The symptoms of Obsessive-Compulsive Disorder.
1. Explain the symptoms of Obsessive-Compulsive Disorder. What is an obsession? What is a compulsion? How do they differ, and how are they related to each other in regard to OCD?
2. People frequently mistakenly use the diagnoses of Obsessive-Compulsive Disorder and Obsessive-Compulsive Personality Disorder interchangeably. They are not the same. There are significant differences between them; in fact they are completely distinct disorders that have almost nothing in common except the names. Explain the difference between OCD and Obsessive-Compulsive Personality Disorder.
3. The Veale article connects obsessions and compulsions to some paraphilic or sexually offending behavior. What connection does the Veale article make?
Case Study. 50 year old female
Reading: Sexual Obsessions in OCD: How Sexual Obsessions Differ From Sexual Fantasies
Case study: OCD and sexual obsessions.
1. Present the facts of the case to the Board. The Who, What, Why, When, Where, How, etc. of the case. Explain it as if you are explaining it to someone who has not read the case.
2. What are the obsessions? Identify them and explain why they are obsessions. What are the compulsions? Identify them and explain why they are compulsions.
3. I have worked with clinically with a case of OCD, in which the patient had very bizarre obsessions which involved guilt, and which were so bizarre that I sometimes wondered if it was a delusion (thus psychosis, not OCD) and not an obsession. The article âSexual Obsessions in OCDâ mentions this distinction. How do you differentiate a delusion from an obsession, even if the obsession is quite bizarre? (this is a bit of a trick question that you may have to reason out)
Sample Solution
Symptoms of Obsessive-Compulsive Disorder (OCD)
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by intrusive and unwanted thoughts (obsessions) and repetitive behaviors (compulsions). People with OCD may feel compelled to perform these behaviors in order to reduce their anxiety or distress.
Obsessions are recurrent and unwanted thoughts, images, or urges that cause anxiety or distress. The person with OCD may try to resist or suppress the obsessions, but this is often difficult or impossible. Some common obsessions include:
- Fear of contamination
- Fear of harm to themselves or others
- Fear of losing control
Full Answer Section
- Fear of making mistakes
- Ordering and symmetry obsessions
- Excessive washing or cleaning
- Checking rituals
- Repeating words or phrases
- Mental rituals
- Arranging and ordering
- Difference between OCD and Obsessive-Compulsive Personality Disorder (OCPD)
Characteristic | OCD | OCPD |
Nature of thoughts | Intrusive and unwanted | Rigid and inflexible |
Ego-dystonic | Yes | No |
Associated with anxiety | Yes | Not necessarily |
Impact on functioning | Can be severe | Can be mild to moderate |
Treatment | CBT and/or medication | Psychotherapy |
- Connection between OCD and Paraphilic or Sexually Offending Behavior
- People with OCD may have intrusive thoughts about sex, which can lead to anxiety and distress.
- People with OCD may feel compelled to engage in repetitive behaviors, which could include sexually deviant acts.
- People with OCD may have difficulty controlling their impulses, which could increase their risk of engaging in sexually deviant acts.