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OBSESSIVE COMPULSIVE DISORDER, CLASSISFICATION OF OCD - Coggle Diagram
OBSESSIVE COMPULSIVE DISORDER
Obsessions and or compulsions
Recurrent and persistent thought
Compulsions are repetitive behaviors and mental acts
ETIOLOGY
Temperamental
Environmental
Genetic and Physiological
PATHOPHYSIOLOGY
GENETIC FACTORS:Dysfunction in the orbitofrontal cortex,anterior cingulate and striatum > have been strongly implicated
ANTERIOR CINGULATE CORTEX ( hoarding D/O), PREFRONTAL CORTEX (body dysmorphic D/O), ORBITAL FRONTAL CORTEX (OCD)
ORBITALFRONTAL CORTEX - normal brain integrates sensory information,make decision,anticipates rewards and punishment MEANWHILE OCD brain Detect an error where isn't one and sends worry signals
BASAL GANGLIA - normal brain controls mv,thingking and judgement MEANWHILE OCD brain Causes reflexive or repetitive behaviors
CINGULATE GYRUS-normal brain adds emotional response to thought MEANWHILE OCD brain add emotions like disgust,guilt to anxious thoughts
CAUDATE NUCLEUS -normal brain processes and filters information,remove unwanted thought MEANWHILE OCD brain Fails to filter anxious thoughts
Diagnostic Feature
Obsessions are nor pleasurable or experienced as voluntary ,they instructive & unwanted & cause marked distress or anxiety
Severity of OCD
Very across ind due to
Associated Feature
Range of affective response when situations triggers
Experienced with marked anxiety include recurrent panic attacks
COMORBIDITY
Major depressive d/o is the most common comorbid d/o with onset usually after that of the body dysmorphic d/o
MEDICAL MANAGEMENT
Antidepressant:focus on fixing the dysfxn communication between the orbitolfrontal,caudate nucleus,cingulate gyrus & basal ganglia,
Increasing the amount of a chemical messenger& 40-60% reduction
CBT identifying & challenge maladaptive thought
Antidepressant : increasing amount chemical messenger
CBT: Focuse identifying & challenging maladaptive
SIGN & SYMPTOM
COMMON OCD OBSESSION
Fear of contamination or dirt
Unwanted thoughts including aggresion or sexual or religious subjects
Aggressive or horrific thoughts about losing control and harming yourself or others
Needing things orderly and symmetrical
Doubting and having difficulty tolerating uncertainty
CLASSISFICATION OF OCD
Body dysmorphic d/o
Hoarding d/o
Trichotillomania(Hair pulling d/o)
Excoriation(Skin Picking d/o)
Substance/Medication Induced OCD
OCD related d/o Due to another medical condition
Other specified/unspecified OCD