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In February 2009, The FDA (Food and Drug administration) approved the use of Deep brain stimulation (DBS) for the treatment of severe obsessive compulsive disorder (OCD). We can only hope that with the studies that have been done, that ultimately, this treatment will be covered by insurance companies for depression and anxiety as well. 

FDA Approves Humanitarian Device Exemption for Deep Brain Stimulator for Severe Obsessive-Compulsive Disorder

The U.S. Food and Drug Administration today approved a humanitarian device exemption for the first implantable device that delivers intermittent electrical therapy deep within the brain to suppress the symptoms associated with severe obsessive-compulsive disorder (OCD).

The U.S. Food and Drug Administration today approved a humanitarian device exemption for the first implantable device that delivers intermittent electrical therapy deep within the brain to suppress the symptoms associated with severe obsessive-compulsive disorder (OCD).

The Reclaim system uses a small electrical generator known as a pulse generator to create electrical stimulation that blocks abnormal nerve signals in the brain. This small battery-powered device is implanted near the abdomen or the collar bone and connected to four electrodes implanted in the brain through an insulated electric wire known as the lead. Two device systems may be implanted to stimulate both sides of the brain or one device may be implanted with two lead outputs.

Human device exemptions facilitate the development of medical devices intended to treat or diagnose a disease or condition affecting fewer than 4,000 people per year in the United States. To receive approval, a company must demonstrate the safety and probable benefit of the device.

“Deep brain stimulation using the Reclaim system may provide some relief to certain patients with severe obsessive compulsive disorder who have not responded to conventional therapy,” said Daniel Schultz, M.D., director, Center for Devices and Radiological Health. “However, Reclaim is not a cure for OCD. Individual results will vary and patients implanted with the device are likely to continue to have some mild to moderate impairment in functioning and continue to require medications.”

OCD is an anxiety disorder and is characterized by recurrent, unwanted thoughts (obsessions) and/or repetitive behaviors (compulsions). Repetitive behaviors such as handwashing, counting, checking, or cleaning are often performed with the hope of preventing obsessive thoughts or making them go away. Performing these actions provides only temporary relief, but not performing them markedly increases anxiety.

The approval of the human device exemption was based on a review of data from 26 patients with severe treatment resistant OCD who were treated with the device at four sites. On average, patients had a 40 percent reduction in their symptoms after 12 months of therapy. While all patients reported adverse events, the majority of these events ended after an adjustment was made in the amount of electrical stimulation.

Patients who require electroconvulsive shock therapy should not be implanted with the Reclaim device. Other patients who should not use the device include persons who will undergo magnetic resonance imaging (MRI) or deep tissue heat treatment known as diathermy.

I Have OCD. Obsessive complusive disorder which has made me lose my business and has financial destroyed me. My OCD is the GERM phobia. I Look after my parents who are also sick, yet finding it hard to keep up with the bills. I'M NOT ASKING FOR A HAND OUT. I need money, but i am willing to work for it. I made decals for a living, and that is the one piece of equipment that I kept. I would like to make anyone decals for their store, window, cars trucks etc. I would charge a min. of $15US. I would like to try and raise $3700.00 to get me caught up. Because I was self employed, i didn't qualify for disability. I can't sell on Ebay as you need a credit card, but i have a PayPal account. If you would like to contact me, my name is Chris. Thank you for your time.

Could This Be Me?

 by Teraisa J.  Goldman ©1999 to NOW

 Imagine my surprise--horror, really--to find I have the same type of tendencies as Richard Daniel Starrett (Danny), a serial criminal serving five life sentences or more

Here is a young man, raised in a good home by a traditional moral two parent family. His parents show love in front of the children and have enviable careers. Except for headaches, there is nothing wrong nor unusual about Danny. He is the favorite child of his parents and his siblings.

Yet, a day came when his family got a call they will never forget. Danny was a fugitive and wanted by the police for kidnapping and rape (later they would learn there were several of these crimes committed, as well as murder).

Danny was married and had a daughter. He worked hard and made good money. What went wrong? His subsequent arrest and confession surprised and shocked his entire family. A Stranger In the Family, written by Steven Naifeh and Gregory White Smith (authors of The Mormon Murders *) was not the most memorable book I ever read, but it was the one that most made me identify with the bad guy.

This is scary. Normally, when reading, I may think I am a bit of an oddball simply for enjoying a well written crime book, but to identify with a killer? Oh boy!

Many times, we can place ourselves in the victim's shoes and ask questions--what would I have done? What could have been done differently? But how often do we put ourselves in the criminal's shoes? Rarely, I bet.

You know why? Because to do so would be admitting we could do something heinous like torture or kill. And we would not do that. We could not. Right?

I am not so sure anymore. While I do not think there are many people such as Danny in this world (a possible multiple personality disorder and definitely obsessive compulsive person), I do believe we all have the capability in us to commit serious criminal acts.

Think back to the Donner Party or the doomed soccer players trapped in the snow and wilderness, death staring them in the eyes while the bodies of their dead friends are close by. Death by hunger is eminent and lingering heavily. Nothing could convince me any ONE of these people would have ever thought they could do the unthinkable and eat the flesh of another human (much less a human they knew) a month before it actually happened. But they did, and by doing so, they saved their own lives.

I know under normal circumstances and conditions I would never dine on my friends to save my life, even if they are dead. But those are not ordinary times. Situations develop and happen.

"Teraisa," you say, "you are talking about something different. Those weren't crimes."

True. But they are inconceivable acts.

How about this scenario: A woman kills a man while he rapes her. Or: a stranger enters your house and creeps into your children's room. Startled and alerted to the intrusion, you load your gun...

As you are forced to defend yourself, you can suddenly become a killer. A forgivable one, but a killer nonetheless, by doing the inconceivable.

By using these particular stories of cannibalism and self defense, I am merely showing you it is possible to do the unthinkable.

"To save your life, sure, that's another story altogether," you point out. "It's still not the same."

You are right. It is not the same. We are driven to the same conclusions, though, as the murderer when the situation calls for it and when we can justify it.

This is what makes and keeps us different. We can commit the most inconceivable acts, but only under the right circumstances.

But as I read this book, I found something else that made me like Danny. Danny said he did not want to do these things, he explained that he had to do them. At first, his crimes seem to be an uncontrollable impulse, but later in the book, he lets us in on his other personality. Do not worry, I do not have another being living in me (I doubt Danny does, either), but I do have uncontrollable impulses.

I have to work at all times. If I am at a red light, I sort through my mail. A wait at the doctor's office allows me to balance my checkbook. Forget television, I cannot sit still long enough... unless I am folding laundry or writing a letter, that is. And yes, I am the person you heard about who makes lists of things to do while in the throes of passion.

It drives my family crazy. It drives me crazy. I tried to be different, but learned it was easier to live with it than to fight it.

So, now, I have to wonder, I know I am capable of committing inconceivable acts and I am aware I am obsessive compulsive. Could I have done what Danny did?

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The Author notes:

I would never kill anyone unless in self defense, or in defense of another human being. I believe those that kill for any other reason must have a psychopathic disorder (AKA sociopathic). Psychopaths know right from wrong, but consciously they choose to follow a sinister path. Their crimes are often likened to a sport and decidedly NOT defense. The real difference between he and myself--or you? We are not morally insane.

*This is an excellent book, the information revealed in it caught me by surprise.