typical themes include contamination or cleaning, checking, symmetry, ordering or counting, as well as fears of harm to self or others. the obsessions or compulsions are time-consuming (e.g. the obsessive-compulsive symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.
ocd is considered to be on a spectrum that encompasses comorbid conditions like hoarding disorder, excoriation disorder, trichotillomania disorder and body dysmorphic disorder. it is important that the clinician be aware of all of these related conditions, as they must be differentiated from one another. a specialized form of cbt, called exposure and response/ritual prevention therapy (erp) is the gold standard and first-line treatment for ocd, and favoured over medications.
table 3.13dsm-iv to dsm-5 obsessive-compulsive disorder comparison ; 1. recurrent and persistent thoughts, impulses, or images that are experienced, at some time 1. recurrent and persistent thoughts, urges, or impulses that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most obsessive-compulsive disorder (ocd) is a disorder in which people have recurring, unwanted thoughts, ideas or sensations (obsessions) that make them feel, .
in dsm-5, obsessive-compulsive disorder sits under its own category of obsessive-compulsive and related disorders and within that the following under the dsm-5, obsessive-compulsive disorder (ocd) is characterized by obsessions and/or compulsions. those individuals who do not report engaging in obsessive-compulsive disorder is an anxiety problem that traps people and statistical manual of mental disorders, 5th edition (dsm-v)., .
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