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Obsessive Behavior


Presentation

  • The second dimension pertains to whether stimuli are presented imaginally or whether they occur in vivo (in real situations). In either case, the stimuli can be presented in intensive or gradual fashion.[apa.org]
  • If it is later in the day, perhaps they are at a friends houses playing; or, aunt Mary took them shopping for your Christmas present, birthday presents, school clothes, etc. Whatever makes sense to her (a normal activity at that time).[alzheimersreadingroom.com]
  • Schwartz presents a simple four-step method for overcoming OCD that is so effective, it's now used in academic treatment centers throughout the world.[amazon.com]
  • Luria, who early in the last century presented a case study of a newspaper reporter he identified only as S., who was so overwhelmed by the extent of his memory's capacity that he had lost any ability to make sense of it all.[articles.latimes.com]
Onychotillomania
  • Severe nail biting or nail picking (onychotillomania) can cause significant nail deformities (eg, washboard deformity, or habit-tic nails) and subungual hemorrhages.[merckmanuals.com]
Nail Deformity
  • Severe nail biting or nail picking (onychotillomania) can cause significant nail deformities (eg, washboard deformity, or habit-tic nails) and subungual hemorrhages.[merckmanuals.com]
Obsessive Behavior
  • Common Obsessive Behaviors Common obsessive behaviors, or compulsions, among people with OCD include: Repeatedly checking to make sure that doors and windows are locked or that appliances are turned off.[ocd.about.com]
  • I always replaced the obsessive behavior with constructive behavior. Once I was able to curtail the obsessive behavior enough. So if you can find something constructive to do instead, difficult to do at the time, it would help.[drugs-forum.com]
  • The lucky ones recognize obsessive behavior early and identify what it is that makes us obsessive. Most of us, however, get stuck in obsessive brains. We know that something is not right but we don’t know what.[bphope.com]
Dysarthria
  • R46.8 Other symptoms and signs involving appearance and behavior R46.81 Obsessive-compulsive behavior R46.89 Other symptoms and signs involving appearance and behavior R47 Speech disturbances, not elsewhere classified R47.0 Dysphasia and aphasia R47.1 Dysarthria[icd10data.com]
Dysphasia and Aphasia
  • […] and aphasia R47.1 Dysarthria and anarthria R47.8 Other speech disturbances R47.82 Fluency disorder in conditions classified elsewhere R47.89 Other speech disturbances Reimbursement claims with a date of service on or after October 1, 2015 require the[icd10data.com]
Clumsiness

Treatment

  • treatment, post-treatment and 2 follow-up evaluations over 6 months.[clinicaltrials.gov]
  • Treatment Acceptability Overall, all 21 participants rated the treatment as “good” or “very good”. Nineteen of 21 participants found the treatment age-appropriate.[journals.plos.org]
  • The goal of exposure treatment is the elimination of maladaptive anxiety, intrusive obsessional thoughts, and associated ritualistic behaviors. Exposure treatments can be divided along two dimensions.[apa.org]
  • Let your doctor know about it and seek specific treatment. Management includes behavioral interventions and drug therapies. Each type of treatment may vary with the stage of disease, degree of cognitive impairment, and the severity of the symptom.[hddrugworks.org]

Prognosis

  • Eating disorders and OCD have many similarities, and the appropriate treatment of both conditions can help improve the prognosis for recovery.[eatingdisorderhope.com]
  • There is not much research on the prognosis of PANDAS. Some children recover completely, while others have symptoms through adulthood. In some cases, treating the underlying strep infection will cause symptoms to go away.[goodtherapy.org]
  • Wewetzer C, Jans T, Müller B, Neudörfl A, Bücherl U, et al.. (2001) Long-term outcome and prognosis of obsessive-compulsive disorder with onset in childhood or adolescence. Eur Child Adolesc Psychiatry 10: 37–46. Available: Accessed 30 May 2012. 6.[journals.plos.org]
  • The comorbidity rate for OCD and ADHD has been reported as high as 51%. [107] Prognosis Quality of life is reduced across all domains in OCD.[en.wikipedia.org]

Etiology

  • Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'.[icd10data.com]
  • (See Etiology, History.) Once believed to be relatively rare in children and adolescents, OCD now is thought to affect as many as 2–3% of children.[emedicine.medscape.com]

Epidemiology

  • The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry . 1988 Dec. 45(12):1094-9. [Medline] . Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, et al.[emedicine.medscape.com]
  • The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15, 53-63. OCD has a wide range of varied symptom profiles.[ocdtypes.com]
  • Clinical Trials at NIMH/NIH Scientists at the NIMH campus conduct research on numerous areas of study, including cognition, genetics, epidemiology, brain imaging, and treatment development.[nimh.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Obsessive-Compulsive Disorder: Phenomenology, Pathophysiology and Treatment. Oxford University Press. Aoki, Y; Aoki, A; Suwa, H (14 August 2012).[en.wikipedia.org]

Prevention

  • Once the active treatment phase is completed, a maintenance phase involving response prevention activities can help prevent relapse.[apa.org]
  • The purpose of the behaviors or thoughts is to prevent or reduce distress, or prevent some feared event or situation. However, these behaviors or thoughts either are not connected to reality or clearly are extreme.[tourette.org]
  • Exposure and Response Prevention (ERP) behavior therapy, in which the patient is gradually exposed to the object or situation that causes anxiety and is taught to refrain from responding in a compulsive manner, is combined with family counseling (Family[clinicaltrials.gov]
  • They randomized 40 to the antipsychotic risperidone (brand name Risperdal), 20 to a placebo pill, and 40 to exposure and ritual prevention, a special form of C.B.T. delivered twice a week over eight weeks.[well.blogs.nytimes.com]

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