Obsessive Compulsive and Related Disorders Flashcards

1
Q

Obsessions in OCD

A

Obsessions = recurrent, persistent, intrusive, and unwanted thoughts, images, or impulses

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2
Q

Compulsions in OCD

A

Compulsions = ritualistic or repetitive behaviors or mental acts that a person carries out continuously in an attempt to neutralize anxiety

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3
Q

Obsessive–Compulsive Disorder Common Compulsions

A

Checking rituals
Counting rituals
Washing/scrubbing
Praying/chanting
Touching/rubbing/tapping
Ordering (arranging and rearranging)
Exhibiting rigid performance
Having aggressive urges

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4
Q

When is OCD diagnosed?

A

OCD is diagnosed once thoughts or behaviors consume the person to the point where the thoughts or actions interfere with personal, social, and/or occupational functioning.

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5
Q

What does the person with OCD think of their thoughts and behaviors?

A

The person realizes that the thoughts/behaviors are unreasonable, but he or she cannot stop/control them.

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6
Q

When does OCD usually start

A

Can start in early childhood

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7
Q

In females, when does OCD usually start?

A

in females, more commonly begins in the 20s

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8
Q

How are symptoms of OCD experienced over a person’s lifetime?

A

Periods of waxing and waning symptoms over lifetime

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9
Q

What is the etiology of OCD?

A

Learning

Hereditary

Traumatic/Stressful life event

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10
Q

What does it mean that OCD is learned?

A

Obsessive fears and compulsive behaviors can be learned from watching family members or gradually learned over time.

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11
Q

What does it mean that OCD is hereditary?

A

Complex network of several genes may contribute to the genetic risk for OCD.

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12
Q

In general, what is the treatment of OCD?

A

Combination of medications and therapy

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13
Q

Medications to treat OCD:

A
  1. First line SSRIs
  2. Second line SNRIs
  3. Second generation antipsychotics
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14
Q

What is the first line medication treatment for OCD?

A

SSRIs (Flovoxamine and Sertraline)

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15
Q

What specifically, are the first line SSRIs used for OCD?

A

(Flovoxamine and Sertraline)

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16
Q

What is the second line medication for OCD?

A

SNRIs (venlafaxine)

17
Q

What is the treatment for treatment resistant OCD:

A

second generation antipsychotics

18
Q

What are the second generation antipsychotics used for treatment resistant OCD?

A

(risperidone, quetiapine, olanzapine)

19
Q

What is included in Behavioral therapy for treatment of OCD?

A

Exposure therapy

Response prevention

20
Q

What is scale is used for assessment of OCD?

A

Yale-Brown Obsessive–Compulsive Scale

21
Q

What is the general appearance and motor behavior of OCD?

A

tense, anxious; embarrassment

22
Q

What is the mood and affect of someone with OCD?

A

overwhelming anxiety

23
Q

What is the thought process and content of OCD?

A

describe obsessions as rising out of nowhere

24
Q

What is the judgement and insight of someone with OCD:

A

(recognizes obsessions as irrational but unable to stop them)

25
Q

What is the self concept of someone with OCD?

A

powerlessness, low self-esteem

26
Q

What is the physiological and self care considerations of someone with OCD?

A

sleeping problems, appetite and weight changes

27
Q

What is the nursing interventions of OCD?

A

Therapeutic communication
Relaxation techniques
Behavioral techniques
Exposure techniques
Daily routine completion
Client and family education

28
Q

What is the client teaching of OCD?

A

Teach about OCD
Review importance of talking openly
Emphasize medication compliance
Behavioral techniques
Tolerating anxiety

29
Q

What is the family teaching of OCD?

A

Teach to avoid giving advice
Teach to avoid trying to “fix” the problem
Patience
Monitoring anxiety levels among family members
Taking breaks

30
Q

Self-Awareness Issues of OCD

A

Need to understand client cannot simply stop the behavior*

The client needs to work on a reduction of the compulsive behaviors

Chronic condition

Client already knows the thoughts and rituals interfere with life.