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19 Cards in this Set
- Front
- Back
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OCD
What are the defining features of ocd? |
ibsessions or compulsions
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what is the prevalence?
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2.5% lifetime prevalence
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what is the onset and course of ocd?
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late teens/early 20s
chronic course |
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what are the most common rituals of ocd?
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checking and cleaning
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what other disorders are associated with ocd?
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depression
other anxiety do sleep disturbance eating do tourettes |
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what are the types of obsessions?
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contamination 55
concerns of harming self or others 50 somatic converns 37 somatic concerns 35 sexual concerns 32 |
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what are the types of compulsions?
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cleaning or washing
checking counting repeating touching neutralizing thoughts |
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what medicines are for ocd?
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clomipramine
SSRIs- fluxoetine, fluvoamine, setraline |
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what are some psychosocial treatments?
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exposure and reexposure prevention ERP
cognitive therapy Combined med + ERP |
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why don't use drugs?
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most patients don't benefit
residual symptoms from med side effects high relapse rates ocd mostly psychological |
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what are the psychological factors of ocd?
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cognitive appraisal of intrusixe thots- overestimate danger, inflate personal respsonibility, thought-action fusion
thought suppresion cognitive deficits in selective attention |
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what is the treatment of ocd based on and what does it look at?
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behavioral model
role of conditioning- classically condition fear of own thots, neg reinforcement maintains compulsive behaviors ERP |
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what are the cognitive factors of ocd?
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overestimate importance of thots
perfectionism overinterpret threat consequences of anxiety - anxiety will prevent from functioning |
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general plan of treatment? 8
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assessment
socialization to tx build motivation realxation training exposure response prevention cognitive restructuring relapse prevention |
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what are some important areas of ocd assessment- find out about?
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obsessions - external and internal fear cues and consequences
avoidance patterns- rituals, real bt avoidance patterns and fear cues |
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what are the guidelines for imaginal scene exposure?
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should be 45 min long
present 6 scenes of gradually increasing anxiety include external stimuli |
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common difficulties during ERP?
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non compliance
continued passive avoidance arguing emotional overload family reactions |
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outcomes for ERP
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83% response rate at posttreatment
76% 9 months later at followup mean symptom reduction 46% |
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what determines treatment outcome?
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what kind of personality do
OCD severity pretreatment depression outcome expectancies compliance with treatment strength of beliefe in harm |
