OCD

Question 1

Obsessive Compulsive Disorder (OCD)

Answer 1

not true anx disorder, although anx may be prominent symp.

However the drug treatment is same as for anx disorders.

Question 2

Epidemiology

Answer 2

2% population & 2% chance of having it in lifetime
-(unusually) same prevalence in M & F.

• obsessions- cognitive.
• subjective unwanted/distressing/inapp thoughts (alien but recognized as personal).

Question 3

Obsessions (cognitive)

Answer 3

1- Thoughts (words, phrases, rhymes)
2- Images (violent, disgusting)
3- Impulses (violent, shameful)

-a fear that they will act on these obsessions.

Question 4

Compulsions (behavioural)

Answer 4

-objective actions- quasi-rituals, performed unwillingly, with anxiety & inner struggles, to get relief from……
…maybe specific number of repetitions.

Question 5

Treatments

Answer 5

1- Explanation, reassurance, support.
2- Behavioural Therapy may be effective for compulsions.
3- SSRIs- clomipramine.