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Test open office_presentation

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  • OCD has a one-month prevalence of 1.3% OCD has a lifetime prevalence of 2.5% Four millions adult Americans have OCD
  • http://www.anxietyspecialist.co.uk/obsessive-compulsive-disorder-bristol.htm
  • Source of graphics: Neurons – Wikipedia Common Medicines - Pixa
  • Transcript

    • 1. OBSESSIVE COMPULSIVEDISORDER ( 强迫症 )By Dr. Phang Cheng Kar (M.D.)Senior Medical Lecturer & Psychiatrist,Universiti Putra Malaysia (UPM)
    • 2. Disclaimer… This power point presentation is part of a FREE educational talk delivered in KL Buddhist Mental Health Association (BMHA) by Dr. Phang Cheng Kar. The materials can be reused without permission as long as it’s for educational, non-commercial purpose & with good intention. This should NOTbe used as substitute for consultation with medical or mental health professionals.
    • 3. Contents… SigSg ns Sn ig &s Tre Ca sy n& s at use mpsy & me s& tom s nt co ms yp m – ndi p me tio Qom t dic nin & o atis m gs A, s on e.g & . psy wh ch ere olo to gic get al Rx
    • 4. Signs & symptoms… OBSESSION- Repetitive thoughts, images or impulse- Distressing or anxiety provoking- Ridiculous or non-sensical COMPULSION- Mental or physical rituals- To neutralize an obsession- Excessive & interfere with life
    • 5. Different themes of OCD…OBSESSION COMPULSION Contamination  Cleaning & washing Symmetry  Checking Aggression  Repeating Sexual  Counting Religious  Confessing Somatic  Arranging Hoarding  Reassurance Miscellaneous  Miscellaneous
    • 6. A n O Check door C Wash hands D Flush toilet ‘ Repeat T Repeathagain Repeati again, once more n Repeat again, once more, another g time… s -
    • 7. Different themes of OCD - %SourceW OBSESSION COMPULSIONest  Contamination: 32.9%  Checking: 28.1%wo  Aggression: 16.6%  Cleaning/Washing: 25.9%od  Need for Exactness: 8.5%  Mental: 11.5% nst  Religious: 6.3%  Repeating: 11.0% t  Somatic: 6.2%  Ordering/Arranging: 5.3%u  Sexual: 5.3%  Hoarding/Collecting: 3.2%e  Hoarding/Saving: 4.0%  Counting: 2.6%o N  Miscellaneous: 20.2%  Miscellaneous: 12.4%A on t
    • 8. siupmoexnil y y a r o p m e e e m sO OCD pcycle… sb o As ie r ns osi a x non r C i y o e m t R y e p li u e l f s i o
    • 9. Cause of OCD… GeneticsNeurotransmitter imbalance, e.g. serotoninOCD Brain - ‘short circuit’ Thinking errors, e.g. need to be 101% sure Brain damage, e.g. certain type of dementia Infection during childhood, e.g. PANDAS Stress & other psychological factors – worsen OCD (not direct causation)
    • 10. A OCD Brain - the danger ALARM is on 24 n t hours a day… O e ri r o bi r O t C in C r al a C g b u A o ul d i rt a m t a t e t y x e a g e d G n l y al r u C a cl o u e s u r s t e S xSo –
    • 11. The worrying OCD brain… H y p e r a c t iSource v:
    • 12. A compulsive OCD brain… S o ur ce : ht tp :// w w w. sc ie nc e d ail y. co m /r el S ea ci se s/ e 20 n 0
    • 13. Thinking errors in OCD… Thoughts are over-valued. ("If I keep thinking this, it must be really important.") Doubt is translated into actual danger. ("Thinking it is dangerously close to doing it. If I keep thinking it, I must be getting closer to doing it.") Thought content must be controlled. ("Ive got to use will power!") Total certainty is not only possible but imperative. ("How can I be absolutely sure I wont….") Need to avoid culpability. ("If Im careful enough, I cant be held responsible for bad things.") Magical power to keep things from happening. ("If I can control this bad thought, my loved ones will be safe.") Wish to erase all risk. ("If Im careful enough, I can control the risk.") S
    • 14. Treatment – SSRI Medications… S S o o u rc  Click to edit Master text style u rc e: W e:Second level P ik ixThird level ip a ▪ Fourth level e b di ▪ Fifth level a a y c o m m oSnS
    • 15. Calming the OCD mind…Reduct "io Hnin aca vud ia nte gnuclSe ource O
    • 16. Psychological Rx of OCD – ‘MR5’Relabeling – it’s OCD, not meRefocus – distractionRelaxation – fun, yoga, qi gonq, meditationRestraint – exposure & response preventionRevalue – the good side of OCD, e.g. creativity & responsible MINDFULNESS- Do it ONCE but with all senses focusing on he ‘here-and-now’- Urge surfing- Cognitive defusion
    • 17. Further readings… OCD Websiteshttp://www.geonius.com/ocd/ International OCD Foundationhttp://www.ocfoundation.org/ OCD Onlinehttp://www.ocdonline.com/defineocd.php Dealing with OCDhttp://www.anxietyandstress.com/dealingwithocd.html
    • 18. THANK YOU…I hope I didn’t say anything wrong that will harm you (318 X)
    • 19.  Yale-Brown Obsessive Compulsive Scale
    • 20. Themes of OBSESSION…
    • 21. Contamination
    • 22. Symmetry
    • 23. Aggression
    • 24. Sexual
    • 25. Religious
    • 26. Somatic & hoarding…
    • 27. Miscellaneous
    • 28. Themes of COMPULSION…
    • 29. Cleaning & washing…
    • 30. Checking…
    • 31. Repeating & counting…
    • 32. Arranging & hoarding…