Biological Approach in OCD Flashcards
How do we treat OCD using ideas of the biological approach?
Drug Therapy
What does drug therapy in mental disorders aim to achieve?
increase or decrease levels of or activity of neurotransmitters to restore a normal balance
How is OCD and serotonin associated?
low levels of serotonin related to OCD
What standard medical treatment is used to tackle symptoms of OCD?
SSRIs
(selective serotonin reuptake inhibitor)
How do SSRIs treat OCD?
prevent reabsorption and breakdown of serotonin at presynaptic neurone, increase levels of serotonin in synapse and thus stimulates postsynaptic neurone
What do drug therapies reduce?
emotional symptoms (anxiety and depression)
What is used alongside SSRIs to benefit OCD patients?
Cognitive Behavioural Therapy
What are the alternatives to SSRIs?
TRICYCLICS
SNRIs
What are tricyclics?
type of antidepressant which acts on various system including the serotonin regulating system
What are SNRIs?
serotonin-noradrenaline reuptake inhibitors which increase levels of serotonin and noradrenaline
Why are OCD patients prescribed SSRIs alternatives?
the current prescription is not effective for the patient and so instead of increasing dosage other drugs are trialled as people’s bodies respond differently to each drug
How can we evaluate the BIOLOGICAL APPROACH in treating OCD?
R: Clear evidence- Mustafa Soomro et al. reviewed 17 studies comparing SSRIs to placebos- All 17 studies showed significantly better outcomes with SSRIs, symptoms reduced for 70% people- Remaining 30% helped through alternative drug therapies, combining drugs and psychological therapies- Validities effectiveness of drugs in treating OCD
Bias- Goldacre posed wether researchers selectively publish positive outcomes for drugs they are sponsored by- are these drugs truly effective or have we been lead to believe they are? lowers validity greatly, criticises reliability
A: Doesn’t treat ALL with OCD- small minority receive NO benefit from use of SSRIs- limits generalisability of drug therapies
I: Cost-effective- thousands of drug products manufactured in time it takes for ONE psychological therapy session- good value for public health systems like NHS who endure limited funds- economical validity
Non-disruptive- no need to organise and plan for psychological therapies- drug therapy easily accessible- psychological therapies time-consuming- drug therapies do not affect work/social life
Serious side effects- indigestion, blurred vision, lower sex drive- distressing even if temporary, small minority permanent effects- tricyclic clomipramine associated with weight gain and heart-related issues- reduced quality of life DAMAGING applicability and questioning potential risk vs benefit
S: Biological Approach heavily scientific- clear link between regulation of serotonin and OCD- SSRIs apply objective measures to target and reduce symptoms of OCD- high validity
Who researched the genetic explanation for OCD?
Lewis 1936
Outline Lewis’ study into the genetic explanation for OCD?
observed 37% had parents with OCD and 21% also had siblings with OCD- demonstrated it ran in families
What are candidate genes for OCD?
identified genes which create vulnerability for OCD