A Case Report on Obsessive-Compulsive Disorder with Co-Morbid Temporal Lobe Epilepsy in A 30-Year-Old Male

Co-occurrence of Obsessive-Compulsive Disorder (OCD) and temporal lobe epilepsy (TLE) is uncommon but clinically significant due to overlapping symptomatology and complex treatment implications. We report the case of a 30-year-old man diagnosed with OCD with fair to good insight, alongside a history of temporal lobe epilepsy. The patient exhibited classical obsessive-compulsive symptoms alongside episodic disturbances in awareness. Comprehensive evaluation, including EEG and MRI, confirmed left temporal lobe epilepsy. Multimodal treatment involving pharmacotherapy and cognitive-behavioral therapy led to symptomatic improvement. The case highlights the importance of neuropsychiatric assessment and integrated management in comorbid psychiatric and neurological conditions.