OBSESSIVE COMPULSIVEDISORDER ( 强迫症 )By Dr. Phang Cheng Kar (M.D.)Senior Medical Lecturer & Psychiatrist,Universiti Putra M...
Disclaimer… This power point presentation is part of a FREE educational talk delivered in KL Buddhist Mental Health Assoc...
Contents…     SigSg        ns    Sn    ig   &s        Tre         Ca         sy    n&    s    at         use         mpsy ...
Signs & symptoms… OBSESSION-   Repetitive thoughts, images or impulse-   Distressing or anxiety provoking-   Ridiculous o...
Different themes of OCD…OBSESSION           COMPULSION   Contamination            Cleaning & washing   Symmetry        ...
A          n        O Check door        C Wash hands        D Flush   toilet        ‘ Repeat        T Repeathagain R...
Different themes of OCD - %SourceW        OBSESSION                      COMPULSIONest          Contamination: 32.9%     ...
siupmoexnil y    y      a      r      o      p      m      e          e         e          m         sO     OCD pcycle…   ...
Cause of OCD… GeneticsNeurotransmitter imbalance, e.g. serotoninOCD Brain - ‘short circuit’ Thinking errors, e.g. need...
A     OCD Brain - the danger ALARM is on 24               n               t     hours a day…      O               e       ...
The worrying OCD brain…                         H                         y                         p                     ...
A compulsive OCD brain…       S       o       ur       ce       :       ht       tp       ://       w       w       w.    ...
Thinking errors in OCD…   Thoughts are over-valued.    ("If I keep thinking this, it must be really important.")    Doubt...
Treatment – SSRI Medications… S                S o                o u rc           Click to edit Master text style       ...
Calming the OCD mind…Reduct                    "io                  Hnin                  aca                   vud       ...
Psychological Rx of OCD – ‘MR5’Relabeling – it’s OCD, not meRefocus – distractionRelaxation – fun, yoga, qi gonq, medit...
Further readings…   OCD Websiteshttp://www.geonius.com/ocd/   International OCD Foundationhttp://www.ocfoundation.org/ ...
THANK YOU…I hope I didn’t say anything wrong that will harm you (318 X)
 Yale-Brown Obsessive Compulsive Scale
Themes of OBSESSION…
Contamination
Symmetry
Aggression
Sexual
Religious
Somatic & hoarding…
Miscellaneous
Themes of COMPULSION…
Cleaning & washing…
Checking…
Repeating & counting…
Arranging & hoarding…
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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
  • Test open office_presentation

    1. 1. OBSESSIVE COMPULSIVEDISORDER ( 强迫症 )By Dr. Phang Cheng Kar (M.D.)Senior Medical Lecturer & Psychiatrist,Universiti Putra Malaysia (UPM)
    2. 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. 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. 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. 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. 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. 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. 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. 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. 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. 11. The worrying OCD brain… H y p e r a c t iSource v:
    12. 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. 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. 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. 15. Calming the OCD mind…Reduct "io Hnin aca vud ia nte gnuclSe ource O
    16. 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. 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. 18. THANK YOU…I hope I didn’t say anything wrong that will harm you (318 X)
    19. 19.  Yale-Brown Obsessive Compulsive Scale
    20. 20. Themes of OBSESSION…
    21. 21. Contamination
    22. 22. Symmetry
    23. 23. Aggression
    24. 24. Sexual
    25. 25. Religious
    26. 26. Somatic & hoarding…
    27. 27. Miscellaneous
    28. 28. Themes of COMPULSION…
    29. 29. Cleaning & washing…
    30. 30. Checking…
    31. 31. Repeating & counting…
    32. 32. Arranging & hoarding…

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