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Obsessive compulsive spectrum disoder

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Santanu Ghosh
Santanu Ghosh
Health & Medicine
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0BSESSIVE COMPULSIVE SPECTRUM DISORDER Speaker: Dr. Santanu Ghosh Post Graduate Student , Moderator: Dr. Sabita Dihingia Asst. Professor, DEPARTMENT OF PSYCHIATRY,ASSAM MEDICAL COLLEGE
Outline of presentation: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INTRODUCTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd … ,[object Object],[object Object],[object Object]
CLASSIFICATION: ,[object Object],[object Object],[object Object],[object Object],17/10/10
Obsessive-compulsive – related disorder Ref: CTP 8 th ed Page: 2036
17/10/10 Compulsivity-impulsivity dimension CTP 8 th ed page-2036 B. Dimensional approach: Hypochondriasis Compulsive Body dysmorphic disorder Anorexia nervosa Impulsive Depersonalization disorder Tourette’s syndrome Trichotillomania Pathological gambling Sexual compulsion Impulsive personality disorder
Compulsivity-Impulsivity dimension: 17/10/10 Compulsivity/unipolar Mixed compulsive- impulsive&/or affective states Impulsivity/Bipolarity OCD/Major depression OCD with impulsive feature ICDs/Bipolar compulsive ICD, ICDs co morbid disorder with OCD,Bipolar II disorder
17/10/10 Compulsivity-unipolarity Impulsivity-bipolar Harm avoidant behavior. Harmful behavior. Presence of insight Lack of insight. Resistance to impulses & behavior. Little resistance to impulses & behavior. Absence of pleasure. Pleasurable feeling.
C. Based on Insight: ,[object Object],17/10/10 OCSD OCD INSIGHT -ve +ve Without Insight With Insight
Contd… ,[object Object],[object Object],[object Object],OCSD OCD INSIGHT +VE -VE Obsessive compulsive neurosis Obsessive compulsive psychosis
Obsessive compulsive disorder: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
17/10/10 OBSESSION RELIEF
Neurobiology of OCD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Fear or anxiety Nox ious or anxiety producing events
Psychodynamic theory: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Anal Sadistic Phase Obsessional personality trait Reaction Formation Anxiety related to oedipal complex Regression New Defense Isolation of Affects Obsessive Thoughts Undoing Displacement Compulsive Acts PHOBIA
Symptoms Patterns: ,[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Comorbid disorders : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Impulse-control Disorder: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Intermittent explosive behavior: ,[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KLEPTOMANIA: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pyromania: ,[object Object],[object Object],[object Object],[object Object],17/10/10
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathological gambling: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trichotillomania: ,[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other impulsive disorder: ,[object Object],[object Object],[object Object],[object Object]
Neurological disorder: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Sydenham’s chorea: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Torticollis(neck wry): ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],17/10/10
Autism: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Preoccupation with bodily sensation: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Hypochondriasis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],17/10/10
Body dysmorphic disorder: ,[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object]
Depersonalisation disorder: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Contd… ,[object Object],[object Object],[object Object],[object Object]
Current Nosological Status: ,[object Object],[object Object],[object Object],[object Object],17/10/10
Future Directions: ,[object Object],[object Object],17/10/10
CONCLUSION: Although obsessive compulsive disorder has been described since 15 th century, it was thought to be rare.OCD was often thought to be an affliction requiring religious intervention. The catholic church, labeled the condition ‘excessive scrupulosity’ when rituals & compulsions were exhibited by priest & parishioners. OCD is unique among anxiety disorder by appearing to be much more dominated by cognitive & related complex behavioral symptomatology with autonomic dysregulation playing little role.
Bibliography: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],17/10/10
Thank you 17/10/10

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Obsessive compulsive spectrum disoder

  • 1. 0BSESSIVE COMPULSIVE SPECTRUM DISORDER Speaker: Dr. Santanu Ghosh Post Graduate Student , Moderator: Dr. Sabita Dihingia Asst. Professor, DEPARTMENT OF PSYCHIATRY,ASSAM MEDICAL COLLEGE
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  • 6. Obsessive-compulsive – related disorder Ref: CTP 8 th ed Page: 2036
  • 7. 17/10/10 Compulsivity-impulsivity dimension CTP 8 th ed page-2036 B. Dimensional approach: Hypochondriasis Compulsive Body dysmorphic disorder Anorexia nervosa Impulsive Depersonalization disorder Tourette’s syndrome Trichotillomania Pathological gambling Sexual compulsion Impulsive personality disorder
  • 8. Compulsivity-Impulsivity dimension: 17/10/10 Compulsivity/unipolar Mixed compulsive- impulsive&/or affective states Impulsivity/Bipolarity OCD/Major depression OCD with impulsive feature ICDs/Bipolar compulsive ICD, ICDs co morbid disorder with OCD,Bipolar II disorder
  • 9. 17/10/10 Compulsivity-unipolarity Impulsivity-bipolar Harm avoidant behavior. Harmful behavior. Presence of insight Lack of insight. Resistance to impulses & behavior. Little resistance to impulses & behavior. Absence of pleasure. Pleasurable feeling.
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  • 66. CONCLUSION: Although obsessive compulsive disorder has been described since 15 th century, it was thought to be rare.OCD was often thought to be an affliction requiring religious intervention. The catholic church, labeled the condition ‘excessive scrupulosity’ when rituals & compulsions were exhibited by priest & parishioners. OCD is unique among anxiety disorder by appearing to be much more dominated by cognitive & related complex behavioral symptomatology with autonomic dysregulation playing little role.
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Editor's Notes

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