Part 2: Chapter 5 part 3

Question 1

OCD has high comorbidity with what?

Answer 1

anxiety and depression

Question 2

Define OCD

Answer 2

a. The dangerous event is a thought, image, or impulse

Question 3

Define obsessions

Answer 3

i. Intrusive, non-sensical thoughts a person tries to eliminate

Question 4

Define compulsions

Answer 4

i. Thoughts or actions used to suppress obsessions and provide relief

Question 5

What are the four most common types of OCD, in order of prevalence?

Answer 5

a. Symmetry/ exactness
b. Forbidden thoughts/ actions
c. Cleaning/ contamination
d. Hoarding

Question 6

What is the link between Tic disorder and OCD

Answer 6

a. Characterized by jerking of limbs

b. High comorbidity with OCD

Question 7

Define Tourettes disorder

Answer 7

i. Complex tics and involuntary vocalizations

ii. 10-40% of kids have it at some point

Question 8

Define Pediatric Autoimmune Neauropsychotic Syndrome (PANS) (also called PANDA)

Answer 8

a. OCD and tics occur after a bout of strep throat

Question 9

What is the sex ratio in OCD?

Answer 9

i. Equal, but boys have earlier onset

Question 10

What are three proposed causes for OCD

Answer 10

a. Early experiences may tell them they should never think certain things becauses something bad could happen
b. Strength of religious belief is associated with severity of OCD
c. Connection between attempted thought suppression and obsessional thinking

Question 11

What are drugs used to treat OCD?

Answer 11

i. Serotonin re-uptake inhibitors

ii. However, relapse is high when drug is discontinued

Question 12

What is a psychological approach for treating OCD?

Answer 12

i. Exposure and ritual prevention (ERP)
1. Shows that nothing really happens when rituals stop
2. Slightly more effective than CBT

Question 13

When is surgery used in OCD?

Answer 13

Only as a last resort

Question 14

What are the DSM 5 criteria for OCD?

Answer 14

i. A. Presence of Obsessions, Compulsions, or Both
ii. B. Time-consuming (e.g., more than 1 hour per day) or cause distress, impairment
iii. C. Not attributable to physiological effects of a substance or medical condition
iv. D. Not better explained by symptoms of another mental disorder.

Question 15

What is NICE treatment for OCD?

Answer 15

1. Sessions 1-2: Psychoeducation
2. Sessions 3-5: Cognitive Restructuring
3. Sessions 6-11: Exposure and response prevention/Behavioural Experiments
4. Session 12: Relapse Prevention

Question 16

What is cognitive restructuring method for OCD?

Answer 16

1. Identify situation
2. Identify and Rate Mood
3. Identify Thought
4. Develop Alternative Thought
5. Re-rate Mood