OCD Flashcards

1
Q

what is oCD?

A

Obsessive-compulsive disorder (OCD) is characterized by recurrent obsessional thoughts or compulsive acts or, commonly, both, which cause significant functional impairment and/or distress.

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2
Q

how do you diagnose OCD via ICD 11?

A
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3
Q

how do you diagnose OCD via DSM 5?

A
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4
Q

edpiemiology of OCD?

A
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5
Q

RF for OCD?

A
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6
Q

clinical features of OCD?

A

Obsessions: Intrusive, unwanted thoughts or images causing distress.

Compulsions: Repetitive behaviors or mental acts aimed at reducing anxiety.

Significant time investment and interference with daily life.

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7
Q

how can symptoms severity be assessed in OCD?

A

Symptom severity can be assessed using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). With scores: 8 - 15 = Mild OCD, 16 - 23 = Moderate OCD, 24 - 31 = Severe OCD, 32 - 40 = extremely severe OCD.

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8
Q

how do you manage mild OCD?

A

Low-intensity cognitive-behavioural therapy (CBT), including exposure and response prevention (ERP)

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9
Q

how do you manage moderate OCD?

A

Offer a choice of intensive CBT including ERP or an SSRI

Escitalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline are all licensed for the treatment of OCD in adults

Clomipramine is an alternative to SSRI if the person prefers clomipramine or has had a previous good response to it, or if an SSRI is contraindicated

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10
Q

how do you manage severe OCD?

A

Combined treatment with intensive CBT (including ERP) and an SSRI

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11
Q

what should be done if medication in OCD effective?

A

If a medication is effective, it should be continued for a minimum of 12 months. Once they have taken an SSRI or clomipramine for 12 months after remission (symptoms are not clinically significant and the person is fully functioning for at least 12 weeks), review the need for continued treatment.

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12
Q

similarity + differences between OCD and GAD?

A
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13
Q

similarity + differences between OCD and Major Depressive Disorder (MDD)?

A
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14
Q

similarity + differences between OCD and Body Dysmorphic Disorder (BDD)?

A
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15
Q

similarity + differences between OCD and Social Anxiety Disorder (SAD)?

A
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16
Q

similarity + differences between OCD and Trichotillomania (Hair-Pulling Disorder)?

A
17
Q

similarity + differences between OCD and Hoarding Disorder?

A
18
Q

similarity + differences between OCD and PTSD?

A
19
Q

similarity + differences between OCD and ASD?

A
20
Q

dose + duration of SSRI needed?

A

When treating OCD, compared to depression, the SSRI usually requires a higher dose and a longer duration of treatment (at least 12 weeks) for an initial response