Obsessive compulsive neurosis  Definition  C/F  Obsessions  Thoughts, images, impulses, ruminations, slowing  Repeated intrusive, against will, recognized.

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Presentation transcript:

Obsessive compulsive neurosis  Definition  C/F  Obsessions  Thoughts, images, impulses, ruminations, slowing  Repeated intrusive, against will, recognized as silly, coming from within, resistance  Content  Aggressive, sexual, contamination, doubts

Obsessive compulsive neurosis  compulsions  associated anxiety,depression,fear  Prevalence 0.05% 20 years

Obsessive compulsive neurosis  Etiology family,genetic biological basal ganglia premorbid personality analytic

Obsessive compulsive neurosis  Course Episodic, chronic  DDx obsessive personality depression schizophrenia

Obsessive compulsive neurosis  Management reassurance Clomipramine, SSRIs behavior therapy ; desensitization, response prevention