Obsessive-compulsive disorder

Question 1

Senseless, repeated rituals

Answer 1

Compulsions

Question 2

Stereotyped, purposeless, unwated words/phrases that come into the persons mind

Answer 2

Obsessions

Question 3

How long must obsessions/compulsions be present to make the diagnosis?

Answer 3

Most days for two weeks

Question 4

A rating scale which may help assess the impact on the patients life

Answer 4

Yale-Brown Obsessive Compulsive scale

Question 5

First-line treatment in mild functional impairment

Answer 5

Low intensity psychological treatment e.g. CBT, plus exposure and response prevention

if unable: SSRI

Question 6

Treatment for moderate impairment

Answer 6

High intensity CBT + ERP, or SSRI/clomipramine

Question 7

What does ERP involve?

Answer 7

patients are repeatedly exposed to the situation causing them anxiety and prevented from performing repetitive actions

Question 8

Common obsessions in OCD

Answer 8

Contamination
Fear of harm (e.g. locked doors)
Order/symmetry

Question 9

Common compulsions

Answer 9

Cleaning
Checking
Hoarding

Question 10

Three domains of dysfunctional beliefs in OCD

Answer 10

Overestimation of threat/inflated sense of responsibility;
Beliefs about the important of, and need to control, thoughts
Perfectionism and intolerance of uncertainty

Question 11

Five screening questions for OCD

Answer 11

1. Do you wash or clean a lot?
2. Do you check things a lot?
3. Is there any thought that keeps bothering you, that you would like to get rid of but can’t?
4. Do your daily activities take a long time to finish?
5. Are you concerned about orderliness or symmetry?