OCD- biological treatment Flashcards
Biological treatments for OCD
SSRI
SSRI x CBT
Alternative:
Tricyclics
SNRIS
SSRI
Tackle symptoms, standard treatment
Serotonin reuptake inhibitor
Prevents reuptake and breakdown of serotonin caused by the presynaptic neurone. It’s causes a higher concentration of serotonin in the synapse so the post synaptic neurone is constantly stimulated
SSRI x CBT
Combining SSRI with CBT reduces emotional symptoms like anxiety and depression
Some respond better so CBT, drugs or both
Alternatives to SSRI
If SSRI not effective after 304 months use other methods
Tricyclics- older type of antidepressant
SNRIS- increase concentration of noradrenaline in the brain
Strength biological treatment OCD (Cost effective)
Drug treatments cheap compared to psychological treatments, so good value for public health systems like NHS.
psychological therapies require time spent attending sessions whereas a pill takes no time out of daily schedule, making it popular with people diagnosed with OCD and their doctors.
Limitation biological treatments OCD (side effects)
SSRI helps most but some feel no benefit. Some side effects- indigestion, blurred vision,
Usually temporary but distressing and can be long term
Tricyclics side effects more common
1/10 have weight gain
1/100 aggressive and heart issues
Reduced quality of life
Limitation biological treatments OCD (other treatment)
Skapinakis- systematic review concluded both cognitive and
behavioural therapies are more effective than SSRIs.