OCD

Question 1

What are the two aspects of OCD?

Answer 1

Obsessive thoughts

Compulsive acts

Question 2

What is content of the obsessive thoughts in OCD?

Answer 2

Unpleasant/distressing

Not willed but are NOT thought insertion and are own thoughts

Question 3

What happens when people resist the obsessive thoughts in OCD?

Answer 3

Leads to anxiety

Question 4

Describe the compulsive acts in OCD?

Answer 4

Unenjoyable and time wasting

Tend to be stereotypical

Question 5

How does the sufferer view there compulsive acts?

Answer 5

They think if they don’t perform them then either they/others will get hurt

Question 6

Typical presentation

Answer 6

” 28y/o female presents with debilitating concerns about her driving. She is constantly worried she might hurt someone and mistakes potholes for children, reversing multiple times to make sure. She also checks her tires for signs of blood. It takes her a long time to make short journeys. She denies any hallucinations. “

Question 7

What is 1st line for OCD?

Answer 7

CBT

• Focused on challenging the compulsion by being exposed to it
• This allows them to develop responses to it

Question 8

What is the first line SSRI for OCD?

Answer 8

Fluoxetine

Question 9

What other antidepressants can be used in OCD?

Answer 9

TCAs

- Clomipramine