Terapi Kognitif dan Perilaku pada Gangguan Obsesif Kompulsif

Warih Andan Puspitosari

Abstract


The prevalence of Obsessive Compulsive Disorder about 2-3%, mostly happened on male teenagers. The causes are multifactors including biological, behavior and psychosocial factor, so the treatment needs farmacotherapy and psychotherapy. The combination of SRI (Serotonin Reuptake Inhibitor) and Cognitive Behavioral Therapy is the first choice to manage Obsessive Compulsive disorder. The aim of this case report is to reporting the treatment of Obsessive Compulsive disorder by using the combination of SRI and Cognitive Behavioral Therapy. A patient, male, 18th years old was brought by his mother to the Psychiatry outpatient department for doing something repeatedly. It was annoyed him and other person. The mental status examination showed that he always thought repeatedly and did something, so that he will felt released. His neurological and psysical status were within normal limite. After he was treated with the combination of SRI and Cognitive Behavioral Therapy for 5 sessions, he is getting better.

Prevalensi Gangguan ObsesifKompulsif berkisar antara 2-3% populasi, pada remaja lebih banyak terjadi pada laki-laki. Penyebabnya multifaktorial meliputi faktor biologi, perilaku dan psikososial, sehingga penatalaksanaannya memerlukan farmakoterapi dan psikoterapi. Kombinasi antara golongan SRI (Serotonin Reuptake Inhibitor) dan terapi kognitif perilaku merupakan pilihan pertama. Terapi kognitif perilaku memerlukan sedikitnya 12 sesi pertemuan, berdasarkan pengalaman praktek yang terjadi di Indonesia, sulit dilakukan karena terlalu lama, rumit, dan faktor biaya. Dicoba modifikasi untuk menyingkat menjadi 5 sesi terapi. Tujuan penulisan laporan kasus ini adalah melaporkan hasil penatalaksanaan penderita Gangguan Obsesif Kompulsif dengan menggunakan kombinasi antara golongan SRI (Serotonin Reuptake Inhibitor) dan terapi kognitif perilaku modifikasi 5 sesi. Seorang pasien, laki-laki, berusia 18 tahun diantar oleh ibunya ke poliklinik jiwa karena sering mengulang-ulang suatu perbuatan, yang sudah mengganggu pasien dan orang lain. Pemeriksaan status mental didapatkan adanya pikiran berulang yang mengganggu dan harus dikerjakan agar merasa lega. Pada status internus dan status neurologikus belum ditemukan adanya kelainan. Setelah dilakukan penatalaksanaan dengan menggunakan kombinasi antara golongan SRI (Serotonin Reuptake Inhibitor) dan terapi kognitif perilaku modifikasi 5 sesi, pasien mengalami perbaikan gejala klinis.


Keywords


Gangguan Obsesif Kompulsif; SRI (Serotonin Reuptake Inhibitor); Terapi Kognitif Perilaku; Obsessive Compulsive disorder; SRI (Serotonin Reuptake Inhibitor); behavioral cognitive therapy

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References


Sadock B.J. and Sadock V.A.(eds), 2000, Kaplan and Sadock’s Comprehensive Textbook of Psychiatry, 7thed, Lippincott Williams and Wilkins, Philadelphia.

Sadock B.J. and Sadock V.A. (eds.), 2003, Kaplan and Sadock’s Synopsis of Psychiatry, Behavioral Sciences/ Clinical Psychiatry, Williams and Wilkins, 9th ed, London.

Depkes RI, 1993, Pedoman dan Penggolongan Diagnosis Gangguan Jiwa edisi ke-III, Jakarta.

Aldrich C.K., 1966, An Introduction to Dynamic Psychiatry, 1sted, McGraw- Hill Book Company, New York.

Davidson G.C., Neale J. M. dan Kring, 2004, Gangguan Ansietas dalam: Psikologi Abnormal, PT Raja Grafindo Persada, Jakarta.

Wright J.H., 2006, Cognitive Behavior Therapy: Basic Priciples and Recent Advances, The Journal of Lifelong Learning in Psychiatry.

March J.S., Frances A., Carpenter D. and Kahn D.A., 2007, The Expert Consensus Guideline Series: Treatment of Obsessive-Compulsive Disorder, ocd guide line.htm.

Heyman I., Cois D. M. dan Fineberg N A., 2006, Obsessive Compulsive Disorder, British Medical Journal.

Stahl S.M., 2000, Essential Psychopharmacology: Neuroscientific Basis and Practical Applications, 2nd ed, Cambridge University Press, Cambridge.

Stahl S.M., 2005, Essential Psychopharmacology : The Prescriber’s Guide, 1st ed, Cambridge University Press, Cambridge.

Oemarjoedi A.K., 2003, Pendekatan Cognitive Behavior Dalam Psikoterapi, Creative Media, Jakarta.

Soewadi, 2008, Psikoterapi dalam Kuliah Pakar, Bagian Ilmu Kedokteran Jiwa FK UGM/RS Dr. Sardjito Yogyakarta

Hewlett W.A., 2000, Obsessive Compulsive Disorder, dalam: Current Diagnosis and Treatment in Psychiatry, Lange Medical Book, The McGraw-Hill Companies, Singapore.

Soewadi, 2008, Terapi Keluarga dalam Kuliah Pakar, Bagian Ilmu Kedokteran Jiwa FK UGM/RS Dr. Sardjito Yogyakarta


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