OCD Flashcards
What is OCD?
A mental disorder characterised by persistent obsessions and compulsions
What are obsessions?
Uncontrolled thoughts and intrusive images that the patient finds it difficult to ignore
What are compulsions?
Repetitive actions that the patient feels they must do
It generates anxiety if they are not done
What other mental health disorders is OCD associated with?
Depression
Anxiety
ASD
Phobias
Eating disorders
What are the risk factors for OCD?
History of abuse, bullying or neglect
Age (teens)
Family history of OCD
Postnatal period
When does OCD typically develop?
Peak incidence of OCD is between 10 and 20 years
What scale is used to determine the severity of OCD?
Y-BCOS (yale brown obsessive compulsive scale)
What are the differentials of OCD?
Obsessive compulsive personality disorder
Hypochondriasis
Body dysmorphic disorder
Somatic symptom disorder
Severe social phobia
Panic disorder
Delusional disorder
What is the first line management of mild OCD?
CBT
Exposure and response therapy
What is exposure and response therapy?
It aims to prevent responses to obsessive thoughts by exposing patients to anxiety inducing situations and prolonging compulsions as long as possible
What is the first line pharmacological management of OCD?
SSRI (any SSRI is suitable in OCD)
Fluoxetine should be given for body dysmorphic disorder
What is the alternative drug to SSRI in OCD?
Clomipramine
What should be done in cases of severe OCD?
Refer to secondary care mental health team for assessment
Offer SSRI and CBT
