Psychiatry » Neuroses

Mood Disorders

Obsessions are recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress. Compulsions are repetitive behaviours (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the person feels driven to perform in response to an obsession, For the most part, onset of OCD is gradual. The majority of individuals have a chronic waxing and waning course, with exacerbation of symptoms that may be related to stress. Education is crucial in helping patients and families learn how best to manage OCD and prevent its complications.Cognitive behaviour therapy is effective in OCD. SSRIs are the most effective treatment form. A combination of drug treatment and behaviour therapy is often beneficial.

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