Obsessive-Compulsive Disorder
7 Members
Created by Brian Gondos, M.D.

Is OCD one disorder?

In my years of practice, I've developed the impression that ocd is not a single disorder but may be the end result of several different pathways. For example, I've had patients who were obsessive as a compensation for attention deficit problems and treating that helped their ocd. Others had obsessive rituals to organize a subtle thought disorder, and low doses of antipsychotics helped enormously. Others were neatniks because their childhood environment was chaotic. What do you think? Share your story please.

6 months ago
Tagged
Results 1 - 5

  • Wyverns

    I would agree to some extent its not uncommon to be found in relation to other conditions

    6 months ago

  • Wyverns

    in some ways the DSM IV is a bit like a filing system of symptom clusters.....

    almost like a companies accounts payable cabinet......its all purchases, different companies different product types, different payment arrangements etc.....

    but if you know how the system functions you know that not all camera's will necessarily have the same payment type or supplier....yet its still a camera....and suppliers can provide multiple product types.....

    psychology is a little like sorting your filing purely according to supplier

    when realistically a supplier could be providing stock for multiple departments....and not be the sole supplier for those departments either....

    unfortunately however the DSM V doesnt reflect that in what I feel is the most effective manner, the actual depth of the relationship between condition and symptoms, because effectively conditions in psychiatry are not much beyond recognised clusters of symptoms unlike medicine where symptoms are not the primary key when it comes to filing....condition is....

    6 months ago

  • Wyverns

    is this one of those posts which you just dont have a clue what im saying :s that wouldnt surprise me at all im bizaar about filing......people love it if I go nuts on their archives....but until im finished they just cant see whats wrong with it and once its done its like OMG that is sooo much better

    4 months ago

  • jennifer

    The DSm went "behavioral" after DSMII because the analysts and object relations theorists and skinnerites were battling over which theory was correct and trying to block the others. The only way to get ANY research done was to describe the "product" (behaviors) and try to leave theory out of it. At the time, this did actually help a BIT- we are closer to being sure we are talking about the same thing than we were then. Now the pendulum has swung, though- everyone groans at the idea of complex overlapping syndromes with multiple modifiers ("bipolar spectrum", glutamate systems, narrow dosing ranges) but that is probably closer to biologic reality...

    4 months ago

  • Wyverns

    yeah they will have to make the shift sooner or later in order to better reflect the development of research and knowledge....they shouldnt take too long to do it either there has been alot learned in the last 5 years and likely alot more in the next 5


    although the manner of the DSM may change in entirety by the end of that time. although like most things it will only happen if those in the say allow it to.

    4 months ago

Sign In to leave a comment.