Obsessive compulsive disorder

Question 1

features of obsessive compulsive disorder

Answer 1

obessions - recurrent intrusive, anxiety provoking thoughts or urges and images

compulsions - response to obsessions with repeated behaviors or mental acts

behaviors that are not connected to realistically with preventing feared event

Time consuming >1 hr/day or causing significant distress or impairment

Question 2

treatment of obsessive compulsive disorder

Answer 2

SSRI

cognitive behavioral therapy (exposure and response prevention)

Question 3

Treatment of obsessive compulsive disorder with this agent should be

Answer 3

SSRI (at higher dose than depression) should need at least 6 weeks to see if this helps

2nd line treatment is TCA

Question 4

What is dialectical behavioral therapy

Answer 4

cognitive behavioral therapy focusing on dangerous or suicidal behavior and this is treatment for borderline personality disorder.

Question 5

psychodynamic pyschotherapy is

Answer 5

helpful for developing insight for many conditions.

Not as helpful for treatment of obsessive compulsive disorder

Question 6

initial treatment for obsessive compulsive disorder is with

Answer 6

cognitive behavioral therapy is 1st line. more effective than pharmacology alone.

can use SSRI but this CBT should be tried first. useful in severe symptoms or inadequate response to CBT

Question 7

Obsessive compulsive disorder is a form of

Answer 7

anxiety disorder in which pts experience obsessions - recurrent intrusive thoughts, images, impulses causing distress and alleviate obsession related activity