Obsessive-Compulsive Disorder

Question 1

how is OCD classified?

Answer 1

presence of either obsessions or compulsions

Question 2

what is an obsession?

Answer 2

unwanted intrusive thought, image or urge that repeatedly enters the person’s mind

Question 3

what are compulsions?

Answer 3

repetitive behaviours or mental acts that the person feels driven to perform

Question 4

what are the risk factors for OCD?

Answer 4

• family history
• age - peak incidence is between 10-20 years
• pregnancy/postnatal period
• history of abuse, bullying, neglect

Question 5

what is the management for an OCD patient with mild functional impairment?

Answer 5

• CBT and exposure and response prevention (ERP)
• • SSRI

Question 6

what is the management for an OCD patient with moderate functional impairment?

Answer 6

• SSRI or more intensive CBT
• consider clomipramine

Question 7

what is the management for an OCD patient with severe functional impairment?

Answer 7

• refer to secondary care mental health team
• SSRI + CBT

Question 8

when is fluoxetine used in the management of OCD?

Answer 8

body dysmorphic disorder

Question 9

what is ERP?

exposure and response prevention

Answer 9

exposing patient to an aniexty provoking situation and then stopping them engaging in their usual safety behaviour

Question 10

how long does it take for an SSRI to have an impact in OCD?

Answer 10

12 weeks