Obessive And Compulsive Related Disorders

Question 1

Define compulsion

Answer 1

Repetitive behaviour or mental acts (eg praying, counting) that the individual feels driven to perform in response to an obsession or according to the rules that must be applied rigidly. These acts are performed to reduce anxiety, or preventing some dreaded event or situation, however these mental acts are not connected in a realistic way to what they are used to neutralise and are clearly excessive.

Question 2

DSM for OCD

Answer 2

A: presence of obsessions or compulsions or both
B: cause significant distress or are time consuming (>1hr/day)
C: Not caused by the physiological process of another medical condition or substance
D: not better explained by another mental disorder

Question 3

Define obsession

Answer 3

Recurrent and persistent thoughts, urges or images that are experienced as intrusive and unwanted and causes marked anxiety or distress. The individual attempts to ignore the thoughts, images or urges with some sort of thought or action (eg performing a compulsion)

Question 4

Specifiers of OCD

Answer 4

1) with good or fair insight
2) with poor insight
3) with absent insight or delusional beliefs
4) tic related

Question 5

What is body dysmorphic disorder

Answer 5

Preoccupation with >/= perceived flaws in physical appearance not observed by others

Question 6

What is hoarding disorder

Answer 6

Persistent difficulty discarding possessions regardless of actual value, where discarding them creates distress

Question 7

What is trichotillomania

Answer 7

Recurrent pulling out own hair causing hair loss, repeated attempts to stop or decrease hair pulling

Question 8

What is excoriation disorder

Answer 8

Recurrent skin picking causing lesions, with repeated attempts to stop or decrease skin picking.