Correct Answers
Characterized by preoccupations (thoughts) and repetitive behaviors or mental actions -
<CORRECT ANSWER >>obsessive-compulsive disorder
- Recurrent thoughts, impulses, images
- Attempts to ignore or suppress
- Recognition that these are one's own thoughts - <CORRECT ANSWER >>obsessions
- Repetitive behaviors in response to obsessions
- Aimed at reducing distress or preventing event, but not realistic - <CORRECT ANSWER
>>compulsions
What are some common obsessions? - <CORRECT ANSWER >>- contamination
- harm to self/others
- symmetry
What are some common compulsions? - <CORRECT ANSWER >>- washing
- repeating
- checking
- touching
- arranging
· Epidemiology and Course of Obsessive Compulsive Disorder
o Prevalence about _____%
o More common in boys during _______________, but girls catch up in _______________
,o Mean age of onset _____-_____
o Fewer than _____% show complete remission - <CORRECT ANSWER >>- 1%
- childhood; adolescence
- 9-12
- 10%
What is the treatment approach for OCD? - <CORRECT ANSWER >>Exposure + response
prevention
What are two related disorders to OCD? - <CORRECT ANSWER >>1. tic disorders
2. trichotillomania
· Tic disorders
o _____-_____% of youth; 3x more likely in __________
o Onset around age _____
o Tics typically _______________ in complexity over time, but are also likely to __________ and
__________
o May last a __________ or __________, or __________ to __________ - <CORRECT ANSWER
>>- 6-20%; males
-9
- increase; wax and wane
- second or two; minutes to hours
· Trichotillomania
o _____% of youth; 2x more likely in _______________
o Generally _______________ course - <CORRECT ANSWER >>- 1%; females
- chronic
,What is the treatment course for OCD-related disorders? - <CORRECT ANSWER >>· Habit
reversal
o Identify triggers (antecedents)
o Reinforce youth resisting the urge
o Provide an alternate/competing response
o Reinforce the alternate/competing response
o Lots of practice!
o Exposure to trauma (actual or threatened death or injury)
o Re-experiencing
- Intrusive memories, nightmares, reenactment
o Avoidance of trauma-related stimuli
o Changes in arousal/reactivity
- Hypervigilance, exaggerated startle, difficulties with sleep/concentration
o Changes in thoughts/mood
- Difficulty remembering, self-blame, negative beliefs about self/world - <CORRECT ANSWER
>>post-traumatic stress disorder
· PTSD - Epidemiology
o _____% of children exposed to trauma, about _____/_____ develop PTSD (many individuals
are resilient to the traumatic event)
o _____-_____% of youth nationally
o Greater likelihood of PTSD:
- ______________________ (experiencing multiple forms of trauma)
- Prolonged or chronic ____________ (e.g., child abuse)
o Some evidence that it is more common in __________ - <CORRECT ANSWER >>- 60%; 1/3
- 4-6%
- Polyvictimization
, - exposure
- girls
· Treatment for PTSD
o __________
- To __________ and __________ related to the event
- __________ __________: gradual retelling of the traumatic event
-- Can be likened to "__________ a __________" in two ways:
--- Without __________, a wound will not only not heal, but will also get worse (infected)
--- __________ stings a little at first, but does not hurt as time goes on - <CORRECT ANSWER >>-
Exposure
- memorize and stimuli
- trauma narrative
- cleaning a wound
- cleaning
- cleaning
· Starting the Narrative (PTSD)
o ________ format that is preferred by youth
- __________ __________
- __________
- ___________________
o Begin constructing narrative
- Start with content __________ to traumatic event, e.g., __________ __________
- Take __________ - <CORRECT ANSWER >>- any
- written story
- drawing