The document provides an overview of obsessive-compulsive and related disorders as defined in the DSM5. It discusses the diagnostic criteria and symptoms of obsessive-compulsive disorder, body dysmorphic disorder, hoarding disorder, hair-pulling disorder, and skin-picking disorder. It also reviews common comorbidities, assessment measures, and treatment approaches, which include exposure therapy, cognitive behavioral therapy, and selective serotonin reuptake inhibitors.

1. Review of DSM5 Mental Disorders for NCMHCE Study

2. 1. Obsessive-Compulsive Disorders
2. Body Dysmorphic Disorder
3. Hoarding Disorder
4. Hair-Pulling (Trichotillomania) Disorder
5. Skin-Picking (Excoriation) Disorder
6. Substance/Medication-Induced OCD
7. OCD Due to Another Medical Condition

4. Diagnosis I
1. Having obsessions and compulsions (or
rarely, only one)
Must have one of two symptoms for each
obsession or compulsion
1. Obsessions
Recurrent, intrusive thoughts, feelings and
sensations
2. Compulsions
Conscious, standardized patterns of
behavior, including mental acts
Counting, checking, avoiding
Used to cope with anxiety
2. Dysfunctional
Takes more than
an hour daily
Causes distress

5. Diagnosis II
Co-morbidity:
Anxiety & Panic Disorders
Bipolar Disorder
Schizophrenia
Schizoaffective Disorder
Somatoform Disorders
Learning Disorders
Eating Disorders
Rule Outs
PTSD

6. S1. Find Out S2. Assess & Refer
YBOCS Yale Brown Obsessive-
Compulsive Scale
OCI-R Obsessive-Compulsive
Inventory Revised
Obsessive-Compulsive Scale, of
the Symptom Checklist 90
OCBQ Obsessive-Compulsive
Beliefs Questionnaire

7. S4. Treatments to Use
1. Medication
For moderate to severe
cases
Selected SSRIs anti-
depressants, like Flouoxetine,
Luvoxamine
2. Therapies
Exposure Response
Prevention Therapy (ERP)
and Ritual Prevention—most
effective
Cognitive Behavioral
Therapy, for thinking
ACT Acceptance
Commitment Therapy needs
research
BT-STEPS software

9. Diagnosis 1
1. Preoccupation with one more perceived body
defects
More than 1 hour daily
2. Often with repetitive behaviors to conceal the
defect
Avoiding mirrors
Excessive surgery
Excessive exercise or grooming

10. Diagnosis II
Contributing factors
Genetic predisposition
Neurobiology such as
malfunctioning of
serotonin
Personality traits
Life experiences
Rule Outs
Eating Disorders
OCD
Social Anxiety Disorder
Comorbidity
Anxiety Disorders
Bipolar
Depression
Substance Abuse
Suicidality

11. S1. Find Out
?
S2. Assess & Refer
Tests for Eating
Disorders and Social
Anxiety Disorder?
Tests for OCD?

12. S4. Treatments to Use
1. Therapies
Cognitive Behavior Therapy
 Individual and group
 Education and relaxation
with images
 Self reinforcement
Cognitive Therapy
Reflective Therapy
 Recalling body image
during growth
2. Medication
Selected SSRI anti-
depressants