others

Question 1

BDD DSM-5 criteria?

Answer 1

preoccupation with minor or non-existant physical defects (that others may not observe), resulting in repetitive behaviors (skin picking, checking mirror) or mental acts (comparing). it causes significant impairment and not accounted for by concerns with weight/body fat in eating disorders.

other examples of behaviors: seeking reassurance, cosmetic surgeries (unsuccessful), social anxiety

Question 2

BDD age of onset with gender preference?
etiology?
comorbidity?
course?
screen for?
Tx?

Answer 2

15 yrs with women affected more than men
strong genetic link (esp OCD) and childhood abuse
depression, social anxiety, OCD
chronic no full remission
suicidality
SSRI with CBT

Question 3

Hoarding DSM-5 criteria

Answer 3

accumulation and difficulty discarding possessions, regardless of value, resulting in clutter/congestion of living areas. causes significant impairment.
due to the need to save items with discard resulting in distress. not due to medical or other mental disorders.

Question 4

Hoarding prevalence?
etiology?
comorbidity?
course?
tx?

Answer 4

2-6% mostly in elderly
genetic and often preceded by traumatic events
depression, OCD, anxiety disorders
chronic
CBT specialized for hoarding with/out SSRI

Question 5

trichotillomania DSM-5?

Answer 5

repeated hair pulling with repeated attempts to stop, causing significant distress not due to another medical or mental condition. involves scalp, eyebrows, eyelashes and less commonly axillary, pubic, and facial.

Question 6

trichotillomania prevalence?
course?
gender?
etiology?
tx?

Answer 6

1-2%
chronic
female more than men (10:1)
genetic and following traumatic events
CBT (habit-reversal) and SSRI

Question 7

excoriation disorder DSM-5?

Answer 7

repeated skin picking, resulting in lesions. with repeated attempts to stop. causes significant distress and not due to another medical or mental disorder.

Question 8

excoriation prevalence?
tx?

Answer 8

1% mostly women
CBT (habit reversal) and SSRI