OCD Flashcards
OCD definition
persistent and intrusive thoughts of obsessions, compulsions or both
what is OCD
form of anxiety disorder
obsessions = ideas/visions that arent based on real life
compulsions = intense urges to perform tasks
3 behavioural characteristics
- social issues (inability to have meaningful conversations)
- repetition
- avoidance
3 emotional characteristics
- extreme anxiety
- distress
- low mood
3 cognitive characteristics
- recurrent and persistent thoughts
- recognition of issues
- attentional bias
3 explanations of OCD
- neural - low levels of serotonin
- neural - dysfunctional frontal lobe
- genetic
low levels of serotonin explanation
- serotonin is linked to mood
- low = low mood
- reuptake happens too fast into pre synaptic neutron rather than post synaptic neutron
dysfunctional frontal lobe explanation
- in the limbic system there is a basal ganglia (responsible for emotions)
- frontal lobe responds to situations by sending messages to limbic system
- emotion is triggered and sent back to frontal lobe to cause an action
- OCD can never get rid of the first emotion
- breakdown in the limbic system
genetic explanation
- if it runs in the family, more likely to develop it
- identical twins 53-87% chance the other will get it
- no specific gene but a candidate gene e.g. SERT
- many genes are related to OCD = polygenic
3 treatments of OCD
- selective serotonin retake inhibitor (SSRI)
- tricyclics
- anti anxiety drugs
SSRI
just works on serotonin (increases levels)
stops reuptake happening
form of anti depressant drug
drugs blocks reuptake, so serotonin goes to post synaptic neuron
2 advantages of SSRI
effective - symptoms decline for 70% of patients
cost effective - cheaper to take pills than therapy
2 disadvantages of SSRI
high relapse rates
side effects
tricyclics
anti depressant drugs, same as SSRI
target more than one neurotransmitter
more likely to work better, but more severe side effects
only used if SSRI don’t work
anti anxiety drugs
if antidepressants don't work enhance action of neurotransmitter (calms body) reciprocal inhibition (calm not anxious)