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Behavioral Health > OCD > Flashcards

OCD Flashcards

1
Q

Define obsessions

A

Recurrent or persistent thoughts/images.

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2
Q

The thoughts in obsessions are ___, _____ and ____

A

inappropriate, intrusive and unwanted

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3
Q

Obsessions are ego_____

A

Dystonic, inconsistent with an individual’s beliefs

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4
Q

What are compulsions?

A

Repetitive behaviors/rituals that an individual feels driven to perform

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5
Q

Compulsions either cause ____, ____, or are _____

A

distress, impairment, time consuming (likely >1 hour per day)

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6
Q

What is the mean age of onset of OCD?

A

20 y, symptoms often present in adolescence

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7
Q

OCD rarely presents after

A

age 50

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8
Q

What is the theorized pathophysiology of OCD?

A

Abnormal communication between the basal ganglia, orbitofrontal cortex and the anterior cingulate gyrus

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9
Q

What neurotransmitter is suspected to be primarily involved in OCD?

A

Serotonin

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10
Q

What is the “triad of uncontrollable urges”

A

OCD
ADHD
Tic disorders (Tourette)

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11
Q

What are the four major patterns of OCD clinical manifestations?

A
  1. Contamination
  2. Pathologic doubt
  3. Symmetry/precision
  4. Intrusive obsessive thoughts
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12
Q

Intrusive obsessive thoughts are without ____

A

compulsion

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13
Q

What usually accompanies the Contamination pattern of OCD?

A

Compulsions of cleaning or hand washing

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14
Q

What usually accompanies the pathologic doubt pattern of OCD?

A

Forgetting to turn off the iron etc.

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15
Q

What are the specifiers of OCD?

A
  1. Good/fair insight
  2. Poor insight
  3. Absent insight/delusional beliefs
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16
Q

Define good/fair insight

A

Pt recognizes OCD beliefs are not true or may not be true

17
Q

Define poor insight

A

Pt thinks OCD beliefs are probably true

18
Q

Define absent insight/delusional belief

A

Patient is completely convinced that OCD beliefs are true

19
Q

What is the general principle of management of OCD?

A

CBT (exposure and response prevention) and Pharm

20
Q

What is first line pharm management of OCD?

A

SSRIs

21
Q

SSRI doses need to be ___ in OCD than depressive disorders

A

Higher

22
Q

What are alternative pharm therapies for OCD?

A

-TCAs (Clomipramine best as it is serotonin specific)
-SNRIs
-Augmentation with antipsychotics

23
Q

What can be done for severely debilitating or resistant OCD?

A

Psychosurgery (cingulotomy) or ECT

Behavioral Health (19 decks)

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