group of diseases newly defined in the DSM S:
o Obsessive compulsive disorder (OCD)
o Body dysmorphic disorder
o Hair pulling disorder (trichotillomania)
o Skin picking disorder
o hoarding disorder
Obsessive compulsive disorder
• Impulses and thoughts that the patient cannot avoid despite knowing that they are absurd and meaningless:
obsession
• Mental or bodily movements to reduce these impulses and thoughts:
Characterized by compulsion
• Contamination-hand washing OCD is seen most frequently.
• Other examples of obsessions and compulsions:
Doubt and control
Symmetry
Counting
• Low serotonergic activity plays an important role in its pathophysiology.
• The first drug option is selective serotonin reuptake inhibitors.
• The most effective drug is clomipramine.
• It is necessary to use drugs in higher doses and for a longer period of time compared to depression.
• Some atypical antipsychotics with serotonin antagonism may increase obsessions.
• Associated diseases:
Impulse control disorders
Tourette's syndrome (tic disease)
Body Dysmorphic Disorder
• While it is among the somatoform disorders in DSM IV TR, it is classified as OCD and related disorders in DSM S.
• There is a perception of a defect or handicap that will not be considered by others in the external appearance and excessive preoccupation with this perception.
• This defect is fictitious or very slight compared to others.
• The basis of the disorder is a strong fear and belief of being unattractive or unattractive.
• Surgical, dermatological, dental and other medical applications for this defect almost always fail.
Hair Pulling Disorder (Trichotillomania)
• It is characterized by repetitive hair pulling behavior that can lead to significant hair loss.
• While it is among impulse control disorders in DSM IV TR, it is classified as 0CD and related disorders in DSM S.
Skin Picking Disorder
• It is characterized by repetitive skin picking behavior that can cause significant tissue damage.
Hoarding disorder
• There is difficulty in disposing of possessions or severing relations with them.
• This difficulty results in objects piling up, piling up and falling out of their intended use.