Case Series
The descriptive characteristics of each case including psychiatric comorbidities are outlined in Table 1. The medical history showed an ischemic etiology and poor cardiac functioning in each case. For Case 1-3, excessive acquisition was rated as yes, no, yes, while insight was rated as poor, fair and absent/delusional respectively. Alongside HD (27-40 year history), all patients met criteria for major depressive disorder and generalized anxiety disorder. No psychiatric history was documented in medical records for any case. None of the patients received psychotropic medication for management of HD or comorbid psychiatric diagnoses.