OCD

Question 1

Obsessive compulsive disorder

Answer 1

• obsessions
• ego dystonic
• compulsions as neutralising behaviours

Question 2

Obsessions

Answer 2

Unwanted recurring intrusive distressing thoughts or images

Question 3

Management of OCD

Answer 3

Biopsychosocial model

Biological:
- antidepressants SSRI for at least 12 months after remission
o Clomipramine
o Fluoxetine

Psychological:
- CBT - exposure response prevention

Question 4

Criteria for OCD

Answer 4

• distressing obsessions patient can’t resist
• involuntary
• repeated compulsions
• compulsion interferes with life
• pointless behaviour
• anxiety if tries to resist

Question 5

Differentials

Answer 5

Generalised anxiety disorder
Specific phobia
Panic disorder
Social phobia