OCD

Cards (9)


  • Evaluate genetic explanation for OCD
    1. [Nestadt et al]- research to support genetic vulnerability form twin studies- 68% Identical twins and 31% Non identical shared OCD- family member with ocd equals 4x more likely
    2. [Cromer et al]- Biological reductionism as he found OCD was caused because of traumatic events in some cases
  • Evaluate Neural explanation for OCD
    1. Cannot establish casual relationship between abnormal brain functioning and OCD
    2. Research to support low levels of serotonin affect OCD [zohar et al]- antidepressants that work purely on serotonin levels reduced OCD symptoms
  • Outline Bio approach to treating OCD
    1. Treatments involving drugs- which affect neurtransmitter levels
    2. SSRI's - antidepressants that work on the serotonin system in the brain
    3. Serotonin released by the presynaptic neuron , travels across a synapse. chemically conveys the signal to the postsynaptic neuron where it's reabsorbed, broken down and reused
    4. SSRI's prevent reabsorption and breakdown- which means serotonin can continue to stimulate
    5. 3-4 months of daily use for SSRI''s to have impacts on symptoms
  • Alternatives to SSRI's
    • Tricyclics- same effect but more sever side effects- kept in reserve for individuals who don't respond to SSRIs
    • SNRI's- increases levels of serotonin and noradrenaline
  • A limitation of treatments into OCD
    • SSRI's have serious side effects- indigestion, blurred vision and loss of sex drive- more common if taking tricyclic drugs= reduces quality of life - may stop taking them- so less effective
  • 2 strength of research into treatment of OCD
    + Evidence for it's effectiveness [ soomro et al]- 17 studies vs placebo - symptoms reduce for 70% people taking SSRI's and the rest of the 30% can take a combination of other drugs+ therapy- this reduces symptoms severity and increases quality of life
    + Cost effective+ Non-disruptive- can manufacture thousands of tablets/liquids in time it takes to conduct one session of psychological therapy = good value for NHS - can be taken whenever- does not take much time= popular treatment
  • Behavioural characteristics of OCD
    • Compulsions are repetitive
    • Reduces anxiety
    • Avoidance
  • Emotional characteristics of OCD
    • Anxiety and distress
    • Accompanying depression
    • Guilt and disgust
  • Cognitive characteristics of OCD
    • Obsessive thoughts
    • Cognitive coping strategies
    • Excessive anxiety