OCD

OCD

DSM-5 categories of OCD
1. repetitive behaviour plus obsessive thinking
  1. OCD
    1. obsessions (recurring thoughts) and/or compulsions (repetitive behaviours)
      1. trichotillomania - hair pulling
      2. excoriation - compulsive skin picking
      3. obsession = takes place in the mind
      4. compulsions = something you do
  2. hoarding disorder
    1. compulsive gathering, inability to part with anything regardless of worth
behavioural characteristics
1. compulsions
  1. compulsions are repetitive
    1. compelled to repeat behaviour
  2. compulsions reduce anxiety
    1. no obsessions just a general sense of irrational anxiety
    2. hand washing - a response to reduce anxiety of germs
2. avoidance
  1. avoiding the phobic stimulus
    1. reduces anxiety
emotional characteristics
1. anxiety & distress
  1. powerful anxiety that accompanies obsessions and compulsions
  2. frightening, anxiety can be overwhelming
  3. the compulsion creates the anxiety
2. accompanying depression
  1. low mood
  2. lack of enjoyment for life
  3. compulsions bring relief (short term)
3. guilt & disgust
  1. irrational guilt
    1. over minor issues
  2. directed externally of internally
cognitive characteristics
1. obsessive thoughts
  1. recur over and over again
    1. always unpleasant
2. strategies to deal with obsessions
  1. religious person may pray/ meditate
    1. manage anxiety
    2. may make the person seem abnormal
    3. distracting from everyday life
3. insight into excessive anxiety
  1. aware thought are irrational
    1. necessary for diagnosis
  2. catastrophic thoughts
    1. worst case scenarios
    2. maintain constant awareness
      1. focused on potential hazards
cycle of OCD
1. -> obsessive thought -> anxiety -> compulsive behaviours -> temporary relief ->

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