J O U R N A L R E A D I N G

O B S E S S I V E - C O M P U L S I V E
D I S O R D E R
JILL N. FENSKE, MD, and KETTI PETERSEN, MD, University of Michigan Medical School, Ann Arbor, Michigan
Copyright © 2015 American Academy of Family Physicians

Tiara Muslimawaty | 201620401011089

INTRODUCTION
 Persistent ideas, thoughts, impulses, or images that are
experienced as inappropriate or intrusive and that cause anxiety
and distress

Repetitive behaviors or mental acts that are carried

out to reduce or prevent anxiety or distress

Obsessions & Compulsions

OCD consist of
Obsessive-Compulsive Disorder (OCD)

“A neuropsychiatric disorder characterized by recurrent

distressing thoughts and repetitive behaviors or mental rituals
performed to reduce anxiety”
EPIDEMIOLOGY
 COURSE
OF ILLNESS
COURSE OF
ILLNESS
THE COMMON SYMPTOMS OF OCD
PATHOGENESIS
 NEWEST
PAT H O G E N E S I S
DIAGNOSIS

• Presence of obsessions, compulsive, or both

• Time consuming (>1 hour per day) / cause impairment in social,
occupational
• Symptoms are not attributable to the physiological effects of
substances (ex : drug abuse) or another medical conditions
• The disturbance is not better explained by the symptoms of another
mental disorder (e.g., excessive worries, as in generalized anxiety
disorder; preoccupation with appearance, as in body dysmorphic
disorder , trichotilomania, etc)
INTIAL SCREENING QUESTIONS for OCD

If true OCD is suspected, the use of a few simple screening

questions can be helpful
TREATMENT

“It may take weeks to months

for these therapies to
become effective”
Y-BOCS-II
TREATMENT
SSRI COMMONLY USED TO TREAT OCD
TREATMENT
PSYCHOLOGICAL TREATMENTS
TREATMENT

PREGNANCY AND POSTPARTUM CHILDREN

ALGORITHM FOR TREATMENT OCD
THANK YOU!