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Obsessive Compulsive Disorder > Treatment principles > Flashcards

Flashcards in Treatment principles Deck (13)
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1
Q

What are some treatment guidelines for OCD?

A

CPA 2006, NICE 2005, APA 2007, BMC Psychiatry 2014

2
Q

The two main treatment options for OCD

A

CBT and SSRI medication.

3
Q

Rate of placebo response in OCD

A

Low.

4
Q

Percentage of patients who improve on medication

A

About 25%

5
Q

How do SSRIs compare to CBT?

A

CBT or CBT + medication does better

6
Q

How does combined treatment compare to CBT alone?

A

Combination treatment is not better than CBT alone for moderately ill patients who are enrolled in RCTs.

7
Q

Principles of treatment expectations for OCD

A

Cure and remission are not realistic expectations. Patients should expect to do homework and commit time to CBT.

8
Q

Rate of response for behavioural treatment

A

Only 31% are NOT improved after behavioural treatment for OCD.

9
Q

Components of CBT for OCD

A

Psychoeducation

Construct exposure hierarchy

ERP

Thought records / recognizing automatic thoughts

Identify and change cognitive distortions

Problem solving

(Family involvement)

Relapse prevention

10
Q

Use of exercise for treatment of OCD

A

There were two positive studies in 2007. RCT underway as of 2016.

11
Q

How might exercise help in OCD?

A

BDNF, effects on cerebral blood flow, increase hippocampal size?

12
Q

Mindfulness or yoga for OCD?

A

Very little data; a handful of reports.

13
Q

How much exercise is good for OCD?

A

At Thompson Centre they recommend 150 min / week of aerobic exercise.