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19 Cards in this Set

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