Obsessive compulsive disorder ocd
Download
1 / 14

Obsessive Compulsive Disorder (OCD) - PowerPoint PPT Presentation


  • 95 Views
  • Uploaded on

Obsessive Compulsive Disorder (OCD). AHMAD ALHADI, MD Psychiatrist and Psychotherapist KSU, KKUH. O C D. Irresistible, Compelling Actions or mental acts Done in response to obsessions or according to rules …to reduce anxiety or prevent dreaded events or situations e.g. washing hands

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Obsessive Compulsive Disorder (OCD)' - varana


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Obsessive compulsive disorder ocd

Obsessive Compulsive Disorder (OCD)

AHMAD ALHADI, MD

Psychiatrist and Psychotherapist

KSU, KKUH


O c d
OCD

Irresistible, Compelling

Actions or mental

acts

Done in response to obsessions or according to rules …to reduce anxiety or prevent dreaded events or situations

e.g. washing hands

repeatedly

Compulsions

Own: thoughts,

Impulses, images

Intrusive, Insisting,Unwanted

Repetitive

Irrational

e.g. contaminated hands

  • Time–consuming

  • at least 1 h/ d

  • Functioning imp.

Disorder

Obsessions


Main themes of ocd
Main themes of OCD

**** sense of danger and/or responsibility.

  • Contamination  washing.

  • Pathological doubts  checking, e.g. repeating Ablution, prayers.

  • Intrusive thoughts (sexual or aggressive acts, divorce) mental acts

  • Symmetry  slowness

  • Hoarding


Associated features
Associated features

  • Excessive self blame & sense of responsibility

  • Feeling anxious OCD

  • Depressive feeling  OCD

  • OCPD


Epidemiology
Epidemiology

Males = Females

Lifetime prevalence = 2-3 %

Mean age of onset = 20 – 25 years


Etiology
Etiology

  • Serotonin

  • Genetic predisposition - ? OCPD

  • Debate about religious factors


Changes in cerebral glucose metabolic rate after treatment of obsessive compulsive disorder
Changes in Cerebral Glucose Metabolic Rate after Treatment of Obsessive-Compulsive Disorder

The PET scans show decreases in glucose metabolic activity in the orbitofrontal cortex and right caudate after both the behavioural therapy sessions and the

Fluoxetine treatment.

Jeffrey M, 1996


D d x
D of Obsessive-Compulsive DisorderD x

  • Anxiety, panic and phobia.

  • Depressive disorders.

  • Hypochondriasis

  • Schizophrenia.

  • Organic mental disorders e.g. PANDAS (Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections)

  • OCPD: perfectionism, orderliness …


Course
Course of Obsessive-Compulsive Disorder

Gradual > acute

Chronic

Waxing & waning


Prognosis
Prognosis of Obsessive-Compulsive Disorder

  • Non – severe

  • No OCPD

  • Depressed / anxious mood

  • Compliance with Tx

  • Family support

Good p. Factors


Treatment
Treatment of Obsessive-Compulsive Disorder

Pharmaco-behavioral:

  • Pharmacological:

    • SSRIs : Fluoxetine - Paroxetine

    • Clomipramine

  • Behavioral: exposure & response prevention

  • Others


Obsessive compulsive disorder ocd

Thank you of Obsessive-Compulsive Disorder