OCD and Compulsion Disorders

Obsessions

Recurrent and persistent thoughts, urges, or images that are unwanted and intrusive

Compulsions

Repetitive behaviors or mental acts that an individual feels driven or compelled to perform in response to an obsession or according to rules that must be applied rigidly

More common sex in ocd

Males

Diagnosing OCD

late childhood or adolescence; mixed obsession and compulsion usually; 1/3 of patients express stimulus triggers ritual and avoidance of the trigger will prevent or lessen the OCD symptom

Diagnosing OCD: Comorbidities

More common: tic disorders, MDD, developmental disabilities; Less common: specific phobia, ADHD, SAD

How is ASD differentiated from OCD

lack of ego dystonicity

Med for OCD

chlomipramine on label to 10yo; SSRIs sertraline, fluvoxamine, paroxetine

Body Dysmorphic Disorders: onset

2/3 of BDD is developed by age 18, onset is typical at age 12-13 yo; onset before 18 increases risk of suicide and comorbidities

Trichotillomania and Excoriation Disorders

can overlap with adhd (can be related to stimulant use)