OCD

Question 1

Obsessions

Answer 1

recurrent, persistent, intrusive, and unwanted thoughts, images, or urges that cause anxiety or distress

Question 2

Compulsions

Answer 2

Repetitive behaviours or thoughts that a person engages in to neutralise, counteract or make their obsession go away

Question 3

Symptom dimensions

Answer 3

Contamination

Responsibility for causing/not preventing harm

Taboo thoughts about sex, violence and blasphemy

Need for order and symmetry

Question 4

Specifiers DSM

Answer 4

With good or fair insight; knowing its not true

With poor insight; thinks they are true

With absent insight/delusional beliefs; completely convinced they’re true

Tic-related; current or past of tics

Question 5

Ego

Answer 5

Self-image that forms the bridge between the conscious and unconscious thoughts

Question 6

Egosyntonic

Answer 6

Thoughts are perceived as their own. Responsive and appropriate to the environment given the situation

Question 7

Egodystonic

Answer 7

Thoughts are not theirs. Response and behaviours are against a persons believes and will. Not perceived as their own.

Question 8

Differentiation OCD vs OCPD

Answer 8

OCD: Obsessions and/or compulsions causing anxiety/distress. Egodystonic on one or a few domains.

OCPD: personality disorder with need for control/perfectionism/rigidity. Tension, egosynotonic and on multiple domains.

Question 9

Comorbidity OCD and OCPD + Prev OCD

Answer 9

Comorbidity: 23%. Makes differentiating difficult.

OCD; prev is 1-3 %

Around 25% onset before 10 yrs
Around 60% onset around adolescence

Chronic relapsing course. Stress is the fertiliser of OCD