Please enable JavaScript.
Coggle requires JavaScript to display documents.
OCD (Treatment (SSRIs/clomipramine used for medical tx - dosed higher for…
OCD
Treatment
-
-
-
-
ERP (exposure and ritual prevention) - subset of CBT - focus on behavior - based on classical conditioning (extinction/habituation)
-
-
adjunct tx: rarely use antipsychotics, benzos
-
common themes
-
-
-
-
-
MRI/PET - increased blood flow in limbic structures, caudate, thalamus, orbitofrontal cortex
normalization w/ SSRIs, CBT
Course
some s/s in childhood - high comorbidity w/ Tourettes, ADHD
-
-
-
low self esteem, strained relationships, interference w/ school and work, 13% suicide attempt rate!
-
-
-
OCD spectrum
compulsive hoarding
-
-
present middle-aged, get worse w/ time
-
comorbid with OCD: OCD presents earlier, increased family friction, poor insight
tx: CBT, medication, in home visits!!!!
body dysmorphic disorder
-
repetitive behaviors: grooming, mirror check, reassurance
-
-
-
-
-
2.5% lifetime prevalence; equal b/w males and females, but earlier onset in males (men in late childhood-teens, women in 20s)
-