Background: Obsessive-compulsive disorder is a fairly common diagnosis in the child and adolescent population, and is often accompanied by other psychiatric diagnoses.
Sampling and Methods: A ten-year-old female patient is described with depressive symptoms and compulsions, including wearing up to twenty layers of clothing at a time, as well as enuresis. A literature search for the differential diagnoses of depressive disorder NOS, Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS), sensory integration disorder (SID), as well as OCD, was performed using Pubmed.
Results: A diagnosis of obsessive-compulsive disorder, depressive disorder NOS, and enuresis was made and PANDAS as well as SID were ruled out. The patient was treated with an antidepressant in conjunction with cognitive behavioral therapy and exhibited marked improvement in mood and compulsions.
Conclusion: Cognitive-behavioral therapy in combination with antidepressants was successful in the treatment of depression accompanied by comorbid psychiatric illnesses.