Obsessive-compulsive disorder
Obsessions and/or compulsions that are time-consuming or cause marked distress.
How it presents
recurrent intrusive thoughts/images/urges (obsessions), repetitive behaviors or mental acts to reduce anxiety (compulsions), >1 hr/day, not due to substance/medical condition
Tell it apart from
- Obsessive-compulsive personality disorder
- Generalized anxiety disorder
- Tic disorder
Treatment reasoning
Exposure and response prevention (ERP) first-line, SSRIs (higher doses); clomipramine as alternative.