cid 127 Obsessions recurrent intrusive unwanted thoughts i e fear of contamination Compulsions behaviors or rituals aimed at reducing distress or preventing a dreadful event i e compulsive hand washing Repeated doubts checking requesting or demanding reassurances from others counting Common Obsessions Contamination cleaning hand washing showering cid 127 Order checking rituals counting Aggressive or horrific images checking prayers rituals Sexual pornographic imagery prayer rituals Scrupulosity Epidemiology of OCD Lifetime prevalence is 2 3 in the general population cid 127 Mean age of onset is mid twenties although men may develop symptoms earlier Less than 5 of patients develop disease after age of 35 years Chronic course stress can exacerbate symptoms OCD Treatment Serotonin reuptake inhibitors Clomipramine a serotonergic trisyclic antidepressant Psychotherapy exposure and response prevention 0 100 SUDS subjective units of distress 0 none 100 high anxiety Identify your 0 100 events 100 someone coughing near son 80 someone else holding son 60 others bring mud into home 45 entertaining guests 30 touching door handle Exposure to events sequentially Review thoughts OCD is not OCPD cid 127 OCD is different from obsessive compulsive personality disorder cid 127 OCPD a pervasive pattern of preoccupation with orderliness perfectionism and control that begins by early adulthood cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127
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