Obsessive Compulsive Disorder (OCD) Flashcards

1
Q

Definition

A

OCD is characterised by obsessions and compulsions

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2
Q

Obsessions definition

A
  • Obsessions are unwanted and uncontrolled thoughts and intrusive images that the person finds it very difficult to ignore.
  • E.g an overwhelming fear of contamination with dirt or germs or violent or explicit images that keep appearing in their mind.
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3
Q

Compulsions definition

A
  • Repetitive actions the person feels they must do, generating anxiety if they are not done. Often these compulsions are a way for the person to handle the obsessions.
  • E.g, checking that all electrical equipment is turned off to settle the anxiety of obsessing about the house burning down. This is a normal behaviour, but in OCD the person may check every plug in the house 10 times before being able to go to sleep or leave.
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4
Q

Cycle of OCD

A
  • The obsessions lead to anxiety, which leads to the compulsive behaviour, which leads to a temporary improvement in the anxiety. Shortly after the temporary improvement in anxiety the obsession reappears, leading to further anxiety, further compulsive behaviour with a temporary relief.
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5
Q

Associated conditions

A

OCD is strongly related to other mental health issues:
- Anxiety
- Depression
- Eating disorders
- Autistic spectrum disorder
- Phobias

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6
Q

Management

A
  • Mild OCD: Education and self help resources.
  • More significant OCD may require:
    = Referral to CAMHS
    = Patient and carer education
    = Cognitive behavioural therapy
    = SSRIs medications (under the guidance of a CAMHS specialist)
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