OBSESSIVE COMPULSIVE

NEUROSIS

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