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Obsessive-Compulsive Disorder (OCD)

In this Picmonic, let’s recall obsessive-compulsive disorder, or OCD, by this scene of the TV with OCD-tiles. Patients with OCD experience repetitive and intrusive thoughts, shown by the repetitive and intrusive thought-bubble. These are known as obsessions, and these obsessions can usually only be suppressed by thoughts or actions called compulsions, shown by the suppressing thought-bubble with the desired action. For example, if the patient is worried about having germs on their hands, he or she may wash their hands excessively to alleviate the anxiety stemming from their intrusive thoughts about germs. These obsessions and compulsions often interfere with daily functioning, shown by the broken daily functions, as the individual can spend large amounts of time carrying out their compulsions. Although compulsions may be obvious to others, patients with OCD may or may not be aware that they are performing an action or activity repeatedly, shown by the anxious character, both aware and unaware that his actions are affecting his daily life. Interventions used in the treatment or management of OCD include cognitive behavioral therapy (CBT), which helps patients to restructure maladaptive thoughts. There are other behavioral interventions such as limiting time for rituals, systematic desensitization - which involves gradually exposing a patient to an anxiety-provoking stimulus while they are in a relaxed state - and flooding, whereby the patient is exposed to the anxiety-provoking stimulus for a prolonged period of time to ultimately reduce pathologic feelings towards it. Medication therapy for OCD includes first-line treatment with selective serotonin reuptake inhibitors, or SSRIs, shown by the selective silver-tonic re-uptake tube with inhibiting-chains. Other drugs include clomipramine, a tricyclic antidepressant, shown by the clam-map-ramen, and venlafaxine, the vanilla-fax, which is a serotonin-norepinephrine reuptake inhibitor that can also improve symptoms of OCD. &nbsp;So, let’s remember that patients with OCD experience high levels of anxiety via repetitive and intrusive thoughts that can only be suppressed by thoughts or actions called compulsions which may interfere with daily functioning despite a potential lack of awareness by the afflicted patient. OCD interventions include cognitive behavioral therapy as well as drug therapy comprised of SSRIs, clomipramine, or venlafaxine.

educational

story

ocd tiles.png

title ocd.png

OCD-tiles

OCD and Related Disorders

Obsessive Compulsive Disorder (OCD)

Obsessive-compulsive disorder

Assessment

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Repetitive and Intrusive Thought-bubble

Repetitive and Intrusive Thoughts

Which of the following is features is best associated with obessive compulsive disorder (OCD)?

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Suppressed by Thought-bubble with Action

Suppressed by Thought or Action

Which of the following characteristics is most likely associated with the obsessions in obsessive compulsive disorder (OCD)?

broken daily functions.png

Broken Daily Functions

Interferes with Daily Functioning

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Aware or Unaware

May or May Not Be Aware

Which of the following characteristics is most likely associated with obsessive compulsive disorder (OCD)?

Interventions

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Selective Silver-tonic Reuptake Tube with Inhibiting-Chains

Selective Serotonin Reuptake Inhibitors (SSRIs)

Which of the following interventions is most useful for a patient with obsessive compulsive disorder (OCD)?

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Cog Behavioral Therapist

Cognitive Behavioral Therapy (CBT)

Which of the following has demonstrated the most efficacy in the treatment of a patient with obsessive-compulsive disorder (OCD)?

vanilla fax.png

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Vanilla-fax

Venlafaxine

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Clam-map-ramen

Clomipramine

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We added the following facts to this Picmonic: Cognitive Behavioral Therapy (CBT), Clomipramine, and Venlafaxine.

For obsessive-compulsive disorder, think of these OCD-tiles, and this guy with OCD has an obsession with sorting the tiles by color, and this obsession gives him anxiety, so when he sees disorganized tiles he feels a compulsion to sort them in order to find relief. His thoughts became intrusive, forcing their way into his mind, repeating over and over again. Sort the tiles, sort the tiles. These thoughts could only be suppressed, or hushed, by thoughts or actions involving the sorting of these tiles. The man was so obsessed, it started interfering with his daily life.&nbsp;He stopped paying attention to his girlfriend. He stopped going to school. &nbsp;He even stopped going out during the day entirely. Sometimes, he was perfectly aware of how this disorder was affecting his life and he would cower beneath the window. Other times, he was blissfully unaware.&nbsp;Lucky for him, his he sought out help from a cognitive behavior therapist. &nbsp;She used her cogs to create a new game,&nbsp;a selective silver-tonic reuptake inhibitor game. It lets him select bottles of silver tonic like one of those claw machines where you win stuffed animals, but this one increases the availability of serotonin, which helps ease his nerves. Then he won a bigger prize, a clam-map with ramen noodles. It led him to a calmer mind and inner peace. He was so happy with his new found happiness that he told everyone he knew by sending vanilla-faxes. I guess you can say his life is sweet as a vanilla bean now.

Compulsions and rituals will be stopped immediately as soon as they are observed.

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