OCD

Question 1

What likely symptoms are missed using the children’s YBOCS?

Answer 1

Sensory discomfort

Question 2

Difference between pediatric OCD and adult OCD?

Answer 2

Familial Pattern

Question 3

Most common pattern of onset of obsessive compulsive disorder in pediatric population?

Answer 3

Gradual w/o clear aggravating factor

Question 4

What is characteristic of early childhood obsessive compulsive disorder?

Answer 4

Higher frequency of compulsions w/o well defined obsessions

Question 5

Child has thoughts of hurting other kids multiple times a day without trigger. Child says a prayer and goes back to play. Dx?

Answer 5

OCD

Question 6

fMRI studies in patients with OCD reveals what activation pattern of glucose metabolism in patients with symmetry/arranging?

Answer 6

Reduced in the R inferior caudate and ventral striatum

Question 7

Commonly seen in most studies of childhood onset OCD?

Answer 7

Switching of content of obsessions over time

Question 8

What medication do you use to augment SSRI in patient with OCD and comorbid Tourette’s?

Answer 8

Clomipramine

Question 9

Pediatric Obsessive-Compulsive Treatment Study (POTS I), what predicted poor response to CBT alone?

Answer 9

Family Hx

Question 10

Most efficacious treatment for 5-8 yo’s according to POTS study (Pediatric Obsessive Compulsive Disorder Treatment Study)?

Answer 10

Family-based exposure and response prevention

Question 11

Common comorbidity in children with OCD?

Answer 11

Autism, other anxiety disorder, disruptive behavior disorder

Question 12

Adolescent with severe OCD, partial improvement on adequate trial of Sertraline, what is the most effective augmenting medication?

Answer 12

Risperdal