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Test open office_presentation
This document is a presentation about obsessive compulsive disorder (OCD) given by Dr. Phang Cheng Kar. It defines OCD as having distressing, repetitive obsessions and compulsions to neutralize them. Common obsessions include contamination, aggression, and symmetry, while common compulsions are cleaning, checking, and repeating rituals. The causes of OCD may include genetics, brain chemistry imbalances, and stress. Treatments discussed are medication like SSRIs and psychological therapies using exposure, mindfulness, and challenging irrational thoughts.
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- 1. OBSESSIVE COMPULSIVE DISORDER (强迫症 ) By Dr. Phang Cheng Kar (M.D.) Senior Medical Lecturer & Psychiatrist, Universiti Putra Malaysia (UPM)
- 2. Disclaimer… This powerpoint 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… Sig S g ns S n ig & s Tre Ca sy n & s at use mp s y & me s& to m s nt co ms y p m – ndi p me tio Q o m t dic nin & o ati s 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 ofOCD… 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 ofOCD - % Source W OBSESSION COMPULSION e st Contamination: 32.9% Checking: 28.1% w o Aggression: 16.6% Cleaning/Washing: 25.9% o d Need for Exactness: 8.5% Mental: 11.5% n st 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 o n t
- 8. si u p m o e x nil y y a r o p m e e e m s O OCD pcycle… s b o A s i e r n s o si a x n o n 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 x So –
- 11. The worrying OCDbrain… H y p e r a c t i Source v :
- 12. A compulsive OCDbrain… 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 inOCD… 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. ("I've got to use will power!") Total certainty is not only possible but imperative. ("How can I be absolutely sure I won't….") Need to avoid culpability. ("If I'm careful enough, I can't 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 I'm careful enough, I can control the risk.") S
- 14. Treatment – SSRIMedications… 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 o Sn S
- 15. Calming the OCDmind… R e d u ct " io H n in a c a v u d i a n t e g n u cl S e ource O
- 16. Psychological Rx ofOCD – ‘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 Websites http://www.geonius.com/ocd/ International OCD Foundation http://www.ocfoundation.org/ OCD Online http://www.ocdonline.com/defineocd.php Dealing with OCD http://www.anxietyandstress.com/dealingwithocd.html
- 18. THANK YOU… I hopeI didn’t say anything wrong that will harm you (318 X)
- 19. Yale-Brown ObsessiveCompulsive Scale
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