OCD

Question 1

what is an obsession

Answer 1

unwanted intrusive thought/image/urge that repeatedly occurs

Question 2

what is a compulsion

Answer 2

repetitive behaviours or mental acts that the person feels driven to perform

Question 3

what is the aetiology of OCD

Answer 3

psychological trauma
genetic predisposition
PANDAS - paediatric autoimmune neuropsychiatric disorder associated with streptococcal infections
associated with: depression, schizophrenia, anorexia nervosa, tourettes

Question 4

how do you determine functional impairment

Answer 4

do they take >1hr everyday to carry out the compulsions

is it causing distress/effecting daily life

Question 5

1st line OCD management

Answer 5

for mild functional impairment

CBT with exposure therapy

Question 6

2nd line OCD management

Answer 6

moderate/severe functional impairment
give an SSRI (any but fluoxetine is good for body dysmorphia)
more intense CBT
combined treatment for severe

Question 7

3rd line OCD management

Answer 7

give clomipramine (TCA)