OCD Management and Referral
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Questions and Answers

What is the initial management of PTSD according to NICE guidelines?

Watchful waiting for the first month after a traumatic event, with or without sleep hygiene, peer support, and using friends and family as support.

What is the first line of treatment for PTSD?

Psychological therapies, specifically trauma-focused CBT and eye movement desensitisation and reprocessing (EMDR).

What are the characteristics of an obsession in OCD?

An unwanted, intrusive thought, urge, or image that repeatedly enters a person's mind, often linked to fear of harm or contamination.

How do compulsive behaviours manifest in OCD?

<p>They can be overt (observable by others) or covert (hidden), and may include repetitive actions, thoughts, or mental acts aimed at reducing anxiety.</p> Signup and view all the answers

What is the impact of OCD on daily life?

<p>OCD can cause significant distress, impair function, and consume a substantial amount of time, making everyday activities challenging.</p> Signup and view all the answers

What is the comorbidity pattern often seen in OCD?

<p>OCD often co-occurs with anxiety disorders, depression, and other mental health conditions.</p> Signup and view all the answers

Under what circumstances should a person with OCD be referred to a specialist?

<p>for individuals with severe impairment; if primary care management is ineffective</p> Signup and view all the answers

What is the recommended therapy for individuals with mild functional impairment due to OCD?

<p>refer for CBT with exposure and response prevention (ERP); maybe ‘low-intensity’ therapy</p> Signup and view all the answers

What is the primary medication used to treat OCD?

<p>Selective Serotonin Reuptake Inhibitors (SSRIs)</p> Signup and view all the answers

What is the primary characteristic of Body Dysmorphic Disorder (BDD)?

<p>preoccupation with an imagined defect in one's appearance</p> Signup and view all the answers

What are some common signs of Body Dysmorphic Disorder (BDD)?

<p>Time-consuming behaviours, e.g.mirror gazing; comparing body features with others; excessive camouflaging to conceal the defect.</p> Signup and view all the answers

When should healthcare providers consider Body Dysmorphic Disorder (BDD)?

<p>in individuals seeking dermatology/cosmetic surgery referral for minor problems, or those with severe distress and repeated attendances for minor blemishes</p> Signup and view all the answers

What is the purpose of NICE's 6 screening questions?

<p>To identify potential OCD symptoms and explore further if any of the answers are yes.</p> Signup and view all the answers

What is required for the diagnosis of OCD according to DSM-5?

<p>Obsessions and compulsions must be time-consuming (take more than one hour per day) or cause significant distress or impair function.</p> Signup and view all the answers

How do obsessions and compulsions affect daily activities?

<p>They can take a long time to finish and cause significant distress.</p> Signup and view all the answers

What is important to assess in addition to OCD symptoms during the initial assessment?

<p>Comorbid mental health problems, physical symptoms, and the effects on family members.</p> Signup and view all the answers

Why is it essential to assess suicide and self-harm risk in OCD patients?

<p>Especially if the patient is depressed or experiencing high levels of distress.</p> Signup and view all the answers

What is the significance of safeguarding in OCD patients with intrusive or aggressive thoughts?

<p>It may trigger safeguarding issues, and therefore requires careful consideration.</p> Signup and view all the answers

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