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Real Doctors (Life Makers)  |  Clinical  |  Psychiatry , Pyschology and Behavioral Medicine  |  OCD Obssesive Compulsive Disorder « previous next »
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musheera
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OCD Obssesive Compulsive Disorder
« on: /September/ 30, 2005, 10:46:02 AM »

Obsessions are defined as recurrent, persistent thoughts, images, or impulses that are experienced as intrusive and inappropriate
Compulsions are repetitive behaviors (e.g., checking locked doors or gas jets, handwashing) or mental acts (e.g., counting, repeating words) that the person feels driven to perform in response to an obsession or according to rigid rules

OCD is defined as obssesions & compulsions that are sources of significant distress or impairment causing marked distress, consume more than 1 hour a day, or significantly interfere with the person's normal routine or occupational or social functioning. The person recognizes that the obsessions or compulsions are excessive or unreasonable.
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musheera
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Re: OCD Obssesive Compulsive Disorder
« Reply #1 on: /September/ 30, 2005, 10:47:04 AM »

Ms. B. presented for psychiatric admission after being transferred from a medical floor where she had been treated for malnutrition. Ms. B. had been found unconscious in her apartment by a neighbor. When brought to the emergency room by ambulance, she was found to be hypotensive and hypokalemic. At psychiatric admission, Ms. B. described a long history of recurrent obsessions about cleanliness, particularly related to food items. She reported that it was difficult for her to eat any food unless it had been washed by her three to four times, since she often thought that a food item was dirty. She reported that washing her food decreased the anxiety she felt about the dirtiness of food. While Ms. B. reported that she occasionally tried to eat food that she did not wash (e.g., in a restaurant), she became so worried about contracting an illness from eating such food that she could no longer dine in restaurants. Ms. B. reported that her obsessions about the cleanliness of food had become so extreme over the past 3 months that she could eat very few foods, even if she washed them excessively. She recognized the irrational nature of these obsessive concerns, but either could not bring herself to eat or became extremely nervous and nauseous after eating.
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