Saturday, January 25, 2014

OBSESIVE COMPULSIVE DISORDER (OCD)

11:19 AM

OBSESSIVE COMPULSIVE DISORDER (OCD) 
Patient with OCD experience excessive repetitive and unwanted thoughts which cause them to feel anxious (these are obsessions), and complete repetitive or mental rituals as a way to cope with or reduce this anxiety (these are called compulsions)
The symptoms of OCD may vary between patients to patients. But the common concerns are about causing harm to themselves or to others, becoming contaminated, a need for things to be ordered or repetitive and upsetting thoughts. These symptoms of OCD can occur in everyone to some degree, however OCD is diagnosed and treatment is needed when these symptoms interfere in the patient’s ability to live their life the way they would like. Their symptoms might get in the way of their relationships, being able to work or go to school or engage in other day to day activities.
The compulsions or things patient with OCD might do to try to cope with their anxiety or distress include:
1.      Excessive checking.
2.      Washing & cleaning.
3.      Arranging things.
4.      Repeating routine activities.
5.      Activities like saying a silent prayer.
6.      Repeating safe words or phrases.
7.      Constantly reviewing conversations with people.
8.      Avoiding situations that trigger their obsessions.
Amazing point to note there is that patient with OCD often know that their concerns and behaviours are unreasonable/excessive, but they feel compelled to engage in these activities to prevent harm.
Causative factors
A number of factors are thought to play a part in OCD. Evidence suggests that in some cases the condition may run in families and is linked to certain inherited genes that affect the brain's development. Brain imaging studies have also shown that patient with OCD have abnormalities, such as increased blood flow in some parts of their brain. Studies have also shown that people with OCD have an imbalance of serotonin in their brain. “Serotonin” is a neurotransmitter that the brain uses to transmit information from one brain cell to another.
Main Symptoms of OCD
1.      Concerns about causing harm to themselves or to others on purpose.
2.      Becoming contaminated from dirt/germs, bodily waste or secretions, or environmental contaminants (such as household cleaners)
3.      A need for things to be symmetrical, ordered, or perfect, to prevent bad things happening or because it just feels right.
4.      Repetitive and upsetting thoughts and images.

Treatment
Patient with OCD are often reluctant to report their symptoms to their DOCTOR because they feel ashamed or embarrassed. They may also try to disguise their symptoms from family and friends. However, if you have OCD, there is nothing to feel ashamed or embarrassed about. OCD is a long-term health condition like diabetes or asthma and it is not your fault you have it.You should at once visit your DOCTOR if you have OCD. Initially, they will probably ask a number of questions such as how often you clean and whether you are concerned about putting things in a particular order. If your DOCTOR suspects OCD, you may need to be assessed by a specialist. Keep in mind, Obsessive Compulsive Disorder is treatable. The best treatment involves.
1.      Learning about your symptoms.
2.      Learning how to control those symptoms, and slowly (and gradually) practicing going into situations you fear (to teach yourself, slowly and gradually, that you can manage those situations).
BE AWARE
Some patient with OCD also develops depression. They should not ignore feelings of depression because they can become more severe if they are left untreated. Untreated depression will also make it more difficult to cope with the symptoms of OCD. They may be depressed if they have been feeling very down during the past month and things they used to enjoy no longer give them pleasure. If this is the case, they should visit their DOCTOR. Patient with OCD and severe depression may sometimes have suicidal feelings. They can talk to their DOTOR about getting a referral to a Clinical Psychologist, Psychiatrist, or another mental health professional to learn to manage OCD.


Source: Dr. Imtiaz Syed, M.B,B.S, MBA, CRA, PCQI, CPC
Redditch, Gloucestershire. UK

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