Behavior related to OCD
31 important questions on Behavior related to OCD
What is avoidance in the context of cognitive behavior therapy?
What are safety behaviors used for in cognitive behavior therapy?
How does compulsion/ritualized behavior impact anxiety in the short-term and long-term?
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What is the purpose of exposure in cognitive behavior therapy?
What should one do during exposure in cognitive behavior therapy?
What happens to anxiety/distress levels in the short-term during exposure?
What is emphasized to make the new path automatic in cognitive behavior therapy?
How to perform exposure and response prevention for optimal inhibitory learning?
- Do super exposure (intensive exposure with different triggers, contexts, deepened extinction)
- Let things happen (occasional reinforced extinction)
- Remove safety behaviors and signals
- Embrace variability (random, not gradual)
- Engage in mental rehearsal
- Exposure in various contexts
What is one important step in performing exposure and response prevention?
Why is mental rehearsal important in exposure and response prevention?
What should one focus on during exposure and response prevention to enhance learning?
Why is it important to expose oneself in a variety of contexts during inhibitory learning?
What percentage of healthy individuals experience intrusive thoughts?
What is not an explanation for obsessions according to the cognitive model?
What must be interpreted for anxieties and attention to increase according to the cognitive model?
What happens to the threshold for intrusions when they are interpreted as influential?
According to the cognitive model, what effect does avoiding or suppressing intrusive thoughts have?
What are examples of negative intrusive thoughts as illustrated?
- "I have to be a responsible person"
- "It would be my fault if someone will get sick"
- "I have to be careful with food and not touch it"
What do dysfunctional beliefs relate to in the cognitive model of instrusion-obsessions?
What causes a negative appraisal leading to discomfort in the model?
What is the cycle that occurs after one tries to neutralize an intrusive thought?
What decreases meta-memory according to research?
- Distrusting one's memory
- Normal controls demonstrate the same phenomenon
How many belief domains are there according to the cognitive model?
- Inflated responsibility, overimportance of thoughts, overestimation of threat, controllability of thoughts, intolerance of uncertainty, perfectionism
What is the phenomenon called where a person believes a thought directly leads to an action?
- Different from magical thinking
What are the steps involved in cognitive therapy?
- Identify irrational thoughts
- Question thoughts
- Make rational thoughts
- Use Socratic dialogs
- Use behavioral experiments
What are the guidelines for antidepressants in pharmacological therapy for OCD?
- Atypical antipsychotic if needed
- Clomipramine (TCA) if necessary
According to the take-home message, what is the first-choice treatment for OCD?
How effective is CBT compared to medication in the treatment of OCD?
What should one do when identifying irrational thoughts in cognitive therapy?
- Make alternative rational thoughts
In pharmacological therapy for OCD, when should one consider adding clomipramine?
- Has more side effects
How are new developments in the treatment of OCD achieved?
- Using transcranial magnetic stimulation or deep brain stimulation
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