Obsessive Compulsive Disorder, Obsessive Compulsive Personality Disorder & Panic Disorder

Question 1

What is OCD?

Answer 1

• an anxiety disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations (obsessions), or behaviors that make them feel driven to do something (compulsions).
• Presence of obsessions, compulsions or both.
• Obsessions & Compulsions must be time consuming, up to 1+ hour.
• Causes distress in their social/occupational life.

Question 2

How do people with OCD tend to feel about themselves?

Answer 2

• Less competent

- Inner torture

Question 3

What are the 2 components of an obsession?

Answer 3

1. Reoccurring & persistent thoughts, ideas urges or images that are experiences. These obsessions are unwanted and intrusive that can cause anxiety or distress.
2. Individuals attempt to ignore or suppress (consciously ignore) or erase such thoughts or images with ANOTHER thought or action.

Question 4

What are the 2 components to a compulsion?

Answer 4

1. Repetitive behaviors (e.g: ordering, checking, hand washing, can also be mental repetitive behaviors).
2. Feels driven to react to the obsession. Behaviors are aimed at reducing anxiety w/ obsession.

Question 5

TXI Flooding

Answer 5

• Getting patient to completely absorb what they completely fear. (e.g: the female in the movie making all of them put their hand on dirt)

Question 6

Systematic desensitation

Answer 6

• Gradual step progression
• Gradually trying to get rid of the feer
• sock example

Question 7

Systematic desensitation: In vivo

Answer 7

In person

Question 8

Systematic desensitization: Imagination

Answer 8

Imagine what they fear

Question 9

Panic Disorder

Answer 9

emotional terror combined with of overwhelming & frightening bodily sensations

Question 10

What is a panic attack?

Answer 10

• Wave of intense fear or discomfort which reaches its peak w/ in minutes.

Question 11

How many symptoms must be present for a panic disorder?

Answer 11

At least 4 symptoms

Question 12

What are the required symptoms for a panic attack?

Answer 12

1. Heart racing, fluttering, skipping beats
2. Breaking out in a sweat
3. Trembling or shaking
4. Trouble catching breath
5. Feel like they were choking
6. Chest pain, pressure or tightness
7. Feeling nauseous, sick to their stomach
8. Feeling dizzy, light headed or unsteady
9. Feeling chills or like they are burning up
10. Numbness or tingling in fingers or feet
11. Feeling like things are unreal, dream state or derealization
12. Fear that one is going crazy or PHRENOPHOBIA
13. Fear that they may die

Question 13

What symptoms are for panic disorder w/o agoraphobia?

Answer 13

• At least 1 of the attacks has been followed in 1 month
  1. Persistent concern or worry about having additional panic attacks & their consequences
  2. Significant maladaptive attacks or behaviors to avoid having another panic attack (e.g: avoiding exercise)

Question 14

What is obsessive compulsive personality disorder?

Answer 14

• Pervasive pattern w/ orderliness, perfected & to have mental & interpersonal control w/ others & w/ the self at the expense of being flexible & living life

Question 15

How many symptoms must be present for OCPD?

Answer 15

4

Question 16

What are the symptoms for OCPD?

Answer 16

1. Preoccupation w/ details, rules, orders, list to the extent that the major purpose of the activity is lost
2. Need to show perfectionism in tasks, where the perfectionism can interfere w/ the completion of the tasks
3. Excessively focused on work
4. Overly conscious, inflexible on ethical matters.
5. Is reluctant to work w/ somebody else unless they comply w/ their EXACT expectations
6. Close minded, show stubbornness & rigidness
7. Hoarding
8. Unable to discard items that don’t have value or even sentimental value.

Question 17

Panic Disorder w/ Agoraphobia

Answer 17

• Extremely avoiding a situation or place

Question 18

Panic disorder w/ agoraphobia case example

Answer 18

• fearful of falling in when having a panic attack, avoided places that were out in the open such as highways, had to be by a wall, just in case he had a panic attack, feared he would have a panic attack daily.

Question 19

How was the case of panic disorder with agoraphobia treated?

Answer 19

Gradually facing his fear, identify automatic thoughts, trying to get rid of the safety behaviors.

Question 20

What is a case example of OCD?

Answer 20

Judy from the casebook, where her obsessions centered on satan and demons.

• Fear that bad luck would happen unless she did something
• Feared that the number 3 and 13 indicated bad luck.
• Her compulsions: Dressing, undressing, saying amen when passing a funeral home or cemetery,
• More compulsions: checking rituals before leaving the house to make sure she was not responsible for anything to happen to her cat.

Question 21

How was Judy’s case of OCD treated?

Answer 21

• Identifying the obsessive ideas
• Identifying the rituals that followed the obsessive ideas
• Organized Hierarchy of what she was obsessed about.
• Exposed to their fear
• Preventing the rituals