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Test1_Chapter 6B
OCD
Question | Answer |
---|---|
Obsessions | 1. Recurrent intrusive thoughts 2. Not excessive worry 3. Attempt to suppress these thoughts 4. Product of ones own mind |
Compulsions | 1. Repetitive purposeful behaviour in response to obsession 2. designed to prevent/neutralize discomfort |
Fear Circuitry | amygdala, hippocampus, medial prefontal cortex Involved in Anxiety Disorders |
Frontal Striatal Circuity | involved in OCD. Orbitofrontal cortex, caudate nuclei, thalamus |
OCD | Recognition that obsessions or compulsions are unreasonable. Distress and interference 1 hour a day Various other exclusion criteria |
OCD differs from Schizophrenia | in that the thoughts/impulses are recognized to be a product of ones own mind. <recognition that seperates them from delusion |
OCD | onset late teens, early 20's |
OCD Biology | runs in families, linked to epilepsy/trauma, associated with movement disorders (tourettes), VARIATIONS in GLUTAMATE and 5HT genes |
Three types of OCD | Preoccupations/bodily sensations disorders Impulsive disorders Neurological disorders |
OCD Neurochemical model | Serotonin (depressives symptoms, lack of certainty), Dopamine (Obsessions and compulsions), Norepinephrine (involved in anxiety, stress response) |
OCD behavioural model | Learning Aspects: -Trigger fears -Generalization -Avoidance learning response substitution -Development of rituals -Prevention of new learning |
Symbolic undoing | Experience-- Guilt-- Symbolic substitution-- Undoing act-- Compulsive act |
OCD family factors | highly verbal, etiquette important, social isolation and withdrawal, emphasis on cleanliness, instrumental morality |
OCD cognitive model | Over importance of thoughts and need to control thoughts, oversetimation of threat and lack of tolerance for uncertainty. Excessive responsibility, perfectionism, lack of tolerance for emotional discomfort. |
SSRI's for OCD treatment | (40% non responders)- 60% moderate improvement at best. Frequent relapse |
Surgery for OCD treatment | Cingulotomy or capsuotomy, Infrequent (last resort), 25-30% experience improvement |
ERP (exposure response prevention) for OCD treatment | 1. Expose to fear stimuli---> 2. Prevent response---> 3. Wait for anxiety to reduce ---> 4. notice the anxiety reduction. Most effective treatment, 70-80% maintain gains, benefits persists 6 years. |