OCD Flashcards
Recurrent intrusive thoughts –> cause anxiety or distress
Obsessions (OCD)
Repetitive mental or behavioral acts –> feels driven to perform
Compulsions (OCD)
Is related to an obsession or according to rules that must be applied rigidly or to achieve a sense of “completeness” or “just right.”
Compulsion - OCD
What are the 4 “dysfunctional beliefs” of OCD
“PICO”
- Inlated sense of responsibility/tendency to overestimate threat
- Perfectionism/intolerance of uncertainty
- Over-importance of thought (believing that having a forbidde thought is as bad as acting on it)
- Need to control thoughts
- Mean age of onset of OCD
- 25% of cases start by what age?
- Do males or females have earlier age of onset?
- Onset after what age is unusual?
- 19.5
- 14
- Males (25% by age 10)
- 35
What is a risk factor of OCD that would cause “acute onset” of OCD in an adult?
- Stressful or traumatic events
What “post-infectious” autoimmune syndrome is associated w/ OCD?
Group A Streptococcal infection
Contamination of _____
____ of Violent or horrific scenes
____ to stab someone
- thoughts
- images
- urges
(Obsessions of OCD)
How does an individual w/ OCD ignore or suppress or neutralize their obsessions? (2 ways)
- By thinking of something else
- By performing a compulsion
(OCD patients avoid triggers)
- Give an example of what a person w/ OCD who has a contamination concern will avoid?
- Give an exmple of what a person w/ OCD who has intrusive thoughts of causing harm will avoid?
- Public restrooms
- Social interactions
- Repetitive behaviors/rituals (hand washing, ordering, checking)
- Mental acts (praying, counting, repeating words silently)
- Individual feels driven to perform in response to obsession or according to rigid rules
Compulsions (OCD)
Time consuming disorders, or losing job / school work
OCD
What are the 3 insights of OCD?
- Good/Fair: the individual recognizes that OCD beliefs are definitely/probably NOT TRUE (Majority)
- Poor: the individual thinks OCD beliefs are probably true (Minority)
-
Absent/Delusional: the individual is completely convinced that OCD beliefs are true (4%)
- Ex: pt convinced house will burn down if stove isn’t checked 30 times
Besides insights, what else needs to be specified in OCD?
- If it it “Tic-Related”
- Current or past hx of tic disorder (up to 30%)
What are the 4 common themes of OCD?
- Cleaning: contamination obsessions / cleaining compulsions
- Symmetry: symmetry obessions / repeating, ordering, counting compulsions
- Forbidden/taboo thoughts: aggressive, sexual, religious obsessions/compulsions
- Harms: fears of harm to onself / checking compulsions
What are 3 response to triggers of OCD?
- Marked anxiety (panic attacks)
- Feelings of disgust
- Sense of incompleteness or uneasiness until things are “just right”
OCD has a strong link to suicide
- ___% of SI
- ___% of behaviors/attempts
- 63% ideation
- 46% actions
OCD Comorbidities
- ___% w/ anxiety disorders
- ___% w/ mood disorder
- ___% w/ OCD personality disorder
What is the most common mood disorder people w/ OCD face?
- 76% AD
- 63% MD
- 30% PD
- Major Depressive Disorder (MDD)
OCD is a risk factor for developing which 3 conditions?
- Body dysmorphic disorder
- Trichotillomania
- Excoriation disorder
What is 1st line tx for OCD? (3)
- Cognitive behavioral therapy and/or
- SSRI (sertraline - Fluoxetine)
- Tricyclic antidepressants (inhibits reuptake of serotonin and norepinephrine (Clomipramine)
- Consider tapering off meds after 1 - 2 years
What is a risk factor for developing OCD which occurs during childhood?
- Childhood physical or sexual abuse
Is OCD genetic?
Yes, twin/family studies suggest genetic contribution shows there is a stronger influence on pediatric onset of OCD (rate increased 10 fold)
- Recurrent/persistent thoughts, urges, or images that are experienced at some time during the disturbance as “intrusive and unwanted.” (not pleasurable/involuntary).
- In most individuals cause marked anxiety or distress.
Obsessions (OCD)
- Behaviors or mental acts are aimed at preventing/reducing anxiety or distress or preventing some dreaded event/situation, but they are not connected in a realistic way.
- Compulsions of OCD
