Obsessive Compulsive Disorder

Obsessive Compulsive Disorder


OBSESSIVE COMPULSIVE DISORDER

FEATURES AND ASSESSMENT OF OBSESSIVE COMPULSIVE DISORDER

  • It is an anxiety disorder, characterised by recurrent obsessions or compulsions which cause marked distress and functional impairment.
  • It is a disorder of thought content.
  • In this, patients have insight about the illness but are unable to resist their actions.
  • Features of OCD are Ego-Alien(Ego Dystonic),Insight ,Failure to resist,Irrationale Thought,Persistence of idea.
  • Defence mechanism in OCD includes Repression,undoing and displacement
  • The range and severity of OCD symptoms is assessed by the Yale-Brown Obsessive Compulsive Scale.

CAUSE OF OBSESSIVE COMPULSIVE DISORDER

  • Abnormalities in serotonin (5-HT) neurotransmission in the brain are meaningfully involved in this disorder.
  • Area of brain involved in OCD is Basal Ganglia.

MANAGEMENT OF OBSESSIVE COMPULSIVE DISORDER

  • Combination of behaviour & drug therapy is the treatment of choice.
  • Behavioural Therapy includes particular forms of Cognitive behavior therapy (exposure and response prevention) .
  • First-line medicines for OCD are selective serotonin reuptake inhibitors (SSRIs; (fluoxetine, fluvoxamine, sertraline, paroxetine, citalopram, escitalopram) and clomipramine , a tricyclic antidepressant.
  • SSRIs are generally preferred over clomipramine, as their adverse effect profiles are less prominent.
  • In OCD treatment is based on Serotonergic receptor.
  • SSRIs help the condition by increasing the seratonin levels.
  • Clomipramine has the most specific seratoninergic effects among the Tricyclic Antidepressants (TCAs).
  • Other secondary medicines used are Carbamazepine,Lithim,etc .
  •  Drug of choice for OCD is SSRIs.
  • Selective serotonin reuptake inhibitors (SSRIs) are US-FDA approved drugs of first choice (line) for major Depression, Obscessive – compulsive disorder (OCD), Premenstrual dysphoric disorder, Post traumatic stress disorder (PTSD), Panic disorder, Eating disorder (bulimia nervosa), and Social phobia (social anxiety disorder).
  • Psychoanalytic psychotherapy is also used as a treatment modality in OCD.
  • Neurosurgery (anterior capsulotomy/cingulotomy, or deep brain stimulation), in extremely refractory cases.
Exam Question
 
  • It is a disorder of thought content.
  • Features of OCD are Ego-Alien(Ego Dystonic),Insight ,Failure to resist,Irrationale Thought,Persistence of idea.
  • Defence mechanism in OCD includes Repression,undoing and displacement.
  • Area of brain involved in OCD is Basal Ganglia.
  • Combination of behaviour & drug therapy is the treatment of choice.
  • Behavioural Therapy includes particular forms of Cognitive behavior therapy (exposure and response prevention) .
  • First-line medicines for OCD are selective serotonin reuptake inhibitors (SSRIs; (fluoxetine, fluvoxamine, sertraline, paroxetine, citalopram, escitalopram) and clomipramine , a tricyclic antidepressant.
  • In OCD treatment is based on Serotonergic receptor.
  • Other secondary medicines used are Carbamazepine,Lithim,etc .
  • Drug of choice for OCD is SSRIs.
  • Selective serotonin reuptake inhibitors (SSRIs) are US-FDA approved drugs of first choice (line) for Major Depression, Obscessive – compulsive disorder (OCD), Premenstrual dysphoric disorder, Post traumatic stress disorder (PTSD), Panic disorder, Eating disorder (bulimia nervosa), and Social phobia (social anxiety disorder).
  • Psychoanalytic psychotherapy is also used as a treatment modality in OCD.
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