Chapter 6

Question 1

Recurrent and persistent unwanted thoughts, urges, or images that are experienced as intrusive and unwanted

Answer 1

Obsession

Question 2

Repetitive behavior or mental acts that an individual feels driven to perform in response to an obsession

Answer 2

Compulsion

Question 3

What is the aim of compulsion

Answer 3

To reduce distress or prevent feared event (unrealistic)

Question 3

Characterized by obsession and compulsions

Answer 3

Obsessive-compulsive disorder

Question 4

What are 3 specifiers of OCD

Answer 4

1.With good or fair insight
2.With poor insight
3.With absent insight/delusional beliefs

Question 5

What are the associated features of OCD?

Answer 5

-Cleaning
-Symmetry
-Forbidden or Taboo thought
-Harm

Question 6

mean age of onset for OCD?

Answer 6

19.5 yrs old

Question 7

compulsions are easily diagnosed in children (T or F)

Answer 7

True

Question 8

Preoccupied with one or more perceived defects or flaws in their physical appearance

Answer 8

Body Dysmorphic disorder

Question 9

Patterns of symptoms in adults can be stable over time for OCD? (T or F)

Answer 9

True

Question 10

What is Body dysmorphic disorder called in the past?

Answer 10

Dysmorphophobia

Question 11

Preoccupation with the idea that one’s body is too small or insufficiently lean or muscular?

Answer 11

Muscle Dysmorphia

Question 12

Onset age for Body dysmorphic disorder?

Answer 12

16-17 yrs old

Question 13

Persistent difficulties discarding or parting with possessions, regardless of their actual value

Answer 13

Hoarding Disorder

Question 14

Onset Age for Hoarding disorder?

Answer 14

11-15 yrs old

Question 15

Severity of Hoarding increases with each decade of life (T or F)?

Answer 15

True

Question 16

Recurrent pulling out of one’s own hair

Answer 16

Trichotillomania

Question 17

Onset Age for Trichotillomania?

Answer 17

Puberty

Question 18

Associated features of Trichotillomania?

Answer 18

-Orally manipulate hair
-Anxiety or boredom
-Alopecia

Question 19

Recurrent Picking at one’s own skin

Answer 19

Excoriation disorder

Question 20

Etiology of OCD?

Answer 20

1. Genetics: First degree relatives are at a higher risk for developing the disorder
2. Brain structure and functioning: Frontal and subcortical cortex may be different (PANDAS)
   3.Environment: Childhood trauma

Question 21

Treatment for OCD?

Answer 21

1.SSRI, Antipsychotic medication
2. Non-Pharmacological: CBT, TMS

Question 22

Name of OCD before (4)

Answer 22

1. Esquirol (1838)
2. Freud “Obsessional neurosis”
3. DSM I “Obsessive compulsive reaction”
4. DSM II “Obsessive compulsive neurosis”