OCD Flashcards
1
Q
Obsessions vs Compulsions
A
Obsessions -> Thoughts, images, urges
Compulsions -> acts pt feels driven to do to relieve distress caused by the obsession
2
Q
OCD ss must be time consuming and last >____Hr/Day
A
1
3
Q
OCD Tx (Adult)
A
- CBT
- High-dose Antidepressant for 1-2yr (SSRI, TCA, SNRI)
- TMS
4
Q
OCD Tx (Peds)
A
- CBT
- SSRI or TCA
5
Q
Pharm Tx for Hoarders
A
No FDA approved meds yet
Venlafaxine, Atomoxetine, Methylphenidate
6
Q
Trichotillomania Dx
A
Must have tried to stop or decr pulling
+/- Punch Bx
7
Q
Body Dysmorphic DO Tx 1st line
A
CBT
SSRI
8
Q
Body Dismorphic DO Tx Resistant
A
- Assess dose & adherence of SSRI
- Switch SSRI
- ADD on 2nd gen antipsychotics, Buspirone, Glutamate modulators, Clomipramine (caution)
9
Q
Body Dismorphic DO Tx if Refractory
A
Stop SSRI -> Start TCA (Clomipramine) Monotherapy
