7/20/16

www.caleblack.com 1

Obsessive-Compulsive&RelatedDisorders

PSY4960/5960

IntercessionRules

•  Westartpromptlyat8am,donotbelate

•  Wewillhavebreaksevery1.5hoursorso[

•  Youwillreturnpromptlyfrombreaks

•  Wewillbreakforlunchforatleastanhoureachday

IntercessionInfo

•  Allmaterialsareonmywebsite– Syllabi– Supplementalreadings– Lecturenotes

•  Iwillgiveyouapacketcontainingallofthehomeworkforms

7/20/16

www.caleblack.com 2

SyllabusTime!

IntroducTontotheObsessive-CompulsiveandRelatedDisorders

OperaTonalDefiniTons

•  Likelove,beauty,truth,wealth,andsomanyotherthings,“mental”disordersarea…

•  Thisdoesnotrobthemoftheirimportance

7/20/16

www.caleblack.com 3

PsychiatricDisorders•  Abehavioralorpsychologicalsyndrome/paZernthat

occursinanindividual

•  ReflectsanunderlyingpsychobiologicaldysfuncTon

•  Consequencesareclinicallysignificantdistressordisability

•  Notanexpectableresponsetocommonstressors/lossesoraculturallysancTonedresponsetoaparTcularevent

•  Notprimarilyaresultofsocialdevianceorconflictswithsociety

Steinetal.(2010)

PsychiatricDisorders

•  HavediagnosTcvalidityandclinicaluTlity

•  NodefiniTonperfectlyspecifiespreciseboundariesfortheconceptofeither“medicaldisorder”or"mental/psychiatricdisorder”

•  DiagnosTcvalidatorsandclinicaluTlityshouldhelpdifferenTateadisorderfromdiagnosTc“nearestneighbors”

Steinetal.(2010)

MajorChangesintheDSM-5

•  ThefifhediTonoftheDSMincludedanewchapterTtled“Obsessive-CompulsiveandRelatedDisorders”

•  PulledtogetherbothdiagnosesfrommulTplepreviouscategoriesandnewdiagnoses

7/20/16

www.caleblack.com 4

Obsessive-CompulsiveDisorder•  FormerlyinAnxietyDisorders

BodyDysmorphicDisorder•  FormerlyinSomatoformDisorders

HoardingDisorderExcoriaTon(skin-picking)• Newdisorders

TrichoTllomania(Hair-pulling)○ FormerlyinImpulseControlDisorders

OC&RDisorders

•  Somewhatcontroversial,butreorganizedfortwoprimaryreasons1)  toreflecttheincreasingevidenceofthesedisorders’

relatednesstooneanotheranddisTncTonfromotheranxietydisorders

2)  tohelpcliniciansbeZeridenTfyandtreatindividualssufferingfromthesedisorders

•  ChapterisplacednexttoAnxietyDisorderstoreflectsimilariTesandoverlapbetweenthem

OC&RDisorders

•  AllhavefeaturesincommonsuchasanobsessivepreoccupaTonandrepeTTvebehaviors

•  TheyhaveenoughsimilariTestogroupthemtogetherinthesamediagnosTcclassificaTon

•  Butalso,haveenoughimportantdifferencesbetweenthemtoexistasdisTnctdisorders

7/20/16

www.caleblack.com 5

OCRDHW#1

•  Now,youwillcompleteandscorevarioussymptomscalesfortheOCRDs– AppearanceAnxietyInventoryforBDD– OCI-RforOCD– SavingsInventory,RevisedforHoarding– MIST-AandMGHSforTrich– DLQIandSPSforExcoriaTon– YGTSSforTcs