PSYCH 2AP3 Lecture Notes - Lecture 8: Body Dysmorphic Disorder, Trichotillomania, Hand Washing

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Used to part of anxiety disorders category; got its own category in dsm-5. Obsession: persistent, intrusive thoughts, urges or images that cause anxiety or distress in most individuals, and that the individual tries to ignore, suppress, or neutralize. Compulsion: repetitive behaviour or thoughts individual compelled to perform in response to an obsession or according to rigid rules. Hand washing, checking and rechecking, counting, organizing and ordering, repeating words silently. Also exhibited by people w/out ocd, but is just cautionary. O/c takes more than 1hr/day, or cause clinically significant impairment. Not due to a substance, or another medical condition. Disturbance not better explained by symptoms of another mental disorder. Usually starts in adolescence, early adulthood (can begin in childhood) For childhood ocd, male : female ratio 3;1. 10x more common in ocd individuals than in general pop. 33% of ocd patients have mdd when evaluated. Difficulty leads to anxiety, which causes more difficulty.

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