1. 0BSESSIVE COMPULSIVE SPECTRUM DISORDER Speaker: Dr. Santanu Ghosh Post Graduate Student , Moderator: Dr. Sabita Dihingia Asst. Professor, DEPARTMENT OF PSYCHIATRY,ASSAM MEDICAL COLLEGE

6. Obsessive-compulsive – related disorder Ref: CTP 8 th ed Page: 2036

7. 17/10/10 Compulsivity-impulsivity dimension CTP 8 th ed page-2036 B. Dimensional approach: Hypochondriasis Compulsive Body dysmorphic disorder Anorexia nervosa Impulsive Depersonalization disorder Tourette’s syndrome Trichotillomania Pathological gambling Sexual compulsion Impulsive personality disorder

8. Compulsivity-Impulsivity dimension: 17/10/10 Compulsivity/unipolar Mixed compulsive- impulsive&/or affective states Impulsivity/Bipolarity OCD/Major depression OCD with impulsive feature ICDs/Bipolar compulsive ICD, ICDs co morbid disorder with OCD,Bipolar II disorder

9. 17/10/10 Compulsivity-unipolarity Impulsivity-bipolar Harm avoidant behavior. Harmful behavior. Presence of insight Lack of insight. Resistance to impulses & behavior. Little resistance to impulses & behavior. Absence of pleasure. Pleasurable feeling.

14. 17/10/10 OBSESSION RELIEF

66. CONCLUSION: Although obsessive compulsive disorder has been described since 15 th century, it was thought to be rare.OCD was often thought to be an affliction requiring religious intervention. The catholic church, labeled the condition ‘excessive scrupulosity’ when rituals & compulsions were exhibited by priest & parishioners. OCD is unique among anxiety disorder by appearing to be much more dominated by cognitive & related complex behavioral symptomatology with autonomic dysregulation playing little role.

68. Thank you 17/10/10