obsessive compulsive disorder

Question 1

clinical feature?

Answer 1

Obsession: recurrent, intrusive, anxiety - provoking thoughts, urges, or images.
compulsions: response to obsession with repeated behaviors or mental acts. behaviors not connected realistically with preventing feared event.
time - consuming (>1 hr/daily) or causing significant distress or impairment.

Question 2

treatment?

Answer 2

selective serotonin reuptake inhibitors (serotonergic antidepressants).
cognitive behavioral therapy ( exposure and response prevention).

Question 3

first-line treatment?

Answer 3

selective serotonin reuptake inhibitor antidepressants (fluoxetine, fluvoxamine, paroxetine, citalopram, escitalopram, sertaline).

Question 4

serotonergic tricyclic antidepressant

Answer 4

clomipramine is sec line cuz it is less tolerated.