OCD

• What is an obsession defined as?

  Unwanted intrusive thought, image or urge that repeatedly enters the person's mind
• What are compulsions defined as?

  Repetitive behaviours or mental acts that a person feels driven to perform
• What are some risk factors for OCD?

  Genetics

  Psychological trauma
• What are some associations with OCD?

  Depression

  Schizophrenia

  Sydenham's chorea

  Tourette's syndrome

  Anorexia
• What does a diagnosis of OCD require?

  Obsessions, compulsions or both
• The obsessions/compulsions must cause significant distress and/or functional impairment and cannot be solely attributes to the physiological effects of a substance of another medical condition
• What are 2 assessment tools used to aid the evaluation of OCD symptoms and severity?

  Yale brown obsessive compulsive scale (Y-BOCS)

  Obsessive compulsive inventory revised (OCI-R)
• How is OCD with mild functional impairment managed?


  CBT + ERP

  If CBT doesn't work = SSRI or more intensive CBT
• How is OCD with moderate functional impairment managed?

  SSRI or intensive CBT (+ERP)
• How is OCD with severe functional impairment managed?

  SSRI + CBT (+ERP)
• What is ERP


  Exposes a patient to an anxiety-provoking situation then allowed them to engage in their usual safety behaviour = confront anxiety and eventual extinction of response