OCD

Anxiety and Depression

• Coexisting conditions: Depression (dysthymic disorder, pervasive depressive disorder) often accompanies anxiety.

Obsessive-Compulsive Personality Disorder (OCPD) vs. Obsessive-Compulsive Disorder (OCD)

• OCPD: Focus on perfection, process-oriented, may not complete tasks.
• OCD: Characterized by obsessions (persistent anxious thoughts) and compulsions (ritualistic actions to relieve anxiety).

PTSD (Post-Traumatic Stress Disorder)

• Occurs after exposure to trauma (physical abuse, accidents, military combat).
• Symptoms include anxiety, re-experiencing trauma, defensive behaviors.
• Types of PTSD: Acute, chronic, and delayed onset.

Treatment for PTSD

• Comprehensive treatment including crisis counseling and exposure therapy.
• Use of medications: SSRIs, benzodiazepines for short-term.
• Group therapy and support systems are crucial for recovery.

Acute Stress Disorder

• Symptoms occur within one month of trauma but are short-term and involve dissociation.

Anxiety Disorders Overview

• Major theories: Biological (neurotransmitters), genetic, psychosocial, behavioral responses.
• Treatment includes cognitive behavioral therapy (CBT), medications like SSRIs, benzodiazepines, and lifestyle changes.

Nursing Process in Managing Anxiety

• Assess subjective and objective signs of distress.
• Implement active listening, relaxation techniques, and promote safety.
• Assist with problem-solving without directly solving issues for the patient.

Medications for Anxiety and OCD

• Benzodiazepines: Short-term management; risk of addiction.
• SSRIs: First choice for anxiety disorders, minimal side effects; examples include Lexapro and Zoloft.
• Buspar: Long-term anxiety treatment.
• Propranolol: Effective for performance anxiety.

Importance of Support

• Building therapeutic relationships is essential for treatment success.
• Group therapy can aid in processing trauma and sharing experiences.