Psychiatry & Psychotherapy Podcast Obsessive Compulsive Disorder (OCD)
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Jun 23, 2021 
Medical doctors Michael Cummings and Melissa Pereau, along with aspiring psychiatrist Chantel Fletcher, dive deep into Obsessive Compulsive Disorder. They explore the historical roots of OCD and its diagnostic evolution, discuss treatment complexities including dopamine blocking agents, and emphasize the vital role of the Yale-Brown Obsessive Compulsive Scale. The trio also clarifies the distinctions between OCD and OCPD and uncovers the interconnectedness of OCD with eating disorders, stressing the importance of tailored therapeutic approaches.
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Neural Circuitry of OCD
- OCD is linked to dysfunction in a corticostriatal-thalamic brain circuit responsible for checking and stopping behavior.
- A weak negative feedback loop prevents patients from stopping compulsive checking once started.
Build Trust Before YBOC
- Build a therapeutic alliance before administering the Yale Brown Obsessive Compulsive Scale (YBOC).
- This helps avoid patient drop-out and increases accurate self-reporting over time.
Key Differences Between OCD and OCPD
- OCD is ego-dystonic: patients see obsessions as irrational and distressing.
- OCPD is ego-syntonic: patients view their perfectionism as appropriate and others as flawed.