Obsessions vs Compulsions
Obsessions -> Thoughts, images, urges
Compulsions -> acts pt feels driven to do to relieve distress caused by the obsession
OCD ss must be time consuming and last >____Hr/Day
1
OCD Tx (Adult)
OCD Tx (Peds)
Pharm Tx for Hoarders
No FDA approved meds yet
Venlafaxine, Atomoxetine, Methylphenidate
Trichotillomania Dx
Must have tried to stop or decr pulling
+/- Punch Bx
Body Dysmorphic DO Tx 1st line
CBT
SSRI
Body Dismorphic DO Tx Resistant
Body Dismorphic DO Tx if Refractory
Stop SSRI -> Start TCA (Clomipramine) Monotherapy