Subramanian V, Mayur P (2018) Trauma Precursors of Obsessive Compulsive Disorder - A Case Series. Int J Depress Anxiety 1:001.


© 2018 Subramanian V, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which peijdats unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE SERIES | OPEN ACCESS DOI: 10.23937/ijda-2017/1710001

Trauma Precursors of Obsessive Compulsive Disorder - A Case Series

Vyjayanthi Subramanian1 and Prashanth Mayur2,3*

1Associate Professor Psychiatry, MS Ramaiah Medical College, Bengaluru, India

2Senior Staff Specialist in Psychiatry, Mood Disorders Unit, Cumberland Hospital, Westmead, Sydney, Australia

3Clinical Senior Lecturer, Department of Psychological Medicine, University of Sydney, Sydney, Australia



Traumatic events are a precursor for not only post traumatic stress disorder but also obsessive compulsive disorder, which tend to have a generally better outcome and response to interventions. Such cases have not been described from an Indian sub-continental background.


This case series of 19 patients were collected by a single clinician at a Trauma Focused Outpatient Clinic over a number of years through semi-structured clinical assessments and structured evaluation of traumatic events (Life Events Check List) and severity of obsessive compulsive disorders (Yale Brown obsessive compulsive scale) followed by interventions.


During assessment there was a common occurrence of past traumatic events following the initial presentation with predominantly obsessive compulsive symptoms in a diverse population representative of the Indian sub-continental background. Death due to a sudden unnatural cause was the most common traumatic events representing this case series. The vignettes illustrate a clinical need to explore traumatic events that may not be revealed at the outset of the assessment.


The case series provides clinical illustration to the construct of delayed type of post traumatic obsessive compulsive disorder in a predominantly non-western population. exploring trauma that occurred months earlier to the presentation of OCD may provide an aetiological substrate to the occurrence of OCD and may inform clinical approaches that are broader than conventional medication treatments for OCD.