ocd

Question 1

DSM-5 criteria

Answer 1

experiencing obsessions and/compulsions that are time-consuming >1hr a day and cause significant impairment not due to substance, medical condition, or another mental disorder.

Question 2

what are obsessions and compulsions?

Answer 2

obsessions: repetitive, intrusive, anxiety-inducing thoughts, images, or urges that the patient attempts to neutralize by performing compulsions.

compulsions: repetitive behaviors or mental rituals that the patient feels the need to perform in response to obsessions to lower anxiety

Question 3

OCD prevalence?
etiology?
course?
comorbid?

Answer 3

2-3% no gender preference
strong genetic link
chronic with wax and wane and low rates of full remission
suicide, depression, anxiety, bipolar, OCPD

Question 4

OCD vs OCPD

Answer 4

OCPD are obsessed with details, control and perfectionism

OCD are distressed by their symptoms (ego-dystonic)

Question 5

OCD Tx?
treatment resistant?

Answer 5

medications and CBT
1st line: SSRI usually in high doses
2nd: SNRI or TCA (clomipramine)
can augment with atypical antipsychotics in severe cases

Tx resistant: neurosurgery (cingulotomy) or ECT

Question 6

whats CBT focused on in OCD tx?

Answer 6

focuses on exposure and response prevention.

prolonged and graded exposure to the compulsion-inducing stimulus and prevention of the relieving compulsion