OCD Flashcards

1
Q

What are the behavioural characteristics of OCD?

A

Compulsions/repetitive behaviour
Avoidance

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2
Q

How does a person with OCD demonstrate compulsions?

A

Repetitive actions that hinder ability to perform daily tasks
Reduces anxiety from obsessions
Person must perform compulsions otherwise consequences

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3
Q

How does a person with OCD demonstrate avoidance?

A

Avoid situations that may trigger their anxiety (avoiding emptying a bin to avoid germs)

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4
Q

What are the emotional characteristics of OCD?

A

High anxiety / low mood
Disgust / self-loathing

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5
Q

Why do people with OCD demonstrate high anxiety?

A

They are aware of their inability to control themselves

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6
Q

Why do people with OCD have a low mood?

A

They aware aware of their excessive behaviour which causes embarrassment

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7
Q

How do people with OCD demonstrate disgust/self-loathing?

A

They hate source of obsessions or themselves

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8
Q

What are the cognitive characteristics of OCD?

A

Obsessions/Irrational beliefs
Awareness of irrational behaviour
Selective attention

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9
Q

What is an obsessive thought?

A

Persistent, intrusive, irrational behaviour that is perceived as inappropriate or forbidden

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10
Q

What are common obsessions?

A

Doubts
Impulses
Images

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11
Q

How are people with OCD aware of their irrational behaviour?

A

They often know their thoughts are inappropriate/irrational but can’t consciously control them

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12
Q

How does a person with OCD demonstrate selective attention?

A

Increased awareness of source of obsessions in new situations

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13
Q

What does polygenic mean?

A

More than 1 gene is responsible for behaviour

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14
Q

What are candidate genes?

A

Genes that might be responsible for a behaviour

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15
Q

What are neurotransmitters?

A

Chemical messengers in the nervous system

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16
Q

What are the 2 biological explanations of OCD?

A

Genetic Explanation

Neural Explanation

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17
Q

What does the biological approach assume?

A

OCD is caused by genetic and biochemical factors

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18
Q

What does the genetic explanation suggest?

A

OCD is inherited

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19
Q

What 2 genes may have a role in causing OCD?

A

COMT gene

SERT gene

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20
Q

What does the COMT gene do?

A

Regulates production of dopamine

Variation of this gene causes more dopamine

This variation is more common in people with OCD

21
Q

What does the SERT gene do?

A

Affects transportation of serotonin

Causes lower levels of serotonin which is linked to OCD

22
Q

What are the strengths for the genetic explanation?

A

Animals studies

Nestadt et al (2010)

23
Q

What did Nestadt et al do (2010)?

A

Concordance rates for OCD between monozygotic twins (68%) was higher than dizygotic twins (32%)

24
Q

How do animals studies act as a strength for the genetic explanation of OCD?

A

Ahmari (2016) found a common gene in mice who display ritualistic behaviour

Suggests that behaviour may be caused by genes, like OCD

25
Q

What is the weakness of the genetic explanation?

A

Limited explanation
- Cannot apply to families without a history of OCD
- Around half of OCD cases tend to follow trauma

26
Q

What does the neural explanation suggest?

A

Abnormal levels of neurotransmitters causes abnormal transmission of mood-related information

27
Q

What 2 neurotransmitters affect mood?

A

Dopamine

Serotonin

28
Q

How does dopamine link to OCD?

A

High levels of dopamine is linked to hyperactivity in the basal ganglia of the brain

This causes repetitive motor functions

29
Q

How does serotonin link to OCD?

A

Low levels of serotonin cause the caudate nucleus in the basal ganglia of the brain to malfunction which also causes compulsions

30
Q

What is the strength of the neural explanation?

A

Antidepressants which increase serotonin levels have been shown to lessen symptoms of OCD

31
Q

What is a weakness of the neural explanation?

A

OCD may cause abnormal levels of neurotransmitters or it may be the other way around

DON’T KNOW WHICH ONE COMES FIRST

32
Q

What do the biological treatments for OCD focus on?

A

Correcting the balance of neurotransmitters to reduce symptoms

33
Q

What are the two biological treatments for OCD?

A

SSRIs (selective serotonin re-uptake inhibitors)

Benzodiazepines

34
Q

What are some examples of SSRIs?

A

Antidepressants such as:
Prozac
Fluoxetine

35
Q

What are some examples of benzodiazepines?

A

Anti-anxiety drugs:
Valium
Diazepam

36
Q

How does serotonin travel in the brain?

A

Released by presynaptic neurons
Travels across synaptic cleft / synapse
Chemically convert signals from presynaptic neuron to postsynaptic neuron
Reabsorbed by the presynaptic neuron - broken down and reused

37
Q

What do SSRIs do to serotonin?

A

Prevent reabsorption and breakdown serotonin to increase the level of serotonin in the synapse

Serotonin continues to stimulate the postsynaptic neuron
Reduces anxiety

38
Q

How long do SSRIs take?

A

Usually 3-4 months to impact symptoms

39
Q

What are the strengths of SSRIs?

A

Research support (Soomro 2009)

Proven to decline symptoms

40
Q

What did Soomro (2009) do?

A

Reviewed 17 studies comparing SSRIs to placebo drugs

All 17 studies shows SSRIs were more effective - especially when paired with CBT

41
Q

How are SSRIs proven to decline symptoms?

A

70% patients experienced decline in OCD symptoms

Remaining 30% chose psychological therapies or both

42
Q

What are the weaknesses of SSRIs?

A

May have sever side effects:
- indigestion
- loss of sex drive
- blurred vision

Can cause patients to stop taking the medication

43
Q

What do benzodiazepines do?

A

Slow down activity on central nervous system by enhancing activity of GABA

44
Q

What is GABA?

A

A neurotransmitter which has an inhibitory affect on neurons

45
Q

How does GABA slow down activity of the CNS?

A

Reacts with GABA receptors on neurons

GABA locks on to these receptors and open a channel

Chloride ions flow through the channel making it harder for other neurotransmitters to stimulate it

Slows down natural activity and makes a person feel more relaxed

46
Q

What is the strength of Benzodiazepines?

A

Can reduce anxiety and OCD symptoms in a short period of time - a lot faster than CBT and other treatments

47
Q

What are the disadvantages of benzodiazepines?

A

Side effects
Dependency (Ashton 1997)
Increasing tolerance

48
Q

What are some side effect of benzodiazepines?

A

Drowsiness
Depressions
Unpredictable interactions with alcohol

49
Q

What did Ashton (1997) find?

A

Long-term users of benzodiazepines become dependent on it

Sudden withdrawal leads to return of high anxiety and OCD symptoms