Etiology
What causes OCD
What is the main pharmacology treatment used to treat OCD
SSRI
What are the two therapies used to treat OCD?
Behavior therapy and deep breathing/relaxtion therapy
What is the name of the 3 year old boy in the video played?
Fear of contamination
Having difficulty tolerating uncertainty
Having things orderly and symmetrical
Aggressive thoughts about losing control and harming yourself or others
Unwanted thoughts that are aggressive or sexual
What is the second line of treatment for OCD
tricyclic antidepressants
What is exposure behavioral therapy?
When you directly assist the patient in confronting the aspects of his or her life that they would typically avoid
What are compulsions?
Repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession, or according to the rules that must be applied rigidly.
Avoidance of situations that can trigger obsessions, such as shaking hands
Doubting that you turned off the stove
Intense stress when objects are not facing a certain way
Images of driving your car into a crowd of people
Thoughts about shouting obscenities or acting inappropriately in public
Unpleasant sexual images
Anticholinergic effects
Exposure and response prevention
What are obsessions?
Recurrent thoughts or images that are experienced as intrusive, unwanted, and cause marked anxiety or distress
How are intrusive thoughts usually seen? (at least 2)
Important, personally significant, revealing of their character, having detrimental consequences.
What are the typical side effects seen with SSRI's?
GI distress, sexual dysfunction, restlessness, insomnia
Explain the benefits of response prevention
it allows people to acknowledge and learn that the thoughts they have about “needing” to do a ritual
it helps reduce the ritual from reoccuring long term
What is one OCD treatment barrier for people of color?
Lack of trust, stigma within communities, different beliefs about mental health.
What are the DSM-5 criteria to be diagnosed with OCD?
Obsessions: recurrent thoughts/images that are intrusive or unwanted
Compulsions: Repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession, or according to the rules that must be applied rigidly (consumes a lot of time)
Which SSRI causes QT prolongation?
Citalopram
What is the process of behavioral therapy? (aka how does it work)
Behavior therapy starts with exposure where you expose the patient to what it is that they avoid. Then, response prevention comes in where you delay/avoid the patient from doing the ritual they would usually do to calm their anxiety.
What is one way that COVID-19 may negatively impact someone with OCD?
Normalization of sanitation procedures can reinforce the compulsive behaviors and worsen the obsessive thoughts.