OCD

Question 1

define obsession

Answer 1

repetitive thoughts, images, or urges

Question 2

characteristics of obsession: 6R

Answer 2

1) repetitive intrusive thoughts,images or urges

2) recurrent distressing thoughts,images or urges

3)Recognised as own thoughts,images or urges

4)recognised as silly,irrational and senseless by patient ( if not it is OCD with poor insight)

5) resisted by the individual but failed and becomes more anxious

6)restricts one’s daily activites ( functional impairment)

Question 3

Compulsions define

Answer 3

repeated physical acts or mental acts which have the same characteristics of obsession
- done for temp relief
-must follow rules
-act prevents distress and dreaded event

*result of obsession

Question 4

types of OC

Answer 4

1) obsessions of contamination-cleansing rituals

2)obsessional doubts-checking ritual

3)obsessions of impending danger-counting or praying rituals

4)obsessions of symmetry- arranging n rearranging rituals

5)obsessional rumination- endless questions in mind cant stop

6)obsessional blasphemy- bad thoughts about one’s own religion

7) obsession of sexual themes- thought or images of sexual content

8) obsessions of death

9)hypochondriacal obsessions-intrusive thoughts of one developing a serious illness

10)obsessional images-repeated visualizing unpleasant scene in mind

11)obsessional urges- repeated urge to do something embarrassing which patient is aware not to be done( naked,vulgar words)

Question 5

screening questions

Answer 5

1) do u have repeated thoughts keep intruding your mind

2) how often?

3)Do u have control over them?

4)what is the content of these thoughts

5) are they same content or multiple content?

6)are these your own thoughts, do u believe that they are inserted by an external force

7) do u think that the thought is silly,irrational or genuine

8) how to u fell when having this thoughts?

9)do u do anything repeatedly to reduce the distress? how does it help

10) how do these symptoms affect your daily life (dysfunction and distress)

Question 6

comorbid psychiatric disorders

Answer 6

-MDD
-Other anxiety disorders
-substance use disorder
-psychosis
-eating disorder ( bulimia,anoreaxia)
-Tourette disorder in childhood/ adolescence

Question 7

MEDICAL CONDITIONS WHICH CAN CAUSE OCD

Answer 7

-Basal ganglia disorders
*Post encephalitic Parkinsonism
*Head Injury
*Manganese poisoning
*Sydenham’s chorea
*Temporal lobe epilepsy