OCD Flashcards
How would you describe OCD
It is characterised by recurrent obsessive thoughts or compulsive acts
What can be offered to patients with OCD
SSRI (sertraline, citalopram)
Guided self help
Cognitive behavioural therapy
Differential diagnosis ocd
Body dismorphia
Social, specific phobia
Anxiety
Eating disorder
Panic disorder
Obsession depression
Diagnostic criteria for OCD
Obessesions for most days of the week at least for 2 weeks
Compulsion originate from the mind
Repetitive unpleasant
Excessive
Unreasonable
Unsuccessfully resisted
Presence of risk factors
What can be offered for OCD
CBT
Guides self help
SSRIs
ERT ( exposure and response prevention)
Symptoms of OCD
Compulsions and obsessions
- cleaning
- washing hands
Arranging
O - fear of contaminations
- causing harm to someone else
- sexual and religious obsessions
Explanation of OCD Cycle
Obsession, anxiety, compulsion, temporary relief
What are the causes of ocd
Not fully known
Linked to disruption of the brain
Pre frontal cortex
Glutamate system
Genetic factors contributing
What are the risk factors
History of ocd
Pregnancy
Male gender
Personality disorder
Earth
Early onset of age
Previous hospitalisation for ocd
Investigations we can do about OCD
Yale brown questionnaire
Clinical global impression
Structured clinical interview for DSM
What are some of the co exhausting conditions with OCD
Depression, social phobia, eating disorder, Tourette’s
Panics disorder schizophrenia
What is the treatment and management for OCD
CBT cognitive behavioural therapy
Self help material
SSRI
What do you have to remember for OCD and SSRIs
Risk of serotonin syndrome
Use of NSAIDS
Suicidal attempts
Discontinuation
What is ERP and the problems associated with it
EXPOSURE RESPONSE PREVENTION
ignoring compulsion
Includes a hierarchy that patients go up in
PROBLEMS
Recurrence
Worsening symptoms
Anxiety
Intolerance
