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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The OCD Obsession-Ritual Cycle
- OCD involves a cycle of unwanted obsessions causing distress followed by compulsive rituals offering temporary relief.
- This cycle often consumes hours daily and progressively deteriorates life quality.
Impact of Checking Rituals
- Patients often spend hours performing checking rituals like locking doors or unplugging appliances multiple times.
- These rituals can cause major life disruptions like arriving late to work or losing jobs.
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.