OBSESSIVE COMPULSIVE DISORDER -
repetitive thoughts (self-destructive)
OBSESSIVE COMPULSIVE PERSONALITY
DISORDER - personality of the person
(kinalakihan ng isang tao) (distract other
people)
Obsession – recurrent and persistent
thoughts, impulses or images that cause
distressing emotions such as anxiety
and disgust.
These intrusive thoughts cannot be
settled by logic or reasoning.
Typical obsessions include excessive
concerns about contamination of harm,
the need for symmetry or exactness, or
forbidden sexual or religious thoughts.
Compulsion- repetitive behavior or
mental act that a person feels driven to
perform a response to an obsession.
Although the compulsion may bring
some relief to the worry the obsession
returns and the cycle repeats over and
over.
Some of the common compulsions
include cleaning, repeating, checking,
ordering and arranging, mental
compulsions etc.
OCD is a chronic and long lasting
disorder in which a person has
uncontrollable, reoccurring thoughts
(obsessions) and behavior
(compulsions) that he or she feels the
urge to repeat over and over.
Causes of OCD
1. Biological Factor
First degree relatives
Identical twins
2. Psychoanalytical
OCD arises when unacceptable wishes
and impulses from id are only
repressed. They cause anxiety. Ego
defense mechanism (used
unconsciously) are used to reduce the
anxiety.
3. Behavioral
4. Neuroanatomical/Serotonin deficiency
Clinical features OCD
1. Washer (obsessional rituals)
2. Checkers (obsessional doubt)
(obsession to check again)
3. Pure obsession (intrusive thoughts)
a. Obsessional thoughts (undoing
actions)
b. Obsessional image (fantasizing
sexual things)
c. Obsessional impulses (urges to
perform acts usually of embarrassing
kind)
d. Obsessional rumination (to make
everything perfect)
4. Primary Obsessive slowing
(symmetry) (marked slowness in daily
activity, person demand on being
precise arranging in order to neutralize it
so it will be pleasing in their eyes. dapat
pantay lahat, walang lukot)
Treatment
1. Psychotherapy
a. Psychoanalysis (childhood trauma)
b. CBT
c. Supportive therapy
d. Behavioral therapy
2. Pharmacological treatment
3. ECT (electro convulsive therapy)
(magnetic field)
4. Self-help coping
(Do not live with the potential, live with
reality)
BORDERLINE PERSONALITY DISORDER
NARCISSISTIC PERSONALITY DISORDER
DEPENDENT PERSONALITY DISORDER
OBSESSIVE COMPLUSIVE PERSONALITY
DISORDER
BODY DYSMORPHIC DISORDER
(body dysmorphia)
- Is a mental illness that involves
believes that once appearance is
unusually defective when in reality the
perceive flaw might be non-existent
Common thoughts of sufferers include
phrases like ‘should I wear this?’, ‘what
will others think?’, ‘it’s because of my
flaws’, ‘why was I born like this?’, and
‘it’s not fair’.
2% of the population of the US have
BDD (11-15 y.o)
8% of the total population have BDD)
Female has the higher risk of BDD
Clinical features
1. Obsession occurs usually with one
part of the body (ex. Facial hair, hips,
thighs and feet)
2. A constant need to fix the flaw by
adapting certain behaviors (only wearing
certain kind of makeups, modify eating
and cosmetic surgery)
3. Depressive behaviors
4. Constant comparison of their own
bodies with other people.
5. Mirror syndrome
6. Self-injury
7. Attribution pf one’s flaw to other
problems of daily life.
8. over achieving nature
9. Self-esteem issue
Types of BDD
1. BDD with eating disorder
Anorexia nervosa - they see themselves
that they’re so thin even they’re not
(body weight, mass)
Bulimia nervosa- over eating pero
sinusuka
2. BDD with self-injury
3. Passive BDD (they tend to see their
flaw but they don’t do anything about it)
4. Barbie mentality and ken perception
For women, looking good is a basic
social requirement.
Men believe the only way they can
succeed their personal goals is by fixing
their appearance.
Psychological impact
1. A person feels unworthy or unloved
2. They feel that their flaws are the only
aspect to them
3. Other talents or skills are often left
unexplored
4. They find it difficult to maintain normal
social relationship to opposite sex
5. Secondary mental illness may
develop including type 2 bipolarity,
OCD, depression, and eating disorder
(comorbidity)
6. Constant request for cosmetic
surgeries
7. They might develop attachment to the
objects (ex: dolls and pets).
Treatment Treatment
1. Psychotherapy (counseling) 1. CBT
2. Positive body image reinforcement 2. Medication
(one way of family that will compliment
you. “The boundaries between normal and
abnormal blur when it comes to
HOARDING DISORDER - is a new hoarding. We all become attached to
disorder in dsm-5 characterized by in our possessions and save things other
persistent reluctant to discard object people wouldn’t. So we all share some
resulting in severely obstructed living of the hoarding orientation."
spaces. Distress impairment can
adverse repercussion both for the TRICHOTILLOMANIA (HAIR PULLING
sufferer by individual around him/her DISORDER)
EXCORIATION DISORDER (SKIN
Reason for saving PICKING DISORDER)
1. Sentimental (This represent my life,
it’s part of me)
2. Instrumental (I might need this,
someday I could use this)
3. Intrinsic (this is beautiful, think of the
possibilities)

Hoarding behaviors
1. Saving- sentimental, instrumental,
intrinsic.
2. Acquisition- Buying, acquisition of
free things.
3. Cluttering/Disorganization- random
piles, churning.
4. Difficulty in discarding- indecision,
attachment.

Reason for hoarding

1. Family history of ocd
2. Childhood trauma (Common in
males)
3. Material deprivation
4. Severe and enduring mental illness