scholarly journals Risk assessment and management in obsessive–compulsive disorder

2009 ◽  
Vol 15 (5) ◽  
pp. 332-343 ◽  
Author(s):  
David Veale ◽  
Mark Freeston ◽  
Georgina Krebs ◽  
Isobel Heyman ◽  
Paul Salkovskis
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Obsessive Compulsive Disorder ◽  
Careful Consideration ◽  
Risk Assessments ◽  
Obsessive Compulsive ◽  
Children And Young People ◽  
Compulsive Disorder ◽  
Self Harm ◽  
Risk Assessment And Management

SummarySome people with obsessive–compulsive disorder (OCD) experience recurrent intrusive sexual, aggressive or death-related thoughts and as a result may be subjected to lengthy or inappropriate risk assessments. These apparent ‘primary’ risks can be dealt with relatively easily through a careful understanding of the disorder's phenomenology. However, there are other, less obvious ‘secondary’ risks, which require more careful consideration. This article discusses the differentiation of intrusive thoughts and urges in people with OCD from those experienced by sexual or violent offenders; assessing the risk of self-harm and suicide; discussing the nature of repugnant obsessions with a patient; assessing risk of harm and violence to the dependents and family living with someone with the disorder; and assessing the lack of insight and the use of the Mental Health Act. Issues specifically related to children and young people with OCD are also highlighted.

scholarly journals A Systematic Review on TeleMental Health in Youth Mental Health: Focus on Anxiety, Depression and Obsessive-Compulsive Disorder

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 793
Author(s):  
Laura Orsolini ◽  
Simone Pompili ◽  
Virginio Salvi ◽  
Umberto Volpe
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Obsessive Compulsive Disorder ◽  
Selection Process ◽  
Telemental Health ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Youth Anxiety ◽  
Anxiety Depression

Background and Objectives: The Internet is widely used and disseminated amongst youngsters and many web-based applications may serve to improve mental health care access, particularly in remote and distant sites or in settings where there is a shortage of mental health practitioners. However, in recent years, specific digital psychiatry interventions have been developed and implemented for special populations such as children and adolescents. Materials and Methods: Hereby, we describe the current state-of-the-art in the field of TMH application for young mental health, focusing on recent studies concerning anxiety, obsessive-compulsive disorder and affective disorders. Results: After screening and selection process, a total of 56 studies focusing on TMH applied to youth depression (n = 29), to only youth anxiety (n = 12) or mixed youth anxiety/depression (n = 7) and youth OCD (n = 8) were selected and retrieved. Conclusions: Telemental Health (TMH; i.e., the use of telecommunications and information technology to provide access to mental health assessment, diagnosis, intervention, consultation, supervision across distance) may offer an effective and efficacious tool to overcome many of the barriers encountering in the delivery of young mental health care.

Helpseeking and access to mental health treatment for obsessive-compulsive disorder

2002 ◽  
Vol 106 (2) ◽  
pp. 143-149 ◽  
Author(s):  
Renee Goodwin ◽  
Karestan C. Koenen ◽  
Fred Hellman ◽  
Mary Guardino ◽  
Elmer Struening
Keyword(s):  
Mental Health ◽  
Obsessive Compulsive Disorder ◽  
Mental Health Treatment ◽  
Obsessive Compulsive ◽  
Health Treatment ◽  
Compulsive Disorder

scholarly journals Results of the Nursing Outcomes Classification/NOC for patients with obsessive-compulsive disorder

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Ananda Ughini Bertoldo Pires ◽  
Amália de Fátima Lucena ◽  
Andressa Behenck ◽  
Elizeth Heldt
Keyword(s):  
Mental Health ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Ethics Committee ◽  
Nursing Process ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Nursing Outcomes ◽  
Nursing Outcomes Classification

ABSTRACT Objective: To analyze the application of nursing outcomes and indicators selected from the Nursing Outcomes Classification (NOC) to evaluate patients with obsessive-compulsive disorder (OCD) in outpatient follow-up. Method: Outcome-based research. First, a consensus was achieved between nurses specialized in mental health (MH) and in the nursing process to select NOC-related outcomes and indicators, followed by the elaboration of their conceptual and operational definitions. Then, an instrument was created with these, which was tested in a pilot group of six patients treated at a MH outpatient clinic. The instrument was applied to patients with OCD undergoing Group Cognitive Behavioral Therapy (GCBT). The study was approved by the Research Ethics Committee of the institution. Results: Four NOC outcomes and 17 indicators were selected. There was a significant change in the scores of nine indicators after CBGT. Conclusion: The study showed feasibility for evaluating symptoms of patients with OCD through NOC outcomes and indicators in an outpatient situation.

scholarly journals MENTAL HEALTH OF THE MEDICAL STAFF IN THE SPREAD OF CORONA EPIDEMIC

2021 ◽  
Vol 03 (03) ◽  
pp. 321-330
Author(s):  
Jafar Muhammad Aref JARADAT ◽  
Fawqia Muhammad Aref JARADAT
Keyword(s):  
Mental Health ◽  
Obsessive Compulsive Disorder ◽  
Psychological Health ◽  
Medical Staff ◽  
Health Centers ◽  
High Rate ◽  
Obsessive Compulsive ◽  
Arithmetic Average ◽  
Compulsive Disorder

The study aimed at identifying the degree to which medical staff had psychological health in light of the spread of the Corona epidemic. The study sample consisted of (51) members of medical staff who is working in Palestinian health centers. The modified psychological health scale was adopted (SCL_90_R). The study came out with a set of results, the most important of which are: that there are no statistically significant differences in the averages of possessing the psychological health among medical staff according to the sex and age variables, it also showed the level of mental health was low, and that there was a high rate of acceptance on the mental health scale of the obsessive-compulsive disorder with a high arithmetic average. Whereas, the average was low at the psychotic dimension, which means that the respondents rejected psychotic characteristics in the psychological health scale. The study came out with a number of recommendations, the most important of which is activating the role of supporting programs and psychological immunization to deal with emergency conditions and crises.

When you meet: assessing obsessive-compulsive disorder

2017 ◽  
pp. 51-66
Author(s):  
Victoria Bream ◽  
Fiona Challacombe ◽  
Asmita Palmer ◽  
Paul Salkovskis
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Obsessive Compulsive Disorder ◽  
Health Anxiety ◽  
Assessment Tools ◽  
Generalized Anxiety ◽  
Presenting Problems ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Experienced Clinician

This chapter provides a practical guide to assessing obsessive-compulsive disorder (OCD) that is both informative to the inexperienced clinician and addresses questions raised by the experienced clinician. It will summarize the diagnostic criteria for OCD, including advice on making a differential diagnosis when presented with symptoms that are associated with other disorders; for example, differentiating OCD from psychosis, generalized anxiety disorder, or health anxiety. It will guide the reader through the process of conducting a thorough assessment of the patient’s presenting problems, including OCD and any comorbid problems. The chapter will offer guidance on how to engage the person with OCD and promote trust. There is clear guidance on risk assessment, differentiating between primary risk factors (which clinicians are typically very good at assessing), and secondary risk factors (which may easily be overlooked). Advice on structuring an assessment and on appropriate assessment tools is provided.

An Approach to Comorbidity Between Obsessive-Compulsive Disorder and Schizophrenia

2016 ◽  
Vol 33 (S1) ◽  
pp. S495-S495
Author(s):  
A. Gomez Peinado ◽  
S. Cañas Fraile ◽  
P. Cano Ruiz
Keyword(s):  
Mental Health ◽  
Obsessive Compulsive Disorder ◽  
Negative Symptoms ◽  
Behavioral Therapy ◽  
Psychotic Symptoms ◽  
Simultaneous Presence ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Salud Mental ◽  
Competing Interest

IntroductionAn association has been observed between obsessive symptoms in Obsessive Compulsive Disorder (OCD) and psychotic symptoms in schizophrenia, being sometimes difficult to establish a clear limit between them. The term “schizo-obsessive disorder” was proposed to describe the resulting disorder of comorbidity of OCD and schizophrenia, although it has not been definitely settled.ObjectiveTo analyze the incidence of coexistence of OCD and schizophrenia symptoms and the way it modifies the treatment and prognosis of the illness.MethodReview of some articles published in Mental Health journals such as “Salud Mental” and “Actas Españolas de Psiquiatría”.ResultsSome studies about psychotic patients have determined 15% as the average of comorbidity of OCD and schizophrenia. The probability of having OCD is six times bigger if there is psychotic pathology associated.The fact that obsessive and psychotic symptoms get together in some patients shades the prognosis bringing more negative symptoms, more depressive humor, a larger cognitive impairment, more resistance to treatment and more relapses than we can observe in OCD and schizophrenia isolated.The pharmacological treatment usually consists in neuroleptic plus anti-obsessive drugs, together with cognitive-behavioral therapy. Sometimes, when there is a very bad evolution, it is required to consider psychosurgery as one necessary option, even though its use in this context is not much widespread.ConclusionsThe simultaneous presence of OCD and schizophrenia is more common than we could expect only by chance and makes the prognosis worse, being difficult to find a truly effective treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals When self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm

2020 ◽  
pp. 1-6
Author(s):  
Erika Palombini ◽  
Joel Richardson ◽  
Emma McAllister ◽  
David Veale ◽  
Alex B. Thomson
Keyword(s):  
Lived Experience ◽  
Obsessive Compulsive Disorder ◽  
Health Staff ◽  
Mental Health Staff ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Emergency Situations ◽  
Severity Of Disability ◽  
Self Harm ◽  
First Time

Summary Mental health staff may have limited exposure to emergencies associated with obsessive–compulsive disorder (OCD) during postgraduate training. The first time they encounter a person in the midst of severe obsessions, or one who has compulsively self-harmed in response to such obsessions, might be when working on call covering the emergency department. This educational article presents the lived experience of one of the authors as a clinical scenario. The scenario is then used to illustrate the severity of disability and the rates of self-harm and suicide-related mortality caused by OCD. The recognition and assessment of OCD is described, along with what helps in emergency situations. Written informed consent was obtained for the publication of clinical details.

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