Objectives: we propose four clinical cases of young patients with “unusual” obsessive-compulsive disorder (OCD), considering the numerous evidences that suggest the existence of possible overlaps between Psychotic Disorders and OCD symptoms. Methods: we describe the patients to define the psychopatological features of the symptoms. Results: the early onset obsessive compulsive disorder often shows atypical features that makes the nosographic collocation difficult. Conclusions: the uncertain border between obsessive ideas, prevailing ideas and psychotic symptoms such as delusions and / or thought disorder, leads to both diagnostics and therapeutics reflections.
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