Basics
What are obsessions?
Intrusive, unwanted thoughts that cause anxiety
Give one example of an obsession
Fear of contamination, fear of harming self/others, fear of making mistakes, need for symmetrical order
Give an example of cleaning compulsion
Excessive handwashing or cleaning house
What is the main neurotransmitter in OCD?
Serotonin
What's the most effective form of therapy?
CBT
What are complusions?
Repetitive behaviors done to reduce anxiety
Are obsessions wanted or unwanted?
Unwanted
Give an example of a checking compulsion
What is the first-line med for OCD?
SSRIs
What is a specific CBT technique for OCD?
Exposure and Response Prevention (ERP)
What is the main cycle of OCD?
Obsession --> anxiety --> compulsion --> temporary relief
What type of thoughts are obsessions?
Persistent and intrusive
Give an example of mental compulsion
Counting or repeating words
Which brain area is for habits?
Basal ganglia
What labs are used for OCD?
None - there are no specific labs to diagnosis OCD
Are compulsions realistically connected to fears?
T/F: urges and images a form of obsession
True
Why are compulsions formed?
To reduce anxiety
What brain area is for decision making?
Frontal cortex
What is the time consumption requirement for OCD?
More than 1 hour per day doing rituals
What happens if OCD is left untreated?
What thinking pattern is common in OCD?
Need for symmetry or perfection
What type of relief to compulsions provide?
Temporary
What happens with serotonin levels?
They're low
What is the goal for ERP?
Reduce anxiety by preventing compulsions