Obsessive compulsive disorder (O.C.D) incidence to general population varies from 2 to 3 percent. In this condition the characteristic features are obsessional thinking accompanied by compulsions, the patient experiences these as involuntary and senseless condition. Aetiology of the condition is not certain.
Hereditary factor is strong since a number of parents of such patients and a fifth of their brothers and sisters have shown pronounced traits.Most of such people who show these traits are morose, obstinate, and irritable and have vacillating type of personality since their childhood.
The influence of strict and over conscientious parents cannot be minimized since it plays an important part in the future development of the child. Clinically suffers from Obsessive compulsive disorder have this condition with a situation like fears of germs or contaminants.
Impulses are often of aggressive character, Phobias are closely bound with these. They may ruminate in the form of endless questioning or search. Some of them are repeating action like washing of hands repeatedly or repeated checking to be assured that something was done correctly.
Obsession patients in most cases are depressed and this is coupled with anxiety. The usually begins in adulthood round about the age of 25 years.
Treatment of Obsessive compulsive disorder
It primarily consists of cognitive behavioral therapy (CBT). Clomipramine is the drug of choice. Its beneficial effects may be delayed for 6 to 8 weeks. Other drugs like Fluoxetine, Paroxetine and Sertaline are also beneficial.
Diagnostic criteria for obsessive compulsive disorder
A. Either obsessions or compulsions
(a) Recurrent and persistent ideas, thoughts, impulses or images.
(b) Person attempts to ignore or suppress such thoughts or impulses but soon recognizes that the obsessions are the product of his or her own mind.
(a) Repetitive, purposeful and intentional behavior performed in response to an obsession.
(b) Behavior designed to neutralize or prevent discomfort. The person may recognize that his or her behavior is excessive or unreasonable.
DIAGNOSTIC CRITERIA FOR Obsessive compulsive disorder
1. Experience of a traumatic event outside the range of usual experience.
2. Recurrent and persistent re-experience of the event.
3, Persistent avoidance of stimuli associated with trauma.
4. Persistent symptoms of increased arousal (difficulty falling or staying asleep.
Difficulty in concentration, hype vigilance.
1. Exaggerated startle response.
2. Duration of symptoms at least of one month.
3. Obsessions or compulsions cause marked distress or interfere significantly with the person’s normal routine / occupation.
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