True or False
OCD requires the presence of obsessions and compulsions
what is false
Preoccupation with perceived defects or flaws in physical appearance that are not observable or appear slight to others
Performed repetitive behaviors or mental acts in response to the appearance concerns
Not better accounted for by an eating disorder
What is Body Dysmorphic Disorder
Lifetime prevalence rate of OCD
what is 2-3%
what percentage of people experience intrusive thoughts
What is 90%
Name a genetic and physiological risk factor
what is Heritability
2x for first degree relatives, 10x if onset of relative was in childhood.
The obsessions and compulsions are time consuming or cause clinically significant distress or impairment
time consuming means
what is take more than 1 hour per day
The specifiers for BDD are
What is
with muscle dysmorphia
and degree of insight
What gender does the onset tend to appear earlier in for this class of disorders?
what is men
Obsessional fears arise from
what is inaccurate beliefs about the importance of intrusive thoughts.
Name 2 temperamental risk factors
what is greater internalizing symptoms, higher negative emotionality, and behavioral inhibition in childhood.
What are the specifiers for OCD
what is
With good or fair insight (4% or less)
With poor insight
With absent insight/delusional belief
Tic-related (30% have lifetime Tic Disorder)
Recurrent pulling out of one’s hair, resulting in hair loss.
Repeated attempts to decrease or stop hair pulling
Significant distress or impairment
Not due to AMC or AMD
What is Trichotillomania
remission rates are lower for those who_____. Which is 20%.
what is don't seek treatment
Exposure and response prevention includes
what is Clients are repeatedly exposed to anxiety provoking stimuli and prevented from responding with compulsions.
what is adverse perinatal events, premature birth, maternal tobacco use during pregnancy, physical and sexual abuse in childhood, and other stressful/traumatic events.
Define obsessions according the the DSM 5 TR criteria
What is
Recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress
The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (ie, by performing a compulsion).
Recurrent skin picking resulting in lesions
Repeated attempts to decrease or stop skin picking
Significant distress or impairment
Not due to substance, AMC, or AMD
What is Excoriation Disorder
True or False Male gender, higher parental education, and comorbid anxiety disorders were protective factors.
False
Female gender, higher parental education, and comorbid anxiety disorders were protective factors.
Overreacting to unwanted thoughts. People with OCD blame themselves for normal (although repetitive and intrusive) thoughts and expect that terrible things will happen as a result. (thoughts are not the issue, the issue is the interpretation of the thought)
what is Beck's Cognitive Specificity Theory of Emotion
PANDAS
what is is the acronym for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections.
Define Compulsions according to the DSM 5 TR criteria
What is
Repetitive behaviors (hand washing, ordering, checking) or mental acts (praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.
The behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent.
Provide DSM 5 TR diagnostic criteria for Hoarding disorder including specifiers
What is
Persistent difficulty discarding or parting with possessions, regardless of actual value.
Due to a perceived need and distress with discarding
Accumulations of possessions significantly clutter living areas
clinically significant distress or impairment
not due to medical condition
not better explained by another mental disorder
Specify
With excessive acquisition
Insight
What are the OCD dimensions most common in females
what is cleaning
6 domains of dysfunctional beliefs
What is
Excessive responsibility
Over-importance of thoughts
Need to control thoughts
Overestimation of threat
Perfectionism
Intolerance for uncertainty
What dimension of OCD do men predominately have?
What is forbidden thoughts and symmetry dimension