Filling the Gap for Obsessive-Compulsive Disorder Services in Canada: Implementing an Intensive Care Program

This article provides an overview of the steps that were taken to develop this program. Methods involved incorporation of information gathered from both service users and service providers of these models of treatment within North America and beyond. This article provides a potential treatment model for residential psychiatric treatment that can be applied to OCD and possibly other severe treatment refractory psychiatric illnesses in terms of methods used and generalizable key ingredients.
Source: The Journal of Nervous and Mental Disease - Category: Psychiatry Tags: Original Articles Source Type: research

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It’s completely normal to feel anxious in social situations. Be it giving a speech or talking on the phone, social anxiety affects a surprisingly large percentage of the population. However, when one experiences considerable distress and an impaired ability to function in parts of their daily life, it is likely they will be diagnosed as social anxiety disorder.1 Many people with social anxiety disorder do not know that they have it. They may recognize that there is something “wrong,” but do not know what it is or what to do about it. This is where mindfulness can help. By being mindful, aware of the prese...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anxiety and Panic Mindfulness Jon Kabat Zinn Meditation secular mindfulness Social Anxiety Source Type: blogs
DiscussionThis review may support clinical practice highlighting the importance of the assessment of sexuality in patients with OCD and suggesting the use of therapeutic strategies dedicated to sexuality in this clinical population with the aim of improving patients ’ quality of life. Potential limitations will regard the heterogeneity of the studies in terms of the instruments used to assess sexual dysfunction/satisfaction and of the definitions used to conceptualize sexual dysfunction.Systematic review registrationProspero CRD42019132264
Source: Systematic Reviews - Category: International Medicine & Public Health Source Type: research
Publication date: Available online 8 January 2020Source: Journal of Obsessive-Compulsive and Related DisordersAuthor(s): Emily P. Wilton, Theresa R. Gladstone, Anna K. Luke, Christopher A. Flessner
Source: Journal of Obsessive Compulsive and Related Disorders - Category: Psychiatry Source Type: research
Publication date: Available online 7 January 2020Source: Journal of Anxiety DisordersAuthor(s): W.A. van Leeuwen, G.A. van Wingen, P. Luyten, D. Denys, H.J.F. van MarleAbstractIntroductionIt has been proposed to extend the cognitive-behavioral model of obsessive-compulsive disorder (OCD) with attachment theory to shed light on the affective and developmental factors underlying the disease. With a growing number of empirical studies on the subject, this meta-analysis aims to quantify a possible relationship between attachment insecurity and OCD.MethodsA systematic search was conducted for studies in adult populations of pat...
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
CONCLUSIONS: Our results suggest that pregnancy and early life are vulnerable developmental periods when exposures may influence offspring mental health, including eating disorder risk, later in life. The results suggest that some events pose more global transdiagnostic risk whereas other patterns, such as increasing parental ages, appear more specific to EDs. PMID: 31910913 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
Deep brain stimulation (DBS) may lead to improvements in patients with treatment-resistant obsessive-compulsive disorder (OCD), reports astudy published today in AJP in Advance.In the open study of 70 OCD patients who received DBS of a region called the ventral anterior limb of the internal capsule (vALIC), Damiaan Denys, M.D., Ph.D., of the University of Amsterdam and colleagues found that during the first year following the procedure, patients on average experienced significant improvements in symptoms of OCD, anxiety, and depression. The findings support the results of a DBS trial involving 16 OCD patients reported in 2...
Source: Psychiatr News - Category: Psychiatry Tags: ajp in advance anxiety Damiann Denys deep brain stimulation depression HAM-A HAM-D obsessive-compulsive disorder Y-BOCS Source Type: research
CONCLUSIONS: The present results support the notion of stronger habitual behavior and embodiment tendencies in OCD and impaired inhibitory control under conditions of conflict. PMID: 31907102 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
Abstract OBJECTIVE: Deep brain stimulation (DBS) is an effective treatment option for patients with refractory obsessive-compulsive disorder (OCD). However, clinical experience with DBS for OCD remains limited. The authors examined the tolerability and effectiveness of DBS in an open study of patients with refractory OCD. METHODS: Seventy consecutive patients, including 16 patients from a previous trial, received bilateral DBS of the ventral anterior limb of the internal capsule (vALIC) between April 2005 and October 2017 and were followed for 12 months. Primary effectiveness was assessed by the change in sco...
Source: The American Journal of Psychiatry - Category: Psychiatry Authors: Tags: Am J Psychiatry Source Type: research
At first, Melanie Murphy was just following doctor’s orders. Murphy, then 19, had gained weight during a period of depression, and her doctor told her she should lose some. She went from 180 to 125 pounds in 18 months—and even when she knew it was time to stop slimming down, she couldn’t shake the need to chase a goal. Without weight loss, she needed a new target. That became finding the “perfect” diet, one that was clean and pure and would keep her healthy for years to come. At least, that was how she thought about it then. These days, she uses a different descriptor: “orthorexia,&rdquo...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Eating Disorder Source Type: news
ConclusionsCognitive flexibility could be included treatment in the treatment of obsessive-compulsive disorder and generalized anxiety disorder.ResumenAntecedentes/ObjetivoEl objetivo de este estudio fue analizar las diferencias en flexibilidad cognitiva e inhibición de respuestas teniendo en cuenta algunas variables que pueden influir en los resultados (razonamiento no verbal, depresión, ansiedad, intolerancia a la incertidumbre, comorbilidad, consumo de fármacos).MétodoLos participantes fueron 95 adultos de edades comprendidas entre 17-61 años (M = 33,48; DT = 11,13)...
Source: International Journal of Clinical and Health Psychology - Category: Psychiatry & Psychology Source Type: research
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