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Obsessive-Compulsive Disorder (OCD)

Amar Kapur, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • An anxiety disorder characterized by pathologic obsessions (recurrent intrusive thoughts, ideas, or images) and compulsions (repetitive, ritualistic behaviors or mental acts) causing...

DIAGNOSIS

HISTORY

  • Patient presents with either obsessions or compulsions, which cause marked distress, are time-consuming (>1 hr/day) and cause significant occupational/social impairment.

  • Four criter...

TREATMENT

GENERAL MEASURES

  • Cognitive-behavioral therapy (CBT) composed of exposure with response prevention and cognitive therapy is recommended as first-line treatment (1)[A].

  • Five phases of treatment ...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Y-BCOS or MOCI surveys to track progress 

Patient Monitoring

Monitor for decrease in obsessions and time spent performing compulsions. 

DIET

No dietary modifications/...

REFERENCES

1
Skarphedinsson G, Weidle B, Thomsen PH, et al. Continued cognitive-behavior therapy versus sertraline for children and adolescents with obsessive–compulsive disorder that were non-responde...

ADDITIONAL READING

Kakhi S, Soomro GM. Obsessive compulsive disorder in children and adolescents: duration of maintenance drug treatment. BMJ Clin Evid.  2015;2015:1019. [View Abstract on OvidMe...

CODES

ICD10

  • F42 Obsessive-compulsive disorder

  • F63.9 Impulse disorder, unspecified

  • F63.3 Trichotillomania

  • F63.0 Pathological gambling

  • F63.89 Other impulse disorders

ICD9

  • 300.3 Obsessive-compulsive disorders

  • 31...

CLINICAL PEARLS

  • CBT is the initial treatment of choice for mild OCD.

  • CBT plus an SSRI or an SSRI alone is the treatment choice for more severe OCD.

  • The majority of patients with OCD respond to first SSR...

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