OCD

Question 1

OCD definition

Answer 1

Characterized by recurrent obsessional thoughts or compulsive acts which may cause significant functional impairment and distress.

Question 2

Risk factors of OCD - 4

Answer 2

• Family history
• Age
• Environmental Factors e.g. streptococcal infection in children
• Pregnancy and postnatal period

Question 3

Complications of OCD 3

Answer 3

• Reduced quality of life, may affect relationships, ability to work and daily life
• Dermatitis - due to excess handwashing
• self-harm and suicide

Question 4

Which OCD patients should be referred for specialist assessment - 6

Answer 4

• ‘severe’ OCD
• suicide risks
• severe self-neglect
• Significant co-morbidity e.g. depression, anorexia nervosa or schizophrenia
• Under 18
• treatments are not helping

Question 5

What questionnaire tests for OCD and what do the scores mean

Answer 5

Yale-Brown Obsessive Compulsive Scale - highest score is 40

8-15 - Mild
16-23 - Moderate
24-31 - Severe
32-40 - Extremely Severe OCD

Question 6

Management of OCD if MILD - 1

Answer 6

• Talking therapy referral

Question 7

Management of OCD if MODERATE - 3

Answer 7

• Intensive CBT
• SSRI
• Clomiphramine (tricyclic)

Question 8

Management of OCD if SEVERE - 2

Answer 8

• secondary care mental health team referral
• Combined SSRI and CBT treatment