Obsessive Compulsive Disorder

Obsessive-Compulsive Disorder: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate obsessive-compulsive disorder: Obsessive thoughts such as the danger of contamination (contamination thoughts: 50% of cases), contagion, poisoning, illness (pathological doubts: 42%; somatic obsessive fears: 33%), striving for symmetry (need for symmetry: 32%), order, etc. Compulsive acts – repetitive patterns of action – are motivated by the promise of … Obsessive-Compulsive Disorder: Symptoms, Complaints, Signs

Obsessive-Compulsive Disorder: Causes

Pathogenesis (development of disease) Etiopathogenetically, obsessive-compulsive disorder is most likely to have a multifactorial genesis. Biological, psychological, and external factors interact with each other. The underlying pathomechanism is probably based on disturbances in specific brain areas centered on the structure of the caudate nucleus (tail nucleus). Furthermore, an influence of polymorphisms (occurrence of so-called sequence … Obsessive-Compulsive Disorder: Causes

Obsessive-Compulsive Disorder: Therapy

General measures A detailed history (taking of medical history) and physical examination should be performed. Furthermore, a psychiatric presentation should be made to review/initiate the severity of illness, appropriate medication (drugs) or psychotherapeutic strategies, if necessary. Avoidance of psychosocial stress: Anxiety Possible therapeutic procedures Deep brain stimulation (THS; synonym: deep brain stimulation; English : deep … Obsessive-Compulsive Disorder: Therapy

Obsessive-Compulsive Disorder: Prevention

To prevent obsessive-compulsive disorder, attention must be paid to reducing individual risk factors. Disease-related risk factors Diet Eating disorders such as bulimia nervosa Psycho-social situation Anxiety disorders Personality disorders Depression Attention-deficit/hyperactivity syndrome Social behavior disorders Tics

Obsessive-Compulsive Disorder: Medical History

The medical history (history of illness) represents an important component in the diagnosis of obsessive-compulsive disorder. Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). In the past month, have you often felt down, sadly depressed, or hopeless? … Obsessive-Compulsive Disorder: Medical History

Obsessive-Compulsive Disorder: Or something else? Differential Diagnosis

Psyche – Nervous System (F00-F99; G00-G99). Anxiety disorders Depression Eating disorders Early childhood autism Hypochondria – excessive concern about one’s own state of health. Kleptomania (addiction to stealing) Inferiority Paraphilias (sexual deviance) – mental disorders that manifest as marked and recurrent sexually arousing fantasies, urges, sexual needs, or behaviors that deviate from the empirical “norm” … Obsessive-Compulsive Disorder: Or something else? Differential Diagnosis

Obsessive-Compulsive Disorder: Consequential Disorders

The following are the most important diseases or complications that may be contributed to by obsessive-compulsive disorder: Psyche – Nervous System (F00-F99; G00-G99). Alcohol abuse (alcohol dependence) Depression Loss of control Addictions, especially to medications (sleeping pills). Social withdrawal Further Limitation of the quality of life

Obsessive-Compulsive Disorder: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing) of the skin and mucous membranes. Auscultation (listening) of the heart Auscultation of the lungs Palpation (palpation) of the abdomen (abdomen), etc. Neurological examination [due todifferential diagnoses: Early childhood … Obsessive-Compulsive Disorder: Examination

Obsessive-Compulsive Disorder: Lab Test

There are no laboratory parameters that are mandatory to determine. If there is evidence of an organic cause, the appropriate laboratory tests are performed.

Obsessive-Compulsive Disorder: Drug Therapy

Therapy target Improvement of the symptomatology Therapy recommendations Monotherapy with drugs is indicated only if. Cognitive behavioral therapy (CBT) is rejected or, because of the severity of symptoms, no KVT can be performed KVT is not available because of long waiting times or lack of resources or So that the patient’s willingness to engage in … Obsessive-Compulsive Disorder: Drug Therapy

Obsessive-Compulsive Disorder: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, andobligate medical device diagnostics – for differential diagnostic clarification. Computed tomography (CT) of the skull (cranial CT, cranial CT or cCT) or magnetic resonance imaging (MRI) of the skull (cranial MRI, cranial MRI or cMRI) – first manifestation of … Obsessive-Compulsive Disorder: Diagnostic Tests