Obsessive Compulsive Disorder

Question 1

What is Obsessive compulsive disorder?

Answer 1

Anxiety which is associated with obsessive thoughts and compulsive ritualistic behaviour

Question 2

What are obsessions?

Answer 2

Unwanted, thoughts, images or urges that enter the persons mind

Patient attempts to resist the thoughts

Question 3

What are compulsions?

Answer 3

Repetitive behaviours or mental acts that the person feels driven to perform.

Patient may believe that these will prevent a bad outcome

Temporarily relieve the anxiety

Question 4

Which condition is most associated with OCD?

Answer 4

Depression

Question 5

What is the diagnostic criteria for OCD?

Answer 5

Person has obsessions, compulsions or both

Time consuming – causing distress in daily life

Not psychological effects of substance or medical conditions

Not better explained by another disorder e.g. dysmorphic disorder

Question 6

What is the management of OCD that causes mild functional impairment?

Answer 6

CBT including exposure and response prevention (ERP)

Question 7

What would you do if CBT wasn’t sufficient for the management of OCD that causes mild functional impairment?

Answer 7

Offer SSRI
or
More intensive CBT

Question 8

What is the management of OCD that causes severe functional impairment?

Answer 8

Combined treatment with an SSRI and CBT (including ERP)

Question 9

What is the difference between obsessive compulsive personality and obsessive compulsive disorder?

Answer 9

OCD is a mental health condition that involves obsessive, intrusive, and repetitive thoughts that make you feel compelled to repeat behaviors

Question 10

What is the difference between obsessive compulsive personality and obsessive compulsive disorder?

Answer 10

OCD is a mental health condition that involves obsessive, intrusive, and repetitive thoughts that make you feel compelled to repeat behaviors

OCPD is a personality disorder that involves being excessively focused on order and perfection.