Obsessive-Compulsive and Related Disorders Flashcards
1
Q
Obsessive-Compulsive Disorder symptoms
A
- specific obsessions & compulsions that embody content unacceptable to client and creates anxiety
- obsessive thoughts, words, or phrases and cause emotional distress & disrupt thought process
- obsessive images of violent, sexual or disturbing nature that appear repeatedly
- obsessional beliefs based on irrational assumptions
- obsessional ruminations or repeated worried behaviors
- obsessive impulses incl. thoughts of aggression toward others, self-harm or humiliating behaviors
- obsessive fears or intense anxiety about specific objects, situations or locations or performing specific acts
- compulsive rituals: repetitive actions to produce relief from obsessive thoughts
2
Q
Obsessive-Compulsive Disorder treatment
A
- exposure & response prevention therapy: enhance brain’s emotional learning by changing connections in response to emotional stimuli circuitry
- medication: SSRIs
- CBT: disrupt negative reinforcement cycle
3
Q
Body Dysmorphic Disorder symptoms
A
- preoccupation with imagined/perceived flaw in physical appearance
- repetitive behaviours & obsessive thoughts: frequently check in mirror, participate in excessive grooming, preoccupied with physical appearance, and need constant reassurance about looks
4
Q
Body Dysmorphic Disorder treatment
A
- habit reversal training and exposure & response prevention
- cognitive therapy
- CBT: identify & eliminate cognitive distortions about body
- acceptance & commitment therapy: accept distressing thoughts, emotions & urges w/o acting on them
- mindfulness-based therapies
5
Q
Hoarding Disorder symptoms
A
- difficulty discarding possessions, regardless of actual value
- feelings of distress arise at thought of discarding items
- inability to discard possessions causes clutter that interferes with intended use of living areas
- hoarding behaviour causes functional impairment
- symptoms not result of medical & not better accounted for by another mental condition
6
Q
Hoarding Disorder treatment
A
- in-home interventions combined with CBT
- exposure & response prevention
- behaviour therapy, once fostered motivation to change
7
Q
Trichotillomania (Hair-Pulling Disorder) symptoms
A
- repeated pulling out of hair, resulting in hair loss
- repeated attempts to stop
- presence of distress/impairment that impacts relationships & work performance
8
Q
Trichotillomania (Hair-Pulling Disorder) treatment
A
- behavioural therapy/CBT with habit-reversal training
- motivational interviewing: help with resistance
- group CBT
9
Q
Excoriation (Skin-picking) Disorder symptoms
A
- recurrent picking of skin that results in skin lesions
- repeated efforts made to reduce/stop urge to pick
- failure to resist behaviours result in negative feelings, shame, embarassment & anxiety; relieved when continue behaviour
10
Q
Excoriation (Skin-picking) Disorder treatment
A
- habit reversal training
- acceptance-based treatments/DBT with mindfulness incorporated
11
Q
Obsessive Compulsive and Related Disorder Due to Another Medical Condition specifiers
A
- with obsessive-compulsive disorder-like symptoms
- with appearance preoccupation
- with hoarding symptoms
- with hair-pulling symptoms
- with skin-picking symptoms
