Obsessive Compulsive Disorder

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Transcript of Obsessive Compulsive Disorder

  • 1.Obsessive Compulsive Disorder: The Who, What and How of OCD

2. WHO CAN DEVELOP OCD? 3. Symptoms developing within their teenage years

  • Symptoms usually developing within their teens
  • Can effect family life
  • Grades
  • Retard Social Skills
  • Can start as young as toddlers
  • Can affect adults

4. 3% of the American population or an estimated 7 million people, between the ages of 15-30, suffer from Obsessive Compulsive Disorder

          • not a discriminating disorder.
          • crosses all socio-economic levels
          • where they live
          • age
          • affects men, women children equally
          • will affect 1 out of every 50-100 people within their lifetime
          • 80% will suffer from both obsessions and compulsions
          • 20% will have one or the other
          • ( www.athealth.com )

5. Understanding OCD is just thebeginning

  • OCD is the result of having two disorders in one:
  • An Obsession is having disturbing, recurrent and unwanted thoughts that are uncontrollable and unable to be suppressed which result in high anxiety for an individual.
  • a) may become worried about germs ordisease
  • b) worry about becoming violent or
  • aggressive
  • c) thoughts concerning religion
  • d) distasteful sexual thoughts
  • e) overly obsessed with order and symmetry.
  • (Brinkerhoff, pg.17)


  • In order to ease the anxiety associated with the obsessions ritualistic behaviors will manifest in compulsions.
  • A compulsion is the ritualistic behavior that is performed to ease the anxiety and usually mimicking the persons obsession.
  • (Brinkerhoff, pg.17)

7. Worry about germs or disease

  • Some may become worried about germs or disease
  • Washing their hands till raw and cracked
  • Constantly cleaning

8. Worry about becoming violent or aggressive 9. Thoughts concerning religion

  • Constant prayer
  • Reading of religious material
  • Surrounding of religious symbols

10. Distastefulsexual thoughts 11. Order and symmetry

  • Having to count things or repeat rituals before every task.
  • When they are interrupted they feel that they must start over again.
  • 1 2 3 4 5 6.
  • 1 2 3 4 5 6

12. They Know!!

  • Many sufferers of OCD know that their obsessions make no sense
  • no practical reason for them
  • based upon unfounded fears.
  • they cannot control these fears
  • These fears are completely valid to them
  • (American Family Physician, 2009)

13. 4 theories at the root cause ofOCD

  • an abnormality within the basil ganglia and the cingulum located within the frontal lobe.
  • Autoimmune Neurological Disorder
  • chemical imbalance within the nervous system
  • heredity
  • (Brinkerhoff, 2004, pg.26-28)
  • ( American Family Physician,2009)

14. Basil Ganglia

  • The basal ganglia are in control of routine behaviors, like grooming or brushing teeth.
  • The frontal lobe is in control of organizational behaviors and planning abilities.
  • ( www.mentalhealthchannel.net/ocd )

15. Cingulum

  • Cingulum which is located deep within brain near the frontal lobe.
  • The cingulum controls communication in the brains behavioral and emotional messages.
  • ( www.mentalhealthchannel.net/ocd )

16. Autoimmune Neurological Disorder

  • This theory links children and teenage OCD was reported by the National Institute of Mental Health
  • They linked similar childhood autoimmune diseases with the same symptoms as OCD.
  • Autonomic nervous system diseases
  • Degenerative nervous system diseases
  • Centralnervous system diseases
  • Headaches
  • Dementia
  • Language disorders
  • Perceptual disorders
  • Movementdisorders
  • Sleep disorders
  • ( www.mentalhealthchannel.net/ocd )

17. Chemical imbalance within the nervous system.

  • Research also found that too little activity of certain neurotransmitters was correlated to OCD.
  • Other behaviors related to chemical imbalance among OCD sufferers.
  • Depression
  • ADHD
  • Impulsive Behavior
  • (Fenske,J.,&Schwenk,T.,2009)

18. Heredity

  • Heredity plays a large part in OCD
  • OCD patients close family members had higher incidents of OCD
  • Other bipolar disorders
  • Panic attacks
  • Severe phobias
  • (Brinkerhoff, 2004, pg.26-28)
  • (Abramowitz,J.,Taylor,S.,&McKay,D.(2009)

19. Understand the Treatments

  • 80% of those treated within 8-10 week greatly improve
  • 20% drug therapy alone does not help
  • Daily use of drug therapy can last a lifetime
  • (Stewart .2004)
  • Psychotherapeutic medication or serotonin reuptake inhibitors (SRIs) has been extremely effective
  • Serotonin levels are increased reducing the obsessive thought patterns and compulsions

20. Cognitive-Behavioral Therapy

  • Cognitive-Behavioral Therapy (CBT) needs to be incorporated when meds do not work.
  • It internalizes a strategy to resist the onset of OCD.
  • It restructures behavioral patterns.
  • A patient is over exposed to the source of their anxiety to reduce their anxiety
  • reduce the persons ritualistic behavior
  • ( American Family Physician,2009)

21. Future Treatment Concerns

  • The future directions of OCD treatments have numerous barriers
  • Greatest concern is the lack of trained CBT therapists.
  • With few professionally trained CBT therapists pharmacotherapy is the main course of action.

22. 17 years

  • 17 yearsis the average time from their first symptoms to proper treatment that they
  • Limited exposure to a qualified psychotherapist resulting in limited success
  • Few professionally trained CBT therapists available
  • ( www.ocfoundation.org )

23. Role ofPsychologist

  • Doctors not to blame
  • The stigma that society has placed on OCD
  • Discover the cause of it
  • Course of treatment
  • psychologist beginning to be properly trained

24. Conclusion

  • Obsessive Compulsive Disorder can be devastating
  • It is not a preventable behavior
  • More research needs to be developed into the causes
  • The most important thing that needs to be realized is that OCD is treatable