OCD Flashcards

1
Q

What is the definition of ocd

A

It is a common form of anxiety disorder characterized by intrusive thoughts that produce fear and worry by repetitive behavior aimed to reduce that associated anxiety

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2
Q

Obsessions are

A

Recurrent and persistent thoughts ,urges,images that are experianced at some time during disturbance
They are unwanted and caused marked anxiety

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3
Q

Who dose thee individual deal with these obsessions

A

By turning theses thoughts and impulses into repetitive beaviours (compulsions) in order to reduce their anxiety

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4
Q

What is the compulsion

A

Repetitive behavior or repetitive mental acts that an individual preform in a response to their obsessions

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5
Q

Epidemiology of ocd

A

— the 4th most common psychiatric disorder
—boys are more affected than girls
—mean age of onset 20

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6
Q

The relation between the ocd and the marriage status

A

More common in singles

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7
Q

Who has an earlier onset men or women

A

Men at 19

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8
Q

Usually ocd is associated with. Other psychiatric conditions such as

A

MMD 67%
Social phopia25%
Tics 20-30%

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9
Q

The etiology of ocd

A

—serotonin dysregulation
—patients have good response to serotonin drug

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10
Q

Is there any relation between ocd and genetics ?

A

Yes relative of proband have 3 to 5 higher folds to get ocd

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11
Q

What is the environmental stressor that could cause ocd

A

—pregnancy
—child birth
—parental care of a child.

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12
Q

Dsm5 diagnostics criterion for obsessive compulsive disorder

A

— presence of obsession or compulsion or both
—these obsessions or compulsive are time consuming (more Han 1 hours per day)
—not due to meditation or substance
—not explained by other mental illness

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13
Q

The most common type of obsession in adults is

A

Contamination followed by compulsion of washing hands

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14
Q

The second and third most common obsession in adult are

A

—pathological doubt
—sexual act
—suicidal thoughts
—symmetry

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15
Q

New onset ocd after the age of 30 should raise the potential awareness against

A

Neurological conterbution to the disorder such as
—Sydenham chorea
—Huntington disease

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16
Q

How the onset of the symptoms in the ocd course

A

Sudden in onset and usually after a stressful life event such as pregnancy /death /sexual problem

17
Q

Usually patients keep their symptom as a secret and seek medical attention after

A

5-10 years

18
Q

Prognosis in ocd patients

A

20-30 %good improvement
40-50% moderate improvement
20-40% remain ill

19
Q

Good prognosis indication

A

—good social and occupational adjustment
—episodic symptom
— precipitating event

20
Q

The relation between ocd and suicidal ideation

A

50% have ideation
25% have attempts

21
Q

Treatment of ocd

A

Behavioral and pharmacological treatment

22
Q

Placebo response in ocd

A

5%

23
Q

The initial response of pharmaotherapy is seen after

A

4-6 weeks

24
Q

Maximal therapeutic effects of the ocd pharmacotherapy is seen after

A

8-16 week

25
Q

Drug of choice for ocd treatment

A

Clompiramine

26
Q

Why clompiramine should be increased gradually after 2-3 weeks

A

To avoid sedation
Orthostatic hypotension
Gastrointestinal disturbance