Mehl. bullet: PTSD, acute stress disorder, OCD, ADHD, autism, grief 04-06 (1)

Question 1

M. Different between obsessive-compulsive disorder (OCD) and obsessive-compulsive personality
disorder (OCPD)?

Answer 1

OCD is ego-dystonic (patient doesn’t want/like the thoughts/actions);

OCPD is ego-syntonic (patient is content / not looking to modify behavior).

Question 2

M. - 8M + causes frequent disruption at school and at home; Dx?

Answer 2

ADHD;

Question 3

M. 8M + causes frequent disruption at school and at home; Tx?

Answer 3

Dx ADHD;
Tx = methylphenidate.

Question 4

M. 45M + survived plane crash two weeks ago + wakes up screaming in middle of night reliving the event; Dx? Tx?

Answer 4

acute stress disorder, not post-traumatic stress disorder (PTSD);

acute stress disorder is < 1 month;

PTSD is > 1 month.

Treatment for both is CBT.

Question 5

M. 45M + has repeated thoughts of harming his son + finds the thoughts absolutely outrageous and
disturbing + says he would never do such a thing; Dx + Tx?

Answer 5

obsessive-compulsive disorder (OCD) -> obsessions are the thoughts; compulsions are the actions; OCD can be just obsessions without actions;

Tx is CBT and/or SSRI.

Question 6

M. Patient witnesses terror attack + has felt emotionally numb for two years since + sometimes
disturbed sleep; next best step?

Answer 6

“provide information about the ranges of reactions to
trauma.”