OBSESSIVE-COMPULSIVE DISORDERS Flashcards
15 yo presents to dermatology due to facial acne. Pt picks facial skin plucking out facial hairs all day with mirror he carries stating he is “deformed” and avoids social functions because
“everyone will see how disgusting” his face is. Acne mild on exam. Diagnosis (2x)
Body Dysmorphic Disorder
What likely symptoms are missed using the children’s YBOCS?
Sensory discomfort
Difference between pediatric OCD and adult OCD?
Familial pattern
Most common pattern of onset of obsessive compulsive disorder in pediatric population?
Gradual, without clear aggravating factor
What is characteristic of early childhood obsessive compulsive disorder?
Higher frequency of compulsions w/o well defined obsessions
Child has thoughts of hurting other kids multiple times a day without trigger. Child says a prayer and goes back to play. Dx?
Obsessive Compulsive Disorder
fMRI studies in patients with OCD reveals what activation pattern of glucose metabolism in patients with symmetry/arranging?
Reduced in the R inferior caudate and ventral striatum
Commonly seen in most studies of childhood onset OCD?
Switching of content of obsessions over time
What medication do you use to augment SSRI in patient with OCD and comorbid Tourette’s?
Clomipramine
Pediatric Obsessive-Compulsive Treatment
Study (POTS I), what predicted poor
response to CBT alone?
Family History
Most efficacious treatment for 5-8 yo’s according to POTS study (Pediatric Obsessive Compulsive Disorder Treatment Study)?
Family-based exposure and response prevention
Common comorbidity in children with OCD?
Autism, other anxiety disorder, disruptive behavior disorder
Adolescent with severe OCD, partial
improvement on adequate trial of
Sertraline, what is the most effective
augmenting medication?
Risperidone
