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Can people with pathological jealousy be treated with strategies similar to those used for people with OCD?

Marta Carulla-Roig
Marta Carulla-Roig
Child and adolescent psychiatrist. Mental Health Area
Hospital Sant Joan de Déu Barcelona

Pathological jealousy, or morbid jealousy, can appear in the context of an altered emotional state or a more severe mental disorder. It is important to explore the content of the person's thoughts and examine any internal conflicts they may have, how they relate to others, and the bonds they form—whether more or less dependent—throughout their life. In this regard, a psychotherapeutic approach would be necessary.

Cognitive behavioral therapy (the preferred treatment for OCD) can be helpful for many types of disorders and symptoms, such as pathological jealousy, but it requires motivation and awareness of the problem on the part of the individual. Sometimes it's necessary to incorporate therapies from other schools of thought, such as dialectical behavior therapy, which can help with emotional regulation; or systemic family therapy, and a subtype of this, such as couples therapy. Each case is unique, and sometimes the symptom is just the tip of the iceberg. It's necessary to delve into the individual's possible internal conflicts so they can find explanations for certain behaviors and insecurities and be able to mentally prepare to initiate change.

María del Pino Alonso Ortega
María del Pino Alonso Ortega
Psychiatrist. Obsessive-Compulsive Disorders Unit. Psychiatry Department
Hospital Universitari de Bellvitge

In cases of jealousy, it's important to determine if the person suffers from morbid jealousy: a type of belief, sometimes almost delusional, that they are being cheated on by their partner. This type of disorder is especially common in men with a long history of alcohol dependence, and its treatment is complex. Antipsychotics are often tried at low doses, with limited success rates.

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Marta Carulla-Roig
Marta Carulla-Roig
Child and adolescent psychiatrist. Mental Health Area
Hospital Sant Joan de Déu Barcelona
María del Pino Alonso Ortega
María del Pino Alonso Ortega
Psychiatrist. Obsessive-Compulsive Disorders Unit. Psychiatry Department
Hospital Universitari de Bellvitge