Week Nine - OCD Flashcards
Name 4 disorders related to OCD
Hoarding Disorders
Body Dysphoria
Skin Picking
Hair Picking
Prevalence of OCD in the population
Lifetime of 2-3%
12-Month of 1%
No sex difference
Typically later adolescent onset
Diagnostic Criteria of OCD (DSM-5)
Presence of compulsions and obsessions
Take more than an hour a day/cause clinical stress/ lead to impaired functioning
Define obsessions
Repetitive behaviours or mental acts such as counting, praying, washing hands
Define compulsions
Internal/Mental thoughts used to relieve anxiety induced by obsession, persistent and reoccurring thoughts
Biological theories of OCD
- Genetic: concordance rates in twins and families
- Glutamate transporter gene
Link between OCD and Neurotransmitters
- Levels of serotonin?
-Clomipramine often effective - Long time SSRI use = fewer OCD symptoms
Psychological causes of OCD
- Learnt product of CC and OC
-Two process theory where neutral stimuli becomes associated with something fearful
Explain the thought-action theory
Cognitive
Differences in how thoughts are appraised / inflated sense of responsibility
Cognitive bias and distortions in OCD
- Impairments in meta cognition
- Deficits in motor inhibition
-Intentional bias towards obsession relevant cues/respond slower [Mortiz et al]
2 main treatments of OCD
Psychological: ERP, CBT
Biological: Medication affecting serotonin, neurosurgery
Explain the NICE guidelines stepped model
Individualised
Steps 3-5: psychological interventions>pharmacological interventions> inpatient
Explain how EPR is used to treat OCD
- Exposure to stimuli and response prevention
- Anxiety hierarchy often used
How is CBT used to treat OCD
- Helps to develop a different perspective of ones problem
- Many different techniques eg. showing unlikely consequence
-Attempts to break thought-action fuse
How can neurosurgery treat OCD
- Targets specific nodes within brain network to relieve symptoms
-Overactive neural circuitry = prevents this dysfunction
-Many consequences eg. personality change,epilepsy