OCD and related disorders Flashcards
obsessions and compulsions must be at least__
an hour a day
most common comorbidity of OCD
major depression
Others : social phobia, tics, touretts, alcoholism
the _______ is believed to mediate repetitive behaviors
striatum
obsessions are due to over activity of ________ stemming from impaired _______gating due to a deficit in __________ function
frontal cortex
thalamic
striatal function
in patietns with OCS increased ______ metabolism and increased activity in the ___________
frontal lobe
caudate nucleus
leading hypothesis is centered around the role of _______ in OCD
serotonin
due to response to SRIs and SSR’s
40% of OCD patients dont repsond to SSR’s
high dose _______induce stereotyped movements which resemble OCD
dopamine (dopaminergic agents)
Neurological disorders with dysfunction of dopamine is associated with the
basal ganglia
disease in which magical thinking is part of the psychological theories
OCD
OCD treatment
SSRI’s
clomipramine and SSRI’s
Higher dosage than that of depression
boost SSRI’s with benzos
Behavioral therapy
Psychosurgey
therapeutic effects of OCD treatments are delayed how long?
6-12 weeks
In OCD psychosurgery of conducted in sever cases what is done?
cutting neuronal loop connecting the cortex with the basal ganglia
what is trichotillomania?
hair pulling disorder
what is excotiation?
skin picking