OCD disorders

Question 1

insight with OCD

Answer 1

typically good

Question 2

4 most common symptom categories in OCD

Answer 2

contamination/cleansing
pathologic doubt/checking
intrusive forbidden thoughts
symmetry/ordering

(in that order)

Question 3

common symptoms associated with body dysmorphic disorder

Answer 3

ideas/delusions of reference
mirror checking
avoiding reflection
attempts to hide perceived deformity

Question 4

insight in body dysmorphic disorder

Answer 4

not typically as good as in OCD

Question 5

insight in hoarding disorder

Answer 5

poor

Question 6

focused pulling in trichotillomania

Answer 6

intentional act to control unpleasant experience

Question 7

automatic pulling in trichotillomania

Answer 7

done without awareness usually during sedentary activities

most have combo of both

Question 8

trichophagia

Answer 8

mouthing/eating hair

Question 9

olfactory reference syndrome

Answer 9

false belief that one emits a foul odor. The preoccupation causes repetitive behaviors (washing, changing, etc.)

Question 10

mean age of onset for olfactory reference syndrome

Answer 10

25

Question 11

pharmacotherapy in OCD

Answer 11

clomipramine and SSRIs

Question 12

SSRI dose in OCD as opposed to depression

Answer 12

higher doses required

Question 13

OCD response to SSRIs

Answer 13

slower than depression
give at least 12 week trial

Question 14

adjunct antipsychotics typically seen in adult OCD

Answer 14

risperidone
aripiprazole

Question 15

what type of therapy is particularly helpful in OCD

Answer 15

exposure and response prevention

Question 16

what is best first line treatment option for OCD in children

Answer 16

CBT

Question 17

pharmacotherapy for body dysmorphic disorder

Answer 17

SSRIs

Question 18

dosage and course of SSRI tx for body dysmorphic disorder compared to MDD

Answer 18

higher dose for a longer course

Question 19

what may be a helpful adjunct medication in body dysmorphic disorder partial responders

Answer 19

buspirone

Question 20

pharmacotherapy for hoarding disorder

Answer 20

limited data suggests efficacy of SSRIs and venlafaxine

Question 21

most effective treatment approach for hoarding disorders

Answer 21

CBT

Question 22

pharmacotherapy for trichotillomania

Answer 22

low dose D2 blockers for treatment refractory cases

Question 23

CBT technique used for trichotillomania

Answer 23

habit reversal training

Question 24

pharmacotherapy for excoriation disorder

Answer 24

some support for fluoxetine

Question 25

nonpharmacologic tx of excoriation disorder

Answer 25

CBT habit reversal training

Question 26

what areas of the brain are implicated in OCD

Answer 26

anterior cingulate, orbitofrontal cortex, and striatum

Question 27

neurotransmitter systems implicated in OCD

Answer 27

serotonergic, dopaminergic, glutamatergic, and GABAergic

Question 28

first line pharmacotherapy for OCD treatment refractory cases

Answer 28

augmenting SSRIs with D2 blockers