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

pharmacotherapy in OCD

Answer 9

clomipramine and SSRIs

Question 10

SSRI dose in OCD as opposed to depression

Answer 10

higher doses required

Question 11

OCD response to SSRIs

Answer 11

slower than depression
give at least 12 week trial

Question 12

adjunct antipsychotics typically seen in OCD

Answer 12

risperidone
aripiprazole

Question 13

pharmacotherapy for body dysmorphic disorder

Answer 13

SSRIs (higher dose and longer course than depression)

Question 14

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

Answer 14

buspirone

Question 15

pharmacotherapy for hoarding disorder

Answer 15

limited data suggests efficacy of SSRIs and venlafaxine

Question 16

what areas of the brain are implicated in OCD

Answer 16

anterior cingulate, orbitofrontal cortex, and striatum

Question 17

neurotransmitter systems implicated in OCD

Answer 17

serotonergic, dopaminergic, glutamatergic, and GABAergic