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Tvangslidelse: Prognose

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I barne- og ungdomsår kan lidelsen anta et fluktuerende forløp, med muligheter for bedring. Etter puberteten har lidelsen vanligvis et kronisk forløp uten spesifikk behandling. En studie fant at 46 prosent hadde et episodisk forløp mens 54 prosent hadde et kronisk forløp.

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Depresjon er ofte en komplikasjon, fremfor alt som en følge av en kronisk tvangslidelse. Personlighetsforstyrrelser vil vanskeliggjøre behandlingen. Med psykologisk behandling (kognitiv atferdsterapi/ERP) vil en kunne ivareta disse problemer spesielt.

Med spesifikk behandling (eksponering og responsprevensjon eller antidepressiver) kan en regne med god bedring i de fleste tilfeller, eventuelt med tillegg av medikament. Det er i de fleste tilfeller avgjørende med god oppfølging, da enkelte pasienter opplever tilbakefall når den medikamentelle behandlingen avsluttes.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Tvangslidelse . Referanselisten for dette dokumentet vises nedenfor

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