Which of the following is the poor prognostic factor for OCD?
Ans: B-Di contamination.OCD - Clinical features & symptoms:Contamination - The most common obsession.Obsession of contamination - compulsive avoiding of contaminated objects - excessive cleaning --> inability to leave their homes (due to germs fear, shame & disgust from feces, urine, dust & germs).Pathological doubt - 2nd most common.Obsession of doubt - compulsive checking - most danger of violence - forgetting to turn off the stove, or not locking the door, some patients can travel back home several times.Obsession of self-doubt - feeling guilty about issuesIntrusive thoughts - 3rd most common.Intrusive obsessional thoughts without compulsion (repetitive sexual or aggressive acts, patients obsessed with their thoughts, may think that they are supposed to repo them to the police or to make a confession to the priest.Symmetry - 4th most common.Need for symmetry of precision - compulsion of slowness, a patient can take an hour to eat a meal or shave their faces.Magical thinking-These people believe that just because they thought about an event, it will occur in reality.
Magical thinking
Di contamination
Pathological doubt
Hoarding