Obsessive Compulsive and Related Disorders in the DSM 5 TR | Symptoms and Diagnosis

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NOTE: ALL VIDEOS are for educational purposes only and are NOT a replacement for medical advice or counseling from a licensed professional.

Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches including counseling techniques and skills for improving mental health and reducing mental illness.

TIMESTAMPS
00:00 Objectives
00:35 What disorders are in the category obsessive compulsive and related disorders
02:00 How common is OCD Obsessive compulsive disorder
05:05 Diagnostic criteria for Obsessive Compulsive Disorder in the DSM 5 TR
10:16 Common content of obsessions and common compulsions
15:00 Hoarding Disorder
21:05 Development and course of OCD hoarding disorder
24:33 Trichotillomania and Excoriation (hair pulling and skin picking) Diagnostic criteria
27:37 Differential diagnosis of OCD
40:00 Suicidality and Risk of Suicide in Obsessive Compulsive and Related Disorders
44:50 Treatment options for obsessive compulsive disorder and related issues

[DocSnipes]

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[hollywoodjaded]

I’m SO glad that you said to look at the symptoms (primarily), over the dx.
I had heard since the (alleged) politicization of the DSM-5, that the NIMH and many other orgs expressed the desire to move away from such Dx. driven specifications.
Yes, needed for “some” insurance coverage needs and/or county mental health assistance—but also a possible hindrance.

It would be really interesting to look at it more from the neurotransmitter perspective—just as you’re saying about dopaminergic issues.

So, if it were called dopaminergic clustering spectrum…as opposed to the the whole DSM array, for insurance (including the same nomenclature for Serotonin; norepinephrine, etc).

Insurance has been so problematic in ppl gaining access to good mental health. Where I live, psychiatrists have not taken insurance for the last decade.

Plus, they are akin to the old-school psychiatrists, where they spend anywhere from 25 minutes to over an hour with the client (not each time—spread out over the year.)

[billthelen]

Thank you Dr. Snipes for doing this informative video. I have been diagnosed with Borderline Personality Disorder and have learned that OCD is a symptom of BPD. Spending money or physical harm are parts of my OCD. Compulsively spending money or self harm has brought upon a dopamine rush when acting on these behaviors. Through DBT and your videos, i have learned mindfulness and distress tolerance skills to be aware of the way I am feeling both physically and mentally in the moment and how to improve the moment.

[stillnessflowing]

Jeffrey Schwartz, M.D. is a psychiatrist from UCLA who is a serious Buddhist mediator who wrote a book, " The Mind and the Brain..." who discovered, through his meditation practice, a non-drug, treatment for OCD that does not require many sessions to teach the OCD patient, and it blows ALL existing, standard of care for OCD out of the water. He published his results in peer-reviewed journals but non-drug treatments are marginalized by the medical community. BigPharma, for which I worked for years, OWNS the medical profession.

[melissaspratt]

I appreciate you including trichotillomania. I have struggled with this my entire life and not many people know anything about it. Do you have any other videos that go more into depth on this particular topic?

[benbarton]

An incredibly insightful video! I'm currently doing an assignment on OCD for my psych degree and you have been so helpful for my understanding, especially the diagnostic criteria! Thank you 😍

[BrownTownOTS]

Thank you so much for this video. I was diagnosed with OCD at a young age but was always told I dont really have it because I am very disorganized. But now I realize everything that made me feel like my mind is a torture chamber was because of OCD.. I wish more than anything I could have seen this video at 10 years old. I may have been able to learn coping skills but instead I was put on drugs which made me feel worse which I believe ultimately led to a debilitating poly substance addiction that I will likely die from.

[ellabevis]

Helpful information. Appreciate the detail.

[kcskoolz]

I feel like I've learned so much about myself, from your videos.

[dabrasilianloh]

This has been very useful for me. I'm using the views to review for my upcoming exam.

[kimalonzo]

Oh wow, thanks! I have a lot of interest on this topic.

[divyasingh]

Ty mam...so much...u are talking about this order...it's very helpful my project work...in my clg....ty ...

[kevincee]

Thank you soooo much for your brilliant insight...I love your hair...such a lovely wonderful woman you are...my main OCD matter is my counting rituals...

[adrianwycoff]

Information was helpful, but LOVE the doggy moment!😊

[hollywoodjaded]

OCD is neurobiological, so listen to the doctor’s complete presentation. The disorder is not specific to any one condition/thing. Further, a premise for the cause of OCD should not necessarily be based on one’s single anecdotal experience.

The doctor is imparting valuable and documented data about Obsessive Compulsive Disorder.

(Also: Obsessive Compulsive Personality Disorder—within the DSM—is a separate clinical dx.
The doctor may cover the PD issue, but I wanted to comment on anecdotal information—which is the experience of a single individual.)

[jakeegolf]

My family has a “hair twirling” or “twisting” behavior that spans 3 generations. I don’t do it much anymore but my brother does it while watching tv, reading or thinking intensely. The action is taking a small bunch of the hair end, and rolling it over and under the index finger nail. Is that tricatillimania or just stimming? I have adhd. Pretty sure my siblings and father do as well.

[ericnl]

Very helpful ! Is relationship OCD also a part of OCD -DSM5 ?

[josephautrey]

With exposure and response therapy and the mental contamination cognitions that are addressed, are clients able to distinguish different pathogens from covid? Meaning, if they're aware the bacteria during the exposure is not covid does that help address to cognition?

[tanyayasmin]

Does ocd also have specifers? How does that makes the disorder more appropriate?

[mohammedchebli]

I just want to add that compulsive praying co-morbid to Alzheimer Disease Spectrum, for Muslim elders, may be an OCD more than a consequence of ADS. Treatment should focus on stopping this vain behavior for more memory exercising and creative activities.