Obsessive Compulsive Disorder

Question 1

Obsessive Compulsive Disorder

Answer 1

Obsessive Compulsive Disorder
Presence of obsessions, or both:

Obsessions are defined by
Recurrent and persistent thoughts, urges, or images that are experienced at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress.
The individual attempts to ignore or suppress such thoughts or neutralize them with some other thought or action (performing a compulsion)

Compulsions are defined by:
Repetitive behaviors (hand washing, ordering, checking) or mental acts (praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to the rules that must be applied rigidly
 The behaviors or mental acts are aimed at preventing or reducing anxiety or distress or preventing some dreaded event or situation; however, these behaviors or mental cts are not connected in realistic way with what they are designed to neutralize or prevent, or are clearly excessive

The obsessions or compulsions are time-consuming (take more than 1 hour per day) or cause clinically significant distress or impairment in social, occupational or other important areas of functioning
The obsessions or compulsions are not attributable to physiological effects of a substance or medical condition
Disturbance is not better explained by another mental disorder

Question 2

OCD Specifiers:

Answer 2

Specifiers:
with good or fair insight: recognizes that obsessive-compulsive disorder beliefs are definitely or probably not true or that they may or may not be true
with poor insight: The individual thinks obsessive-compulsive disorder beliefs are probably true
with absent insight/ delusional beliefs: The individual is completely convinced that ocd beliefs are true
tic-related: the individual has a current or past history of a tick

Question 3

Body Dysmorphic Disorder Specifiers:

Answer 3

with muscle dysmorphia: the individual is preoccupied with the idea that his or her body build is too small or insufficiently muscular. This specifier is used even if the individual is preoccupied with other body areas.

indicate degree of insight regarding body dysmorphic disorder beliefs (i look ugly or deformed)
with good or fair insight: the individual recognizes that body dysmorphic disorder beliefs are definitely or probably not true or that they may or may not be true.

with poor insight: the individuals thinks that the body dysmorphic disorder beliefs are probably true

with absent insight/ delusional beliefs: the individual is completely convinced that the body dysmorphic disorder beliefs are true.

Question 4

Body Dysmorphic Disorder:

Answer 4

A. Preoccupation with one ore more perceived defects or flaws in physical appearance that are not observable or appear slight to others

B. At some point during the course of the disorder, the individual has performed repetitive behaviors (mirror checking, excessive grooming, skin picking, reassurance seeking or mental acts (comparing his or her appearance to others) in response to the appearance concerns

C.The preoccupation causes clinically significant distress or impairment in social occupational or other important ares of functioning

D. The appearance preoccupation is not better explained by concerns with body fat or weight in an individual whose symptoms meet diagnostic criteria for an eating disorder

Question 5

Hoarding Disorder:

Answer 5

A. Persistently difficulty discarding or parting with possessions , regardless of their actual value.
B. This difficulty is due to a perceived need to save the items and distress associated with discarding them.
C. The difficulty discarding possessions results in the accumulation of possessions that congest and clutter active living areas and substantially compromises their intended use. If living areas are uncluttered, it is only because of the interventions of 3rd parties
D. The hoarding causes impairment in functioning
E. Not attributable to another medical condition
F. not better explained by another mental disorder

Question 6

Hoarding Disorder Specifiers

Answer 6

with excessive acquisition: If difficulty discarding possessions is accompanied by excessive acquisition of items that are not needed for which there is no available space

with good or fair insight: the individual recognizes the hoarding disorder beliefs are problematic

with poor insight: the individuals are convinced that hoarding beliefs are not problematic despite evidence

with absent insight/ delusional beliefs: the individual is completely convinced that the hoarding related beliefs and behaviors are not problematic despite evidence to the contrary.

Question 7

Trichotillomania

Answer 7

A. Recurrent pulling out of one’s hair, resulting in hair loss.
B. Repeated attempts to decrease or stop hair pulling.
C. The hair pulling causes impairment in functioning
D. The hair pulling or hair loss in not attributable to another medical condition
E. THe hair pulling is not better explained by symptoms of another mental disorder

Question 8

Exoriation Disorder

Answer 8

A. Recurrent skin picking resulting in skin lesions
B. Repeated attempts to decrease or stop skin picking.
C. Causes impairment in functioning
D. not attributable to another medical condition
E.not better explained by symptoms of another mental disorder