OCD

OCD: What is the ICD-11 criteria for diagnosis?

• Presence of obsessions, compulsions, or both.

• Time-consuming (more than one hour a day) or causes significant impairment.

• Not attributed to another medical or mental disorder.

OCD: What is the DSM-V criteria for diagnosis?

• Presence of obsessions, compulsions, or both.

• Time-consuming or cause significant distress/impairment.

• Not attributable to another medical or mental disorder.

OCD: What are the clinical features?

• Obsessions: Intrusive, unwanted thoughts or images causing distress.

• Compulsions: Repetitive behaviours or mental acts aimed at reducing anxiety.

• Significant time investment and interference with daily life.

OCD: What is the management?

• Mild functional impairment→ CBT

• Moderate functional impairment→ SSRI

• Severe functional impairment→ CBT + SSRI

OCD: Which drugs are used for management?

SSRI’s for 12 months→ Escitalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline are all licensed for the treatment of OCD in adults