Oct 1 - Obsessive Compulsive Disorders

Question 1

Define obsession

Answer 1

unwanted thought, urge, or image that the person cannot get rid of

Question 2

Define compulsion

Answer 2

repetitive behavior or mental acts one feels driven to perform as a result of an obsession

Question 3

What are two key questions to ask when taking a HPI from an obsessive compulsive patient?

Answer 3

1. Do you think about “x” activity until you perform that task?
2. How do you feel when you don’t perform “x”?

Question 4

Describe what is necessary to diagnose obsessive-compulsive disorder.

Answer 4

Presence of obsessions, compulsions, or both for 1+ hours per day.

Question 5

Describe what is necessary to diagnose body dysmorphic disorder. (3 parameters)

Answer 5

1. Preoccupation with 1+ perceived appearance flaws that are slightly observed or not observed at all
2. Repetitive mental acts or behaviors related to appearance
3. Symptoms must not be better explained by eating disorder

Question 6

Describe what is necessary to diagnose hoarding disorder. (3 parameters)

Answer 6

1. Persistent difficulty letting go of possessions no matter their value
2. Results in accumulation of items that affect safety (or others’ safety) in the home
3. Don’t diagnose hoarding disorder when other contributing conditions are present

Question 7

Describe what is necessary to diagnose trichotillomania. (2 parameters)

Answer 7

1. Recurrent act of pulling out of one’s own hair resulting in hair loss
2. Unable to stop despite repeated attempts to do so

Question 8

Describe what is necessary toexcoriation. (2 parameters)

Answer 8

1. Recurrent skin picking that results in lesions

2. Unable to stop despite repeated attempts to do so

Question 9

Describe what is necessary to diagnose Substance/Medication-Induced OCD. (2 parameters)

Answer 9

1. Symptoms developed during or soon after substance/med introduction
2. Symptoms must not occur exclusively during delirium

Question 10

List 3 medical conditions that can cause OCD and related disorders.

Answer 10

Group A Strep, Sydenham’s Chorea, Pediatric Autoimmune Neuropsychiatric Disorders Associated With Strep (PANDAS)

Question 11

What are 2 psychotherapy options to treat OCD and related disorders?

Answer 11

CBT - exposure and response prevention

Habit reversal therapy (similar to above)

Question 12

List and describe four pharmacological therapies available to treat OCD and related disorders.

Answer 12

SSRI - fluoxetine (prozac) - first pharm choice
SNRI - venlafaxine (effexor)
Clomipramine (anafranil) - TCA
Any care for infections (excoriation for ex)