-up