OCD-BDD (management)

Question 1

What is OCD?

Answer 1

presence of either obsessions or compulsions (but commonly both)

Question 2

What is BDD?

Answer 2

Body dysmorphic disorder
Preoccupation with an imagined defect in one’s appearance
or
in the case of a slight physical anomaly with

With marked concern

Question 3

MANAGEMENT OF MILD OCD/BDD? (NICE)

Answer 3

individual or group psychological intervention (CBT)
if insufficient, more intensive CBT or SSRIs

Question 4

MANAGEMENT OF Moderate OCD/BDD? (NICE)

Answer 4

more intensive CBT (including ERP)
or SSRIs

Question 5

MANAGEMENT OF Severe OCD/BDD? (NICE)

Answer 5

SSRI+ CBT (including ERP)

Question 6

what SSRIs are suggested by NICE OCD

Answer 6

FLuoxetine
FLuvaxamine
Sertraline
Citalopram
Paroxetin

Question 7

What SSRI are suggested by NICE for BDD?

Answer 7

Fluoxetine

Question 8

how is low intensity psychological intervention is defined?

Answer 8

> 11 sessions

Question 9

How long should we continue treatment if treatment is working

Answer 9

for at least 12 months

Question 10

how long Rx should be continued after remission?

Answer 10

Six months, then start tapering.

Question 11

what if ssri did not work in OCD?

Answer 11

swhich to another SSRI
or
Switch to clomipramine

Question 12

Maudsley 1st line of treatment of OCD?

Answer 12

SSRI or Clomipramine (SSRI more preferred due to tolerance)

Question 13

2nd line of treatment suggested by maudsley in OCD?

Answer 13

SSRI + Antipsychotic
Citalopram + Clomipramine
SSRI+Lamotrigine
SSRI + Acetylscystiene
SSRI + Topiramate