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Photo of Dr. Gerald Nestadt

Gerald Nestadt, M.B.B.Ch., M.D., M.P.H.

Co-Director OCD Clinic
Professor of Psychiatry and Behavioral Sciences

Male

Appointment Phone

410-955-4838

Main Location

The Johns Hopkins Hospital

Out-of-State & International Patients +
Out of State Patients

Call 410-464-6641 (8a.m. to 6p.m., EST, Mon-Fri)

Learn more about our out-of-state patient services »

International Patients

Call +1-410-502-7683 (7a.m. to 6p.m., EST, Mon-Fri)

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Titles

  • Co-Director OCD Clinic
  • Director, Obsessive-Compulsive Disorder Program
  • Professor of Psychiatry and Behavioral Sciences

Departments

Locations

The Johns Hopkins Hospital

Appointment Phone: 410-955-4838

600 N. Wolfe Street
Sheikh Zayed Tower
Baltimore, MD 21287 map
Phone: 410-955-4838

The Johns Hopkins Hospital

600 N. Wolfe Street
Carnegie 446D1
Baltimore, MD 21287 map

Expertise

Adult Psychiatry , Anxiety Disorders, Obsessive-Compulsive Disorders, Personality Disorders, Psychiatry

Research Interests

Epidemiology and genetics: OCD, Personality, schizophrenia; Genetics of schizophrenia & bipolar disorder; Epidemiology of psychopathology

    Additional Information

  • Education +

    Degrees

    • University of Witwatersrand / MBBCh (1975)

    Residencies

    • Johns Hopkins University School of Medicine / Psychiatry (1980)

    Fellowships

    • Johns Hopkins Bloomberg School of Public Health (1981)

    Certifications

    • American Board of Psychiatry & Neurology / Psychiatry (1983)
  • Research & Publications +

    Research Summary

    The goal of this research program is to elucidate the causes and pathophysiology of obsessive-compulsive disorder (OCD). The program was initiated in the 1990’s to investigate the genetic etiology of OCD.

    In the OCD Family Study (1996-2001), we evaluated over 800 individuals in 153 families. We found the occurrence of OCD to be six times greater in relatives of OCD cases than in relatives of the control group. Other anxiety disorders, especially agoraphobia and generalized anxiety disorder, also were more prevalent in case families. Segregation analysis provided evidence that genes of major effect are involved in OCD.

    In the OCD Collaborative Genetics Study (2001-2007), we directed a genetics study of OCD in collaboration with five other academic centers in the United States. The collaboration diagnostically evaluated and collected DNA samples from over 200 affected sibling pairs, and completed the first large genome-wide genetic linkage scan of OCD. We found evidence of genetic linkage of OCD to regions on chromosomes 1, 3, 6, 7, and 15. We also found intrafamilial correlation of factor dimensions, especially hoarding behavior, in OCD families. In addition, we found significant linkage of compulsive hoarding behavior to a region on chromosome 14. We have been following up these findings with fine mapping of these regions and family-based association studies of functional candidate genes. This research has been funded by grants from the National Institutes of Health, the OCD Foundation, and the James E. Marshall OCD Foundation.

    In the current OCD Collaborative Genetics Association Study (2007 - ), we and our collaborators at five other academic centers are interviewing and collecting DNA samples from 2000 individuals with OCD and their parents. We will conduct a genome-wide association study to identify even smaller chromosomal regions associated with OCD.

    Our research continues to be funded by the National Institute of Mental Health (NIMH), the James E. Marshall OCD Foundation, and the OC Foundation.

    Selected Publications

    1. Nestadt G, Lan T, Samuels J, Riddle M, Bienvenu OJ 3rd, Liang KY, Hoehn-Saric R, Cullen B, Grados M, Beaty TH, Shugart YY. Complex segregation analysis provides compelling evidence for a major gene underlying obsessive-compulsive disorder and for heterogeneity by sex. Am J Hum Genet. 2000 Dec;67(6):1611-6.
    2. Nestadt G, Samuels J, Riddle M, Bienvenu OJ 3rd, Liang KY, LaBuda M, Walkup J, Grados M, Hoehn-Saric R. A family study of obsessive-compulsive disorder. Arch Gen Psychiatry. 2000 Apr;57(4):358-63.
    3. Fallin MD, Lasseter VK, Wolyniec PS, McGrath JA, Nestadt G, Valle D, Liang KY, Pulver AE. Genomewide Linkage Scan for Schizophrenia Susceptibility Loci among Ashkenazi Jewish Families Shows Evidence of Linkage on Chromosome 10q22. Am J Hum Genet. 2003 Sep;73(3):601-11.
    4. Samuels J, Eaton WW, Bienvenu OJ 3rd, Brown CH, Costa PT Jr, Nestadt G. Prevalence and correlates of personality disorders in a community sample. Br J Psychiatry. 2002 Jun;180:536-42.
    5. Nestadt G, Samuels J, Riddle MA, Liang KY, Bienvenu OJ, Hoehn-Saric R, Grados M, Cullen B. The relationship between obsessive-compulsive disorder and anxiety and affective disorders: results from the Johns Hopkins OCD Family Study. Psychol Med. 2001 Apr;31(3):481-7.
  • Academic Affiliations & Courses +
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