OCD & PTSD

Question 1

Obsessions

Answer 1

Persistent, repetitive thoughts/images/impulses
Are intrusive, unwanted, and inappropriate
Cause marked distress

Question 2

Compulsions

Answer 2

Repetitive behaviors or mental acts
In response to obsessions
Used to reduce anxiety/distress of obsessions

Question 3

What are some examples of compulsions?

Answer 3

touching/checking, balance/order, counting, cleaning, rituals (especially with specific numbers)

Question 4

OCD Diagnostic Criteria

Answer 4

Obsessions and/or compulsions are time consuming (at least 1 hour per day) or cause clinically significant distress or impairment

Question 5

What specifications come with an OCD diagnosis?

Answer 5

With good or fair insight
With poor insight
With absent insight/delusional beliefs

Question 6

One with OCD who has _____ or _____ insight recognizes that beliefs are probably not true

Answer 6

good or fair

Question 7

What is the prevalence of OCD annually? What about lifetime?

Answer 7

1-2%; 1.5-3%

Question 8

True or False: OCD is equally common in gender, ethnicity, and race.

Answer 8

True

Question 9

When is OCD onset?

Answer 9

Young adulthood, gradual

Question 10

__% of OCD seek treatment

Answer 10

40

Question 11

For earlier onset, OCD is more common in boys/girls

Answer 11

boys

Question 12

Is there a biological factor in OCD?

Answer 12

Yes, most likely! You can inherent traits that predispose you to OCD if the environment is right

Question 13

Low levels of _____ may play a role in OCD

Answer 13

serotonin

Question 14

In the brain, one with OCD may have dysfunction in areas associated with _________ ________/brain circuits

Answer 14

primitive behavior

Question 15

Dysfunction in which areas of the brain make it hard for one with OCD to “turn off” the neural circuits once an impulse starts

Answer 15

Orbital frontal region –> caudate nucleus –> thalamus

Question 16

What is a drug that may help with OCD?

Answer 16

Antidepressant that affects serotonin

Question 17

Compulsions reduce anxiety, which are reinforcing/punishing

Answer 17

reinforcing

Question 18

What is exposure and response prevention?

Answer 18

Gradual exposure, mantras for self-talk, modeling, and prevent development of new compulsions

Question 19

Exposure and response prevention is easier/harder when the compulsion is mental

Answer 19

harder

Question 20

In exposure and response prevention, what is gradual exposure?

Answer 20

Expose client to the feared obsessive situation & prevent compulsion

Question 21

True or false: In Exposure and Response Prevention, it’s good to push your clients further than they would go in real life.

Answer 21

True…lick that dumpster!

Question 22

SUD

Answer 22

Subjective Units of Distress

Question 23

Which treatment is best for OCD?

Answer 23

It really depends on the patient, but Dr. Rytwinski’s bias is CBT / exposure. : )