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Psychopathology
Treatment of OCD
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Filip Goia
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What are 2 types of drugs used to treat OCD?
1,
Anti-depressants
2, Anti-anxiety drugs
What are three types of antidepressant drugs used to treat OCD?
1,
Selective
serotonin
re-uptake
inhibitors
(SSRIs) 2,
Tricyclics
3,
Serotonin-noradrenaline
reuptake
inhibitors (SNRIs)
How do SSRIs increase the levels of serotonin?
They inhibit the
re-absorption
(re-uptake) of serotonin in the
pre-synaptic
neuron which then
increases
the
concentration
of
serotonin
at the
synapse.
How do SNRIs treat OCD?
They block the
transporter
mechanism that
re-absorbs
both
serotonin
and
noradrenaline
in the
pre-synaptic
cleft after it has fired.
How do anti-anxiety drugs work?
They reduce
anxiety
by slowing down the activity of the
CNS
by enhancing the activity of the neurotransmitter GABA
What effect does
GABA
have on the
CNS
?
A quietening effect which reduces anxiety
What is the difference between SSRIs and SNRIs?
SSRIs stop the
reuptake
of
serotonin
whereas SNRIs stop the
reuptake
of
both
serotonin
and
noradrenaline
What evidence has shown the effectiveness of drug treatment for OCD?
Soomro
et al. (
2009
) - reviewed
17
studies comparing
SSRIs
to
placebos.
Found that
SSRIs
are more effective than
placebos
in reducing symptoms of OCD
What is are 2 disadvantages of using drug therapy?
Side effects -
nausea
,
headaches
,
hallucinations
,
aggressiveness
2.
Not
a lasting
cure
- symptoms
return
when
stop
taking medication
What is a disadvantage of using Tricyclics?
They have more
severe
side
effects
than SSRIs such as
slight
blurring
of
vision
,
problems
passing
urine
,
dizziness
and
weight
gain