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P2 > Obsessive compulsive DO > Flashcards

Obsessive compulsive DO Flashcards

1
Q

OCD

A

Presence of obsessions, compulsions, or both
Time consuming, CSI
No drug/condition
Not better explained by MDO

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2
Q

Obsessions

A

Recurrent, persistent thought, urges, images experienced as intrusive/unwanted and cause anx/distress
Attempt to ignore thoughts via some other action

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3
Q

Compulsions

A

Repetitive behaviors/mental acts that must be performed in response to obsession/rules
Aimed at reducing anx/distress/bad situation
However, not connected to what they are trying to prevent/neutralize
Excessive

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4
Q

OCD Facts

More common, comorbid

A

Men = women
Boys > girls
Coexists w MD, SUD, SP, PD, Eating DO

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5
Q

OCD Facts 2

Normal pattern

A

Distinguish from OCPD

Most commonly see contamination, doubt, obessions w/out compulsion, symmetry

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6
Q

OCD Prognosis

A

MDO + OCD= suicide thoughts
Poor= yield to compulsions, childhood onset, bizarre compulsions, hospitalizations, MD, delusions, Pers DO
Good= social/occup adj, precipitating event, episodic nature

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7
Q

OCD Tx

A

Pharmaco/behv/Psycho
SSRI 1st line
Behav- inpatient/outpatient, usually exposure/response prevention
ECT or psychosurgery

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8
Q

Body dysmorphic DO

A

Preoccupation w 1 or more perceived flaws in physical appearance that are not observable/slight to others
Repetitive behaviors (look in mirror, pick skin) or mental acts (compare) in response to concern
CSI, not explained by other DO

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9
Q

BDD

More common gender, age, comorbid

A

Preoccupation with imagined defect, exaggeration of minor defect
Women more common
15-20, never marry
usually MDO, anx, Psych DO

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10
Q

BDD Facts
Body parts
Concerns

A

Most common- hair/nose/skin/face
Assoc- concern other notice, avoidance of self, mirror checking
Some housebound, some suicide

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11
Q

BDD Tx

A

Medical procedures unsuccessful (no surgery!)
SSRIs helpful
treat underlying DO

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12
Q

Hoarding DO

A

Persistent difficulty discarding/parting w possessions, regard of value
Perceive need to save items, distress w discarding
Possessions accumulate and clutter
CSI, no MC, other MDO

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13
Q

Hoarding DO Facts

A

Display excessive acquisition, (buying then free items)
Mostly males, early (11-15)
Traumatic/stressful event precedes onset/exacerbation
50% have family member who hoards
Females more excessive display

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14
Q

Hoarding DO Comorbid

A

Comorbid Anx/mood DO

Some OCD

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15
Q

Hoarding Tx

A 
SSRIs
CBT w exposure/response prevention (ERP)
Assessment of clutter
Discard items
New behaviors (schedules, chores)
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16
Q

Trichotillomania

A

Recurrent pulling out of hair, resulting in hair loss
Repeated attempts to stop
CSI, no MC, other MDO

17
Q

Tricho facts

A 
Not in front of others, deny it
Hide alopecia
Assoc w mood/anx/pers DO/mental retard
Eyebrows/eyelashes may be gone
Thin/absent hair on limbs/torso
Adults- w>m (kids equal)
18
Q

Tricho facts 2

OCD vs Tricho

A

Evaluate Psych/stressors/fam history/OCD/MC

OCD= more anx/MD
T= less OCD symptoms, + pleasure
19
Q

T Onset/facts/Treatment

A 
Childhood
Can be continuous/come and go
SSRIs/lithium/Haldol
Steroid cream for itch
Behav= habit reversal (competing response)
20
Q

Excoriation DO

A

Recurrent skin picking, leading to lesions
Repeated attempts to stop/dec
CSI, no drug/MC, MDO

21
Q

Excoriation Facts
Body parts
On/With what

A 
Mostly face/arms/hands (multiple)
Healthy/scabs/lesions
Use fingernails/tweezers etc
Skin rubbing/squeezing/lancing/biting
Sig amount of time
22
Q

Excoriation facts 2
Presence of
More common gender
Comorbid

A

Not in presence of others, only family
Skin picking of others
Female
Typically with OCD, 1st deg family members, MD, trico

23
Q

Excor facts 3

Damage

A

Distress
Tissue damage, scarring
AB for infection or surgery

24
Q

Excor tx`

A

Nonjudg, empath enviro
Refer to MHP
Pharma (SSRIs, antipsych)
Hypnosis

P2 (6 decks)

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