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NUR 114

OCD

QuestionAnswer
What are obsessions? unreasonable thoughts and fears
what are compulsions? repetitive behaviors thought to relieve anxiety about obsessions
children with OCD are associated with learning disorders, disruptive behavior, separation anxiety, school phobia, eating disorders
adults with OCD are associated with depression, social phobia, panic disorder, GAD, eating disorders
DSM-V requirements for OCD diagnosis -either obsessions or compulsions or both -pt may not realize O/C are unreasonable -O/C interfere with social/ occupational functioning
DSM-V obsession criteria -recurrent, persistent and unwelcome thoughts/impulses that cause distress -usually pt will try to ignore/suppress
DSM-V compulsion criteria -repetitive behavior the pt feels driven to perform - tries to relieve anxiety of obsessions through actions
does engaging in compulsions bring pleasure to the pt? NO, and it may only temporarily relieve anxiety
is OCD a chronic or acute disorder? CHRONIC! it can sometimes be so severe and time-consuming that it becomes disabling
when a pts stress is worse, what happens to their OCD symptoms? they get worse as well
when does OCD typically begin? adolescence or early adulthood
causes of OCD Genetics, environment, and life circumstances (STRESS IS A TRIGGER!!!!!)
What medication is used to tread OCD? SSRIs (may have to go through trial and error to see which works best)
How long until pharmalogic therapy improves symptoms? weeks to months
What is ERT? exposure and response therapy
purpose of ERT pt is deliberately and voluntarily exposed to feared object or idea and discouraged from carrying out the usual compulsive response
expected outcome of ERT pt gradually experiences less anxiety around feared obj/idea
What is CBT? cognitive behavioral therapy
purpose of CBT focus on identifying negative or false beliefs and restructuring or testing them
best practice with OCD treatment both medication and behavioral therapy
Created by: ginnyfoscue
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