OCD & PTSD

What is OCD

A disorder in which distressing an unwanted thoughts lead to compulsive rituals that significantly interfere with daily functioning

what is obsessions

unwanted and upsetting thoughts or impulses

what is compulsions

irrational rituals that are repeated in an effort to control or neutralize the anxiety brought on by obsessional thoughts

DSM% criteria for OCD

How does OCD affect behavioral?

Learning & Prepared conditioning such as germs

How does OCD affect cognitive

Thought suppression & negative automatic thoughts

How does OCD affect Biological

• Genetics ,PANDA & Serotonin

What is PANDA

Pediatric, Autoimmune, Neuropsychiatric, Disorder, Associated, Step)

What are some OCD treatments

• Exposure and response prevention

• OCD- SSRi’s Benzodiazepines neuroleptics

• Cognitive behavior therapy

What is hoarding?

its more severe and is in 10 to 40% of people with OCD. Acquire to keep many possessions of useless or limited value and have a emotional attachment to possessions

How is hoarding dangerous?

Because it impacts living space causing clutter and interferes with normal activity & can be hazardous to the life of the person

what are the Defining features of body dysmorphic disorder

• Preoccupation with imagines defict in appearance

• Either fixation or avoidance of minors

• Sucidal ideation and behavior are common

• Often display ideas of references for imagined defect

What are the Facts & Stats of body dysmorphic disorder

• Seen equally in males and females

• Onset usually in early 20s

• most remain single and many seek out plastic surgeons

• Usually runs a lifelong chronic course

What is new to the DSM

Hoarding

What cognitive-behavioral technique used to treat body dysmorphic disorder involves confronting a frightening thought or situation without engaging in anxiety-reducing behaviors?

exposure and response prevention

Media literacy training might be part of a treatment package for

body dysmorphic disorder

How is acute stress disorder (ASD) different from posttraumatic stress disorder (PTSD)?

ASD symptoms last for 2 days to one month, whereas PTSD symptoms last longer than one month

The DSM currently classifies Trichotillomania as

A disorder related to OCD

DSM5 Criteria of BDD

• Preoccupation with one of more perceived deficits in physical appearance that are not observable or appear sign to others

• At some point, the individual has performed receptive behaviors (EX: mirror checking, excessive grooming, skin picking, reassurance seeking) or mental acts (Ex. comparing appearance with others in response In the appearance concerns.

• Clinically significant impairment

• Rule out eating disorders

what are the BDD etiology?

• Biological

• Sociocultural

• Cognitive

What are the BDD treatment

• Exposure and response prevention

• Cognitive behavior therapy

• Media literacy training

• SSRI’s

What is Posttraumatic and Acute Stress Disorder

Trauma

• An emotionally overwhelming experience in which there is a real or perceived possibility of death or serious injury to oneself or a loved one

What are the 3 main PTSD?

Sexual Assault, Witnessing Genocide, Victim of war

What is acute stress disorder

Significant post traumatic anxiety symptoms that occurs within one month of a traumatic experience

What is PTSD

Significant post-traumatic anxiety symptoms occurring more than one month after a traumatic experience

What are some experiences of PTSD

• Exposure to a traumatic event

• Intrusion- Recurrent reexperience of events

• Avoidance- of thoughts, feelings, or reminders of the trauma

• Negative cognitions or mood (survivors guilt)

• Arousal and reactivity

• Clinically significant impairment

• Flashbacks

PTSD Risk factor

• Female

• Family History

• Low social support

• Neuroticism

• Cortisol

PTSD Treatment

• Medication- SSRIs,Wellbutrin (bupropion)

• Prolonged imaginal exposure (Therapist's office, describe in vivid detail of traumatic situation Desensitization)

• Cognitive therapy

PTSD techniques

• Crisis intervention

• Psychological debriefing

Connection between Mind and Body

• HPA axis (hypothalamic, pituitary, Adrenal)

• Brain changes in PTSD

• Brain changes after behavioral intervention for OCD