Anxiety, Phobias, OCD

Question 1

Obsessive compulsive disorder (OCD)

Answer 1

• compulsions +/or obsessions that impair daily functioning and cause distress
• obsessions: unwanted, intrusive thoughts
• compulsions: repetitive behaviours or mental acts

Question 2

Conditions associated with OCD

Answer 2

• depression (30%)
• schizophrenia (3%)
• tourrettes
• anorexia nervosa
• syndehams chorea

Question 3

Clinical features of OCD

Answer 3

Diagnosis requires presence of obsessions, compulsions, or both

Obsessions:
- recurrent and persistent thoughts +/or impulses
- intrusive and unwanted
- pt. will try ignore, suppress, or neutralise with actions (compulsions)

Compulsions:
- Repetitive behaviours or mental acts
- aimed to reduce stress and anxiety (but more often has opposite effect)

Question 4

Common obsessions in OCD

Answer 4

• contamination fear
• fear of harm
• unwanted sexual thoughts
• religous/moral
• perfectionism/symmetry

Question 5

Common compulsions in OCD

Answer 5

• cleaning/washing
• checking rituals
• counting/repeating rituals
• ordering/arranging

Question 6

Diagnosing OCD

Answer 6

• Yale-brown obsessive-compulsive scale (Y-BCOS)
• Obsessive-compulsive inventory-revised (OCI-R)

Question 7

Managing OCD

Answer 7

1. CBT
2. exposure response prevention
3. SSRI (sertraline)