OCD

OCD-Management & prognosis

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 OCD-Management & prognosis Management: Pharmacotherapy: First Line – SSRIs and Clomipramine [adverse side effect profile] If first line fails then antipsychotics [Haloperidol, quetiapine, risperidone, olanzapine] Other Drugs [Venlafaxine, Lithium, valproate and carbamazepine] Psychotherapy: Cognitive Behavior therapy [Exposure & Response prevention] Desensitization, thought stopping, flooding and aversive conditioning Other T/T modalities – ECT, Psychosurgery [Cingulotomy, […]

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OCD-Etiology & Symptoms

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OCD-Etiology & Symptoms The etiology of OCD is: Serotonin dysregulation [Less evidence for Noradrenergic system] Cortico-striatal-thalamic-cortical circulatory path Prefrontal Cortex -> Striatum -> Thalamus -> Prefrontal Cortex Symptom patterns: Contamination-Washing behavior Pathological doubt-Compulsion of checking Intrusive thoughts-Intrusive Thoughts [sexual & aggressive] without an observable compulsion Symmetry-Need for Symmetry and precision. Compulsion of slowness

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OCD

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 OCD OCD is characterized by recurrent obsessive thoughts followed by compulsive acts Recurrent & Intrusive thoughts, images, impulses Recognizes as the product of their own mind Recognizes thoughts as Irrational & Senseless Ego dystonic – UNWANTED and UNACCEPTABLE Repetitive behaviors in response to obsession Done to reduce stress and anxiety Symptoms > 2 Weeks

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Defense mechanisms in psychiatric diseases

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 Defense mechanisms in psychiatric diseases OCD- Reaction formation Displacement Undoing Inhibition Phobia-Displacement & Inhibition Dissociative disorder-Dissociation Neurosis-Regression Delusion/hallucination-Projection Impulse Control Disorders-Acting out Borderline Personality Ds-Projecting Identification Substance Use Disorder-Rationalization

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