OCD (WK8)

Question 1

WHAT ARE OBSESSIONS?

Answer 1

PERSISTENT, INTRUSIVE, UNWANTED, RECURRENT THOUGHTS/IMAGES/IMPULSES

Question 2

WHAT ARE COMPULSIONS?

Answer 2

REPETITIVE BEHAVIOUR(S) OR MENTAL RITUALS TO NEUTRALISE OR RELIEVE ANXIETY.

Question 3

WHAT IS THE DSM-5 DIAGNOSTIC CRITERIA FOR OCD?

Answer 3

A) PRESENCE OF OBSESSION, COMPULSIONS OR BOTH.
B) OBSESSIONS AND COMPULSIONS ARE TIME CONSUMING
C) THE SYMPTOMS ARE NOT ATTRIBUTABLE TO SUBSTANCE EFFECTS
D) NOT BETTER EXPLAINED BY ANOTHER MENTAL DISORDER

Question 4

WHAT DEFINES OBSESSIONS?

Answer 4

1) RECURRENT AND PERSISTANT THOUGHTS, URGES, OR IMAGES, WHIDH CAUSES MARKED ANXIETY OR DISTRESS
2) INDIVIDUAL ATTEMPTS TO IGNORE OR SUPRESS THOUGHTS

Question 5

WHAT DEFINES COMPULSIONS?

Answer 5

1) REPEITIVE BEHAVIOURS OR MENTAL ACTS THAT THEY FEEL DRIVEN TO PERFORM
2) BEHAVIOURS ARE AIMED AT REDUCING OR PREVENTING ANXIETY OR DISTRESS. BUT THEY ARE NOT CONNECTED IN A REALISTIC WAY.

Question 6

WHAT ARE SOME COMMON OBSESSIONS IN OCD?

Answer 6

*CONTAMINATION FEARS = 37.8%
*FEARS OF HARMING ONSELF OR OTHERS = 23.6%
*AGGRESSION
*RELIGIOUS
*SEXUAL

Question 7

WHAT ARE COMMON COMPULSIONS IN OCD?

Answer 7

*CHECKING
*CLEANING/WASHING
*REPEATING ACTS
*HOARDING
*COUNTING

Question 8

WHAT IS THE WOMEN TO MALE RATIO OF OCD DIAGNOSIS?

Answer 8

1.4 : 1

Question 9

WHAT IS THE LIFETIME PREVALANCE OF OCD?

Answer 9

2% TO 3%

Question 10

WHEN DOES OCD COMMONLY ONSET ?

Answer 10

LATE ADOLESCENCE OR EARLY ADULTHOOD

Question 11

WHAT IS THE PERCENTAGE OF THOSE WITH OCD HAVING A COMORBID ANXIETY DISORDER?

Answer 11

66.8% TO 75.8%

Question 12

WHAT IS THE PERCENTAGE OF THOSE WITH OCD HAVING A COMORBID MOOD DISORDER?

Answer 12

63.3% TO 69%

Question 13

ON AVERAGE WHAT PERCENTAGE OF THOSE WITH OCD ARE UNEMPLOYED?

Answer 13

30% TO 60%

Question 14

WHAT ARE SOME CAUSAL BIOLOGICAL FACTORS FOR OCD?

Answer 14

*GENETICS
*BRAIN STRUCTURE
*NEUROTRANSMITTERS

Question 15

WHAT ARE SOME CAUSAL PSYCHOLOGICAL FACTORS?

Answer 15

*LEARNED AVOIDANCE
*THOUGTH SUPPRESSION
*PERFECTIONISM

Question 16

WHAT DOES EVOLUTIONARY THEORY ARGUE ABOUT OCD?

Answer 16

MODERATE COMPULSIVE BEHAVIOUR MAY HAVE ADVANTAGES SUCH AS ENSURING HYGIENE. OCD GENES COULD BE NORMATIVE IN MODERATIVE PENETRANCE.

Question 17

WHAT LEARNING PROCESS IS THOUGHT TO CONDITION OCD?

Answer 17

CLASSICIAL CONDITIONING

Question 18

EXPLAIN THE CBT MODEL IN OCD?

Answer 18

AN INTRUSIVE THOUGHT ENTERS THE MIND. THIS LEADS TO STRONG FEELINGS OF ANXIETY. THE PERSON HAS STRONG MOTIVATIONS TO REDUCE THIS FEELING HENCE MAY PERFORM A BEHAVIOUR. THIS LEADS TO A TEMPORARY REDUCTION, WHICH STRENGHTENS THE OBSESSION-RESPONSE FOR THE FUTURE.

Question 19

WHAT ARE COMMON COPING STRATEGIES FOR OCD?

Answer 19

*OVERT AVOIDANCE (E.G. OF THE TRIGGERING STIMULI)
*COVERT AVOIDANCE (E.G. THOUGHT SUPPRESSION)

Question 20

HOW DOES OCD IMPACT MEMORY?

Answer 20

BECUASE OCD OFTEN LEADS PEOPLE FEELING UNSURE ON WHAT IS A REAL MEMORY.

Question 21

WHAT IS THE MAIN PSYCHOLOGICAL TREATMENT OF CHOICE FOR OCD?

Answer 21

CBT WITH EXPOSURE RESPONSE PREVENTION.

Question 22

WHAT DO THE NICE GUIDELINES RECOMMEND FOR TREATING MILD CASES OF OCD?:

Answer 22

BRIEF COURSE OF CBT AND ERP FOR 10 OR LESS THERAPY HOURS

Question 23

WHAT DOES THE NICE GUIDELINE RECOMMEND FOR TREATING MORE SEVERE CASES OF OCD?

Answer 23

INTENSE CBT AND ERP (10+ HOURS) OR A COURSE OF SSRI’S

Question 24

WHAT IS ERP?

Answer 24

EXPOSURE RESPONSE PREVENTION WHICH IS WHERE THE PATIENT IS EXPOSED TO THE OBSESSION WHILE THE COMPULSION IS PROHIBITED.