OCD and related disorders

Question 1

Name 3 biological treatment options for ocd

Answer 1

First line: ssri high dose, fluoxetine best to start
Later line: tad-clomipramide
Last resort: maoi-tranylcypromine
Never antipsychotic

Question 2

Which disorder is described by preoccupations with exaggerated perceived flaws in physical appearance leading to repetitive behaviours or mental acts which causes marked distress or impaired function

Answer 2

Body dysmorphic disorder

Question 3

Which disorder is described by persistent difficulty discarding or parting with possessions regardless of their actual value?

Answer 3

Hoarding disorder

Question 4

name 5 conditions that hoarding can be a symptom of

Answer 4

• Ocd
• mdd
• neurocognitive disorder eg alzheimer's , brain trauma , post encephalitis
• intellectual disability
• autistic disorder
And pychotic disorders

Question 5

Which condition it described by compulsive hair pulling resulting in hair loss ?

Answer 5

Trichotillomania

Question 6

Which disorder is described by compulsive skin picking Resulting in skin lesions?

Answer 6

Excoriation disorder

Question 7

Name 7 types other specified obsessive compulsive and related disorder

Answer 7

• Body dysmorphic-like disorder with actual flaws
• body dysmophic - like disorder without repetitive behaviours
• body-focused repetitive behaviour disorder
• obsessional jealousy
• shubO-kyofu
• Koro
• jikoshu -kyofu

Question 8

Name 4 specifiers OCD

Answer 8

• With good or fair insight
• with poor insight
• with absent insight or delusional beliefs
• tic-related

Question 9

Name 4 specifiers body dysmorphic disorder

Answer 9

• With good or fair insight
• with poor insight
• with absent insight or delusional beliefs
• with muscle dysmorphia

Question 10

How may compulsion present (2)

Answer 10

• repetitive behaviours
• repetitive mental acts

Question 11

Which 2 OCD spectrum disorders may have such poor insight that it can be designated as delusional

Answer 11

• OCD
• body dysmorphic disorder

Question 12

Name 4 criteria body dysmorphic disorder

Answer 12

• A Preoccupation with 1 or more perceived defects/flaws in physical appearance that aren’t observable /appear slight to others
• B. repetitive behaviours (eg mirror check, excessive grooming, skin pick, seek reassurance) or mental acts ( eg comparing self to others )
• C. Distress /impair
• D. Not better explained by concerns with body fat/weight- not eating disorder

Question 13

Name 9 obsessive compulsive and related disorders

Answer 13

• OCD
• body dysmorphic disorder
• hoarding disorder
• Excoriation disorder
• trichotillomania
• ”s/m” induced obsessive compulsive and related disorder
• obsessive compulsive and related disorder due to “AMC”
• other specified obsessive compulsive and related disorder, reason
• unspecified obsessive compulsive and related disorder