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OCD- characterized by recurrent obsessional thoughts or compulsive acts or…
OCD- characterized by recurrent obsessional thoughts or compulsive acts or, commonly, both, which may cause significant functional impairment and/or distress.
Risk Factors
Age – onset peak mean age from 10-21 years, unlikely onset after 30 years.
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Management
Assess severity of symptoms, effect on ADLs and quality of life. Consider that OCD may exist with other mental health disorders.
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Refer for specialist treatment, secondary care specialist service, secondary care mental health service or for psychological treatment dependant on clinical judgement and patient presentation/severity of symptoms.
self help groups, medication, talking therapies, social care support
Diagnosis
Screen people with symptoms of depression, anxiety, alcohol or substance misuse, body dysmorphic disorder, or an eating disorder, and those reporting symptoms suggestive of OCD.
Diagnosis can be supported with use using criteria from the International Classification of Disease and/or the Diagnostic and Statistical Manual of Mental Disorders. Note: These diagnostic criteria do not offer a minimum number of symptoms or specific time period to support a definitive diagnosis, and should therefore be used in conjunction with clinical judgement.
Primary care presentations often dermatological, genital or anal from excessive checking or washing. Stress may also be a factor.
Suspicion of OCD would be escalated to GP or secondary care for specialist assessment as per NICE Guidance and local policy.
Symptoms
Obsessions: persistent thoughts, pictures, urges or doubts that appear in your mind again and again. They interrupt your thoughts against your control, and can be really frightening, graphic and disturbing. They may make you feel anxious, disgusted or uncomfortable.
Compulsions: repetitive activities that you feel you have to do. The aim of a compulsion is to try and deal with the distress caused by obsessive thoughts.