Obsessive-Compulsive Disorder

Question 1

What is Obsessive-Compulsive Disorder (OCD)?

Answer 1

Patients experience obsessions alone or in combination with Compulsions that affect the level of functioning

Question 2

What are obsessions?

Answer 2

Thoughts: intrusive, senseless and distressing to the patient: increasing anxiety

Question 3

What are Compulsions?

Answer 3

Counting and checking: performed to neutralize obsessive thoughts: time consuming but tend to lower anxiety

Question 4

Is OCD Ego-dystonic or Ego-Syntonic?

Answer 4

Ego-dystonic: conflicts with goals of the ego

Question 5

What are features of OCD?

Answer 5

Increased frontal lobe metabolism and increased caudate nucleus size

Question 6

What is the treatment for OCD?

Answer 6

SSRI are first line: Fluoxetine, paroxetine, sertraline, citalopram

Primary behavioral therapy: Exposure and response therapy

Question 7

What is Hoarding Disorder?

Answer 7

Problems discarding possessions leading to persistent accumulation that overwhelm their home with clutter: impairs level of functioning and impairs ability to maintain a safe environment

Question 8

How do you treat Hoarding Disorder?

Answer 8

SSRI + Behavioral modification or Psychotherapy

Question 9

How do you treat Body Dysmorphic Disorder?

Answer 9

SSRI + individual Psychotherapy