Obsessive-Compulsive And Other Related Disorders - Spk

Front 1

Define obsession?

Back 1

Recurrent intrusive thought, feeling, idea, or sensation. In contrast to an obsession, which is a mental event, compulsion is a behaviour.

Front 2

How does an OCD patient experience the rationality of their obsessions and compulsions?

Back 2

They realise they are irrational and are unwanted behaviours.

Front 3

To a person with OCD the purpose of a compulsive act is to…

Back 3

To reduce anxiety in relation to an obsession, however it does not always succeed in doing so.

Front 4

what intensity specifier relates to the extent to which a patient believes their beliefs are true?

Back 4

Good or fair insight, poor insight, or absent insight.

Front 5

What are the 4 main symptom patterns in OCD

Back 5

Pathological doubt
intrusive thoughts
contamination
symmetry

Front 6

The OCD contamination pattern is characterised by what?

Back 6

An obsession with contamination followed by washing or compulsive avoidance of a presumably contaminated object. The feared object is often difficult to avoid, and contamination is spread from object to object by the slightest contact.

Front 7

The OCD pathological doubt pattern is characterised by what?

Back 7

An obsession of doubt commonly followed by compulsion of checking. Typically the obsession implies some danger of violence.

Front 8

The OCD intrusive thoughts pattern is characterised by what?

Back 8

Intrusive obsessional thoughts but no compulsion, such obsessions are usually repetitious thoughts of a sexual or aggressive act that is reprehensible to the patient.

Front 9

The OCD symmetry pattern is characterised by what?

Back 9

The need for symmetry or precision that can lead to a compulsion of slowness. Patients can take hours to eat a meal or shave.

Front 10

The OCD pattern of other symptoms, usually consists of what?

Back 10

Religious obsessions and compulsive hoarding are common in patients with OCD. Here pulling in nailbiting can also be found, and occasionally compulsive masturbation.

Front 11

Obsessions are defined by what 2 characteristics in criterion A obsessive-compulsive disorder?

Back 11

1, Recurrent and persistent thoughts, urges or images that are intrusive and unwanted, and cause anxiety or distress.

2, attempts to ignore or suppress the thoughts, or to neutralise with some other thought or action, such as performing a compulsion.

Front 12

In OCD compulsions are defined by what 2 characteristics?

Back 12

1, Repetitive behaviours or mental acts that individual feels driven to perform in response to an obsession, or according to rules that must be applied rigidly.
2, the behaviours or mental acts are aimed at preventing or reducing anxiety or distress, or some dreaded event. Despite these acts being unconnected with what they are designed to prevent.

Front 13

Criterion B for OCD describes the functional impairment required for a diagnosis, what are the 2 components of this functional impairment?

Back 13

That the obsessions or compulsions are time-consuming, and cause clinically significant distress.

Front 14

How might the presentation of OCD in youth be different to that of adults?

Back 14

Adolescents and children with OCD more often consider obsessional thoughts and repetitive behaviours to be reasonable. i.e. have poor insight specifier.

Front 15

Criterion B for OCD provides an indicative time for how long obsessions and compulsions might occupy during the day, what is it?

Back 15

One hour a day. Notably the client may not always see this time as wasted, for instance, time spent in cleaning/checking might be seen as necessary.

Front 16

What other disorder is commonly comorbid with OCD?

Back 16

Major depression occurring in two thirds of patients.

Front 17

What type of patient does the tic specifier typically described?

Back 17

Patient with early onset OCD, typically male. Especially likely to obsess over issues of exactness and symmetry; compulsions concern ordering and arranging things.