Deck 7: Obsessive-Compulsive and Related Disorders

Question 1

Although those with trichotillomania often carry out their behaviors when others are not looking, they will usually admit to these behaviors when asked.

Answer 1

True

Question 2

Excoriation disorder peaks in young adulthood and subsequently lessens in severity.

Answer 2

False

Question 3

Excoriation disorder has a worse course when it begins in late adulthood or old age.

Answer 3

False

Question 4

Matt Wilcock just renewed his gym membership for the coming year and feels this is one of his best investments. You see, he works out regularly because he wants to look more muscular. Despite the reality that his friends tell him he looks great, Matt believes he looks skinny and that his friends are making fun of him behind his back. He continues to exercise excessively in order to increase his muscle mass and recently started taking anabolic steroids. Matt does not think any of this is working and he remains dissatisfied with his appearance. When his friends try to reassure him that he looks fine, Matt believes, "I just need to work harder at pumping up." What is the most likely diagnosis for Matt?

A)Narcissistic personality disorder
B)Delusional disorder
C)Specific phobia
D)Obsessive-compulsive disorder

Question 5

All of the following disorders are classified as obsessive-compulsive and related disorders except:

A)Body dysmorphic disorder
B)Trichotillomania
C)Excoriation
D)Dysthymic disorder

Question 6

Skin-picking behavior seen in trichotillomania tends to wax and wane in severity throughout the individual's life.

Question 7

In making the diagnosis of body dysmorphic disorder, only one body part will be "defective;" that is, the individual never experiences multiple "defects."

Question 8

This diagnosis is characterized by the repeated urge to pull out scalp hair, eyelashes, eyebrows or other body hair. It is:

A)Tourette's disorder
B)Transient tic disorder
C)Tic disorder
D)Trichotillomania

Question 9

Heather Padilla is a 42 year-old woman who considers herself a "foodie;" that is, she likes to collect all kinds of condiments, sauces, and seasonings. She takes great pleasure adding to her collection and does not see this as a problem. However, her boyfriend sees her "collection" quite differently and it has started to cause stress in their relationship. He states that Heather does not use these condiments and there are bottles and jars everywhere. When the kitchen cupboards filled up, Heather began storing her "collection" on the counters, in the bathroom, bedroom, and just about on any surface that could hold them. Some of her collection has sat unused for years. Heather has begun to extend her collection to saving napkins, paper plates, restaurant menus, and used take out cartons because "you never know when you might need them." What is the most appropriate diagnosis for Heather?

A)Hoarding disorder
B)Delusional disorder
C)Specific phobia
D)Separation anxiety disorder

Question 10

Individuals with trichotillomania will pull hair out of anxiety or boredom as the behavior provides a distraction, pleasure, or a relief from anxiety

Question 11

Individuals with excoriation disorder usually pick their skin out of anxiety or boredom.

Question 12

Which of the following best characterizes the compulsive behaviors seen in obsessive-compulsive disorder OCD)?

A)Compulsive behaviors include sexual compulsions, gambling, and/or substance use
B)Compulsions are best characterized as a type of addictive behavior
C)Compulsive behaviors are aimed at diminishing the stress triggered by compulsions
D)Compulsive behaviors seen in OCD are goal directed

Question 13

Nineteen year-old Marjorie Benton was referred to the social worker by her dermatologist. Marjorie admits to picking at her skin to the point that she has scabs and scars from previous picking. She started when she was in her teens and had acne. Marjorie has made repeated attempts to stop but thus far has been unsuccessful. Marjorie's most likely diagnosis is:

A)Body dysmorphic disorder
B)Delusional disorder
C)Obsessive compulsive disorder
D)Excoriation disorder
True/False Questions:

Question 14

Some individuals engage in repetitive behaviors hand washing or checking) or mental acts counting) that they feel driven to perform in response to "rigidly applied rules" known only to them). These behaviors are mental acts in response to reducing distress and/or preventing some dreaded event or situation from happening. However, these behaviors or acts are not connected in a realistic way with what they are "designed" to neutralize. At some point, the individual does not recognize these repetitive behaviors as excessive or unreasonable. This is referred to as:

A)Obsessions
B)Compulsions
C)Tics
D)Trichotillomania

Question 15

Those with a preoccupation with a perceived body flaw, which of the following behaviors would help toward confirming a diagnosis of body dysmorphic disorder?

A)Seeking out counseling due to the distress caused by the bodily preoccupation
B)Constantly checking one's appearance in a mirror
C)Excessive weight loss in an attempt to improve one's appearance
D)A preoccupation centered around having a serious and disfiguring illness

Question 16

Skin picking to fix imaginary defects in one's appearance would more likely suggest the diagnosis of body dysmorphic disorder.

Question 17

Moses Freeman is considered by most of his friends to be a very attractive man. He is physically trim, stands about six feet tall, weighs almost two hundred pounds and works out regularly at a neighborhood gym. He watches his diet and mainly eats low fat and high fiber foods. According to him, everything would be fine except for "excessive body hair." Although his friends describe him as "normal," Moses always hides his body. For example, Moses wears long sleeved shirts, even when working out at the gym. In addition, he avoids going to places where his body would be uncovered, such as the beach. Moses is obsessed with how ugly his body hair is despite his friends' reassurance that he looks fine. Moses wants to have his hair surgically removed. What disorder does Moses most likely illustrate?

A)Dissociative disorder
B)Obsessive compulsive personality disorder
C)Body dysmorphic disorder
D)Body depersonalization disorder

Question 18

Kathy Gilmour was referred to the social worker by her family physician due to excessive handwashing. She takes no medications other than an antibiotic ointment to reduce the possibility of infection - her hands are washed to the extent she has open sores. Kathy admits to spending up to 4 hours a day washing her hands. Sometimes she spends more time washing if she feels the washing has not been done "right'" What is the most likely diagnosis for Kathy?

A)Body dysmorphic disorder
B)Generalized anxiety disorder
C)Obsessive-compulsive disorder
D)Trichotillomania

Question 19

Some people have thoughts or impulses that are not simply worries about real life issues. This is the person makes attempts to ignore, suppress, or neutralize his or her thoughts by performing some other thought or action. These attempts include recurrent thoughts, impulses, or images that the individual experiences as intrusive, inappropriate, irrational, and cause them marked anxiety and/or distress. This behavior is known as:

A)Obsessions
B)Compulsions
C)Tics
D)Trichotillomania

Question 20

In body dysmorphic disorder, plastic surgery is usually seen as beneficial in lessening symptoms.

Question 21

Match each term with the appropriate definition:
$\begin{array}{|l|l|}\hline\text { Term: } & \text { Definition: } \\\hline \text { a) Insight specifier } &\_\_\_\begin{array}{c}\text { Characterizes people who have difficulty } \\\text { discarding items they have accumulated }\end{array} \\\hline \text { b) Hoarding disorder }&\_\_\_ \begin{array}{ll}\text { to acknowledge that persons with this disorder} \\\text { can have a range of insight into the irrationality of their }\\\text { behaviors }\end{array}\\\hline \text { c) } \begin{array}{l}\text { Body dysmorphic } \\\text { disorder with } \\\text { muscle dysmorphia }\end{array} & \_\_\_ \begin{array}{l}\text { Includes recurrent thoughts and repetitive } \\\text { behaviors }\end{array} \\\hline \text { d) Body dysmorphic } &\_\_\_ \text { Characterized by preoccupations with a } \\\text { disorder } & \text { perceived body flaw }\\\hline \begin{array}{l}\text { e) Obsessive } \\\text { compulsive disorder }\end{array} & \begin{array}{l}\_\_\_\text { characterizes the individual, usually male, who } \\\text { is preoccupied with the idea that his body build is too } \\\text { small or not sufficiently muscular }\end{array} \\\hline \text { Koro } & \_\_\_\begin{array}{l}\text { an intense anxiety that the penis will recede } \\\text { into the body (in females, the belief is about the vulva } \\\text { or nipples) }\end{array} \\\hline\end{array}$
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