3B OCD

Question 1

Obsession

Answer 1

Recurring, intrusive thoughts/beliefs/sensations
that cause severe distress and anxiety for the
patient.

ITS RELEIVED BY COMPULSION

Question 2

Compulsion

Answer 2

Repetitive and time-consuming
* actions
* rituals
* behaviors
to provide relief from the anxiety.

Question 3

Obsessive-Compulsive Disorder (OCD) DSMV

Answer 3

Question 4

Etiology of ocd

Answer 4

significant genetic component with higher rates of OCD in first-degree relatives and monozygotic twins

Question 5

prevelance, gender ocd

Answer 5

Lifetime prevalence 2-3%; no gender difference in prevalence

Question 6

Common patterns of obsessions and compulsions

Answer 6

Question 7

prognosis of ocd

Answer 7

Chronic course, with waxing and waning symptoms; less than 20% remission rate without treatment.
Patients have varying degrees of insight into their condition.

Question 8

is suicide common in ocd?

Answer 8

Suicidal ideation in 50% of OCD patients, with up to 25% performing at least one suicide attempt.

High comorbidity with other anxiety disorders, depressive or bipolar disorder, obsessive-compulsive personality
disorder (OCPD), and tic disorders.

Question 9

Treatment of ocd

Answer 9

combination psychopharmacology and CBT.

• CBT focuses on exposure and response prevention: prolonged, graded exposure to ritual-eliciting stimulus
  and prevention of the relieving compulsion.
• 1st-line medication is SSRI, typically at higher doses.
• 2nd-line agents include SNRI, or the most serotonin selective TCA (clomipramine).
• Can augment with atypical antipsychotics.

Last resort: in debilitating, treatment-resistant cases, can use psychosurgery (cingulotomy) or
electroconvulsive therapy (ECT).

Question 10

psychosurgery used in treatment resistant ocd

Answer 10

(cingulotomy)

Question 11

treatment of treatment resistant ocd

Answer 11

psychosurgery (cingulotomy) or
electroconvulsive therapy (ECT).

Question 12

Differentiating OCD and
obsessive-compulsive personality disorder(OCPD)

Answer 12

OCPD are obsessed with details, control, and perfectionism;
they are not intruded upon by unwanted preoccupations nor compelled to carry out compulsions.

Represent ego-syntonic behavior in harmony with or acceptable to the needs and goals of the ego;
the acceptable and consistent with the persons total personality

• OCD patients are distressed by their symptoms.
  Represent ego-dystonic behavior in conflict, or dissonant,
  with the needs and goals of the ego, or, further, in conflict with a person’s ideal self-image

Question 13

Represent ego-dystonic behavior

Answer 13

ocd

in conflict, or dissonant,
with the needs and goals of the ego, or, further, in conflict with a person’s ideal self-image

Question 14

ego syntonic behavior

Answer 14

ocpd

in harmony with or acceptable to the needs and goals of the ego;
the acceptable and consistent with the persons total personality

Question 15

Body Dysmorphic Disorder DSMV

Answer 15

Question 16

BODY DYSMORPHIC disorder

gender

Answer 16

more common in women than men

Question 17

Body Dysmorphic Disorder prevelance elevated in

Answer 17

Prevalence elevated in those with high rates of childhood abuse and􀀃neglect.

Question 18

Body Dysmorphic Disorder onset

Answer 18

gradual, beginning in early adolescence (mean age of onset 15 years).

Question 19

Body dysmorphic disorder
Do Surgical or dermatological procedures satisfy the patient?

Answer 19

NO

Question 20

suicide in body dysmorphic disorder

Answer 20

High rate of suicidal ideation and suicide attempts.
Comorbid with major depression, social anxiety disorder, and OCD

Question 21

treatment of body dysmorphic disorder

Answer 21

Treatment: SSRI and/or CBT may reduce the obsessive and compulsive symptoms in􀀃many patients

Question 22

Muscle Dysmorphia def

Answer 22

• Represents a specifier of body dysmorphic disorder.
• The individual is preoccupied with the idea that his or her body build is too small or insufficiently muscular.

Question 23

how do patient with muscle dysmorphia usually appear

Answer 23

• Patients typically have a normal or muscular physical appearance.

Question 24

muscle dysmorphia is more common in which gender

Answer 24

• Occurs almost exclusively in men; often associated with steroid abuse as an attempt to increase muscle mass

Question 25

Hoarding Disorder DSM5

Answer 25

Question 26

Hoarding Disorder TREATMENT

Answer 26

Very difficult to treat; may try specialized CBT for hoarding or SSRIs.

Question 27

Hoarding Disorder prognosis

Answer 27

Hoarding shows a chronic course, usually tend to worsen over time

Question 28

Trichotillomania (Hair-Pulling Disorder) DSM 5

Answer 28

Question 29

Trichotillomania (Hair-Pulling Disorder) TREATMENT

Answer 29

• SSRIs,
• 2nd-gen’ antipsychotics,
• lithium
• specialized CBT (habit-reversal training).

Adult onset is generally more difficult to treat

Question 30

trichotillomania
gender and age

Answer 30

more common in woman
onset at puberty freq ass with stressful event