OCD1- 3A Flashcards
Which of the anxiety disorders have epidemiology of female predominance?
- Generalized anxiety disorder
- Obsessive compulsive disorder
- PTSD
- Social Anxiety Disorder
Which anxiety disorder is most evenly distributed between males and females?
-Panic Disorder
Define obsessions
- recurrent persistent THOUGHTS, URGES, IMPULSES, or IMAGES experienced as some point as intrusive
- person attempts to ignore or suppress them
Define compulsions
- repetitive BEHAVIORS that is person is driven to perform in RESPONSE TO AN OBSESSION
- aimed at reducing distress but fail to do so
Name the biological correlates of OCD
- increased perfusion and metabolism in the orbitofrontal cortex
- anterior cingulotamies ameliorate OCD
Name the three most frequent types of obsessions
- Multiple 63%
- contaminations 45%
- Pathological doubt 42%
- Somatic
Name the three most frequent types of compulsion
- Multiple 48%
- Checking 63%
- Washing 50%
- Counting 36%
Connection between suicide risk and OCD
- increased risk of suicide
- 50% pts have suicidal thoughts
Comorbidities with OCD
- Substance use disorders: esp alcohol and sedatives
- Tourettes disorder
- anorexia nervosa restricting type
- avoidant personality disorder
Describe the comorbidity between Tourette’s disorder and OCD
- in pts with OCD 5-7% associated with Tourettes
- in pts with Tourettes 35-50% associated with OCD
In pts with OCD how long should medications be prescribed before considering discontinuation
-1-2 years
Treatment for OCD
- mild: first line CBT OR SSRI (or Clomipramine); second line CBT + SSRI
- severe or treatment resistant: first line CBT+SSRI; second line CBT +Clomipramine
What is the focus of CBT for OCD?
-Exposure and response prevention
Effectiveness of treatments
-SSRI’s decrease symptoms by 25-35% in 50% of pts
Role of Clomipramine in treatment of OCD
- if inadequate response to SSRI
- cardiac side effects, lethal in overdose, anticholinergic side effects
