Obsessive Compulsive Disorder (OCD) Flashcards
1
Q
Definition
A
OCD is characterised by obsessions and compulsions
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.
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.
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.
5
Q
Associated conditions
A
OCD is strongly related to other mental health issues:
- Anxiety
- Depression
- Eating disorders
- Autistic spectrum disorder
- Phobias
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)