Pregnancy and postpartum periods are associated with increased risk for onset and exacerbation of obsessive-compulsive disorder (OCD) symptoms. Common themes of the obsessive thoughts in this period are fears of accidently or intentionally harming the baby. Postpartum OCD may go underdiagnosed or misdiagnosed due to lack of standardized screening and potential shame associated with reporting these symptoms. Without treatment, OCD symptoms often persist and continue to impair mother's quality of life and interactions with the child. Literature on treatment specific to postpartum OCD is limited to case series and small studies. Exposure and response prevention (ERP), a gold-standard treatment for OCD, seems to be effective for this particular manifestation of OCD. This article presents a case history and ERP treatment course for a patient presenting with sudden onset of OCD following the birth of her child. Key differential diagnostic features, specific treatment strategies, and practice points are also explored.

中文翻译：

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产后强迫症的暴露和反应预防。

怀孕和产后时期与强迫症（OCD）症状发作和恶化的风险增加有关。在此期间，强迫症的共同主题是担心意外或故意伤害婴儿。由于缺乏标准化的筛查以及与报告这些症状有关的潜在耻辱，产后强迫症可能会被误诊或误诊。未经治疗，强迫症通常会持续存在，并继续损害母亲的生活质量和与孩子的互动。有关产后强迫症的治疗的文献仅限于病例系列研究和小型研究。暴露和反应预防（ERP）是强迫症的黄金标准疗法，似乎对强迫症的这种特定表现有效。本文介绍了一个病历和ERP治疗过程，针对的是在孩子出生后突然出现强迫症的患者。还探讨了关键的鉴别诊断特征，具体的治疗策略和实践要点。