click below
click below
Normal Size Small Size show me how
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. |