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OCD Flashcards

1
Q

Obsessive Compulsive & Related Disorders
Classification
🧠⚡O²B²H² ⚡

A
  1. OCD
  2. Olfactory Reference Syndrome
  3. Body Dysmorphic Disorder
  4. Bodily Focussed Repetitive Behaviour Disorder
  5. Hoarding Disorder
  6. Hypochondriasis
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2
Q

Olfactory Reference syndrome

A

Person is CONSTANTLY PREOCCUPIED worry about BAD SMELL from his body

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3
Q

Bodily Focussed Repetitive Behaviour disorder

A
  1. Trichotillomania
  2. Excoriation disorder (OR) Dermatillomania
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4
Q

💊💉 MANAGEMENT of TRICHOTILLOMANIA

A

Fluoxetine
Naltrexone
Lithium
Carbamazepine

Habit Reversal technique

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5
Q

Trichophagia means

A

Eating Pulled Hair
⬇️
Trichobezoar

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6
Q

Biopsy in TRICHOTILLOMANIA reveals

A

Perifollicular hemorrhage

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7
Q

Excoriation disorder is ASSOCIATED with which substances

A
  1. Coacaine
  2. Amphetamine
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8
Q

⚡⚡ MOST COMMON site of DERMATILLOMANIA

A

Face

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9
Q

🚦DIFFERENTIAL DIAGNOSIS🚦 of EXCORIATION DISORDER:

A

⭐ VON GAGH SYNDROME
⭐ DERMATITIS ARTEFACTA

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10
Q

⭐ VON GAGH SYNDROME

A

✨ Repetitive self mutilation
✨ Bites, Burns & Ulcerations

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11
Q

⭐ DERMATITIS ARTEFACTA

A

Self-inflicted or Factitious injury
⬇️
Skin Pricking deliberately

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12
Q

Body Dysmorphic Disorder
Synonyms

A

Dysmorphophobia

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13
Q

Body Dysmorphic Disorder

A

⭐ ≥ 6 months
Persistent preoccupation about ≥ 1 Perceived defects or FLAWS in ones appearance

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14
Q

🧑🏻‍⚕️ Clinical Features of BDD

A
  1. Comparing with others
  2. Checking in mirrors
  3. Camouflaging their flaws
  4. Avoidance
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15
Q

SHOBO KYOFU

A

Excessive Fear of having BODILY DEFORMITY

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16
Q

💊💉 MANAGEMENT of DERMATILLOMANIA

🧠⚡SAB⚡

A

SSRI
➕
ANTI-HISTAMINICS
➕
BZDs

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17
Q

Illness Anxiety Disorder is also known as

A

✨ Hypochondriasis
✨ Medical Student Syndrome

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18
Q

Hypochondriasis: define

A

⭐ ≥ 6months
⭐ worried about an already diagnosed illness & its implication (OR) developing an illness

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19
Q

Patient with HYPOCHONDRIASIS has HIGH RISK OF

A
  1. 2° ANXIETY DISORDER
  2. 2° DEPRESSION
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20
Q

Hoarding diso3

A

Cannot discard anything thinking that EVERY ITEM had VALUE, even if NO ROOM to move around the house

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21
Q

DIOGENES SYNDROME
(OR)
SENILE SQUALOR

A

🚦DIFFERENTIAL DIAGNOSIS🚦 for HOARDING DISORDER

⭐ ELDERLY alone

⭐ Live in DIRTY PLACE with ⬇️ SELFCARE & ⬆️ SELF NEGLIGENCE

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22
Q

Consequences of HOARDING DISORDER

A
  1. Health & safety problem
  2. Clutter AVALANCHE: Mortality
  3. Domestic SQUALOR (Unsanitary living condition)
23
Q

💊💉 MANAGEMENT of HOARDING DISORDER

A

CBT (Cognitive based Therapy)

24
Q

Difference BETWEEN OCD & HOARDING DISORDER

A

HOARDING DISORDER
⭐ NO OBSESSION
⭐ WISHES TO SAVE THINGS

OCD
⭐ OBSESSIVE THOUGHTS ➕
⭐ HOARDING DONE TO RELIEVE ANXIETY CAUSED BY OBSESSION

25
Anatomical Structure defect causing OCD & TIC DISORDER
CAUDATE NUCLEUS (GATEKEEPER) ⬇️ Allows motor system to perform only those acts that are goal-directed
26
Neurotransmitters affected in OCD
1. ⬇️ SERATONIN 2. ⬆️ DOPAMINE REWARD SEEKING BEHAVIOUR ⬆️.
27
OBSESSIONS seen in OCD 🧠⚡CABS⚡
1. ⚡⚡ MOST COMMON: Cleanliness ASSOCIATED 2. Aggressive 3. Blasphemous 4. Symmetry related 5. Pathological Doubt (SELF DOUBT)
28
Blasphemous OCD
Believe som horrific INAPPROPRIATE SEXUAL CONTENT comes in their head & feel guilty about it
29
OBSESSION & Compulsion are disorders of THOUGHT
THOUGHT CONTENT (OR) THOUGHT POSSESSION
30
OBSESSION vs COMPULSION
31
EGO-DYSTONIC VS EGO-SYNTONIC
⭐ EGO-DYSTONIC 🎯 Do not want to do a task, but can't STOP THEMSELVES ⭐ EGO-SYNTONIC 🎯 Want to do a task, and doing it
32
OCPD ⭐ DIFFERENCE with OCD
Obsessive Compulsive Personality Disorder 🎯 Patient very particular about RULES, REGULATIONS, TIMING 🎯 Extremely organized & go by planning 🎯 Look at MINUTE DETAILS
33
Checklist scale for OCD
YBOCS Yale Brown OBSESSIVE Compulsive Disorder Scale
34
BETTER PROGNOSIS OF OCD is seen if
⭐ PRECIPITATING FACTORS ➕ ⭐ SHORTER DURATION OF SYMPTOMS ⭐ INSIGHT ➕
35
⭐ TREATMENT OF CHOICE for OCD ⭐ DRUG OF CHOICE for OCD ⭐ MOST EFFECTIVE DRUG for OCD
⭐ TREATMENT OF CHOICE for OCD 🎯 CBT ⭐ DRUG OF CHOICE for OCD 🎯 FLUOXETINE (SSRI) ⭐ MOST EFFECTIVE DRUG for OCD 🎯 CLOMIPRAMINE (TCA)
36
Why CLOMIPRAMINE is less preferred for OCD treatment even though MORE EFFECTIVE?
Anticholinergic 🤢😳SIDE EFFECTS🥴😵
37
AUGMENTATION THERAPY IN OCD 🧠⚡CRAB ⚡
Combine multiple antidepressants ✨ Risperidone ✨ Aripiprazole ✨ Clonazepam ✨ Buspirone ✨ Lithium
38
Indication of CLOMIPRAMINE in OCD
Resistant OCD
39
💊💉 Psychological MANAGEMENT of OCD 🧠⚡AbCDE TIE⚡
1. Cognitive Behavioral Therapy CBT 2. EXPOSURE RESPONSE PREVENTION 3. DESENSITIZATION 4. THOUGHT STOPPING 5. IMPLOSION THERAPY 6. AVERSIVE CONDITIONING 7. ELECTROCONVULSIVE THERAPY
40
Indication of ELECTROCONVULSIVE THERAPY in OCD
CHRONIC (OR) RESISTANT Cases of OCD
41
Exposure RESPONSE Prevention (ERP)
Exposing to HIGHER LEVEL OF ANXIETY ⬇️ PATIENT gets Habituated to it
42
💊💉 Surgical MANAGEMENT of OCD
1. Deep Brain Stimulation 2. Limbic LEUCOTOMY: Anterior Cingulotomy ➕ Sub-caudate tractotomy
43
⭐ Mild OCD MANAGEMENT ⭐ Moderate-Severe OCD MANAGEMENT ⭐ Resistant OCD MANAGEMENT
⭐ Mild OCD MANAGEMENT 🎯 Drugs (FLUOXETINE) ⭐ Moderate-Severe OCD MANAGEMENT 🎯 Drugs (FLUOXETINE) ➕ ERP & CBT ⭐ Resistant OCD MANAGEMENT 🎯 SURGICAL MANAGEMENT
44
PANDAS Full form
Pediatric Autoimmune Neuropsychiatric DISORDER ASSOCIATED with Streptococcal (GABH) infection
45
Cause of PANDAS
Autoimmune process ⬇️ Inflammation of BASAL GANGLIA ⬇️ Disrupts CORTICO-STRIATAL-THALAMIC AXIS
46
🧑🏻‍⚕️ Clinical Features of PANDAS 🧠⚡PANDAS⚡
1. Prepubertal onset (2-12yrs) 2. Abrupt & Episodic Course 3. Neurological symptoms: TICS 4. Disorders: ADHD, OCD 5. autoimmune 6. Streptococcal infection ➕
47
💊💉 MANAGEMENT of PANDAS
Plasmapheresis ➕ IVIG
48
Types of TICS
Based on Duration 1. Provisional (< 1 year) 2. Persistent (> 1 year) Based on Symptoms 1. Motor 2. Vocal
49
Motor TICS ➕ Vocal TICS Together known as
Tourette Syndrome (Gille da la Tourette)
50
Classical VOCAL TIC
Coprolalia (Involuntary uttering of BAD WORDS)
51
Classical Motor TIC
Copropraxia ⬇️ Involuntary Foul Gesture
52
ASSOCIATED features of TOURETTE SYNDROME
1. ADHD 2. OCD
53
KORO
Fear that penis is shrinking or retracting & will disappear into abdomen
54
Perifollicular Hemorrhage is seen in MEDICINE in
1. Trichotillomania 2. Vitamin C deficiency

PSYCHIATRY (2 decks)

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