Obsessive-compulsive disorder DSM criteria

Question 1

specifiers van OCD

Answer 1

• With good or fair insight: the individual recognizes the OCD beliefs are definitely or probably not true or that they may or may not be true.
• With poor insight: the individual thinks OCD beliefs are probably true.
• With absent insight/delusional beliefs: the individual is fully convinced that OCD beliefs are true.

(Some insight is needed for successful treatment, because if patients fully believe the obsessions, they will not want to challenge their beliefs out of fear that the negative consequences will happen.)

Question 1

OCD in DSM

Answer 1

A. obsessions and/or compulsions.
Obsessions:
- recurrent and persistent thoughts/urges/images,
- experienced as intrusive and unwanted,
- in most individuals cause anxiety or distress.
- attempts to ignore or suppress or neutralize with other thought or action

Compulsions:
- repetitive behaviours/mental acts, feels driven to perform in response to an obsession or according to rules
- aimed at preventing or reducing anxiety or distress
- not realistically connected or clearly excessive

B. time-consuming, distress or impairment
C. not due to substance or medical condition
D. not better explained by symptoms of another disorder

Question 2

verschil delusions en obsessions

Answer 2

Obsessions are experienced as intrusive, meaning they are involuntary, unpleasant, and ego-dystonic, or misaligned with one’s genuine beliefs and values. When discussing delusions as they appear in schizophrenia: “you may not recognize these thoughts as intrusive,” In other words, they are less likely to be experienced as unwelcome or distressing representations of reality. This is not to say that delusions cannot cause distress, but that when they do, it’s generally not because they aren’t sincerely endorsed or believed.