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Is Ethan an international underwear model?

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Is Ethan an international underwear model?

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Please vote "thumbs up" or "thumbs down" below!

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Note eric providing definitions up front for obsessions. Obsessions can be especially difficult for a patient to understand

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Note eric providing definitions up front for obsessions. Obsessions can be especially difficult for a patient to understand

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Note Eric providing a conceptual model of OCD. Compulsions occuring to reduce the anxiety/distress created by obsessions

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Note Eric providing a conceptual model of OCD. Compulsions occuring to reduce the anxiety/distress created by obsessions

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Ethan alluded to avoidance behaviors which will be assessed further in the severity scales. In this case probably in Item 2 (Interference)

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Ethan alluded to avoidance behaviors which will be assessed further in the severity scales. In this case probably in Item 2 (Interference)

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Do we think ethan's concerns regarding COVID should be included in OCD symptompotology?

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Do we think ethan's concerns regarding COVID should be included in OCD symptompotology?

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Note the constant reorientation to timeline (lifetime vs past month)

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Note the constant reorientation to timeline (lifetime vs past month)

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Ethan was engaging in some reassurance seeking which Eric handled by not providing direct reassurance. Reassurance seeking is a common compulsive behavior

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Ethan was engaging in some reassurance seeking which Eric handled by not providing direct reassurance. Reassurance seeking is a common compulsive behavior

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Sounds like the question asker must provide a great deal or Normalization, reassurance and encouragement

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Sounds like the question asker must provide a great deal or Normalization, reassurance and encouragement

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Eric is trying to elicit mental compulsions

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Eric is trying to elicit mental compulsions

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Avoidance is a key area to assess in OCD. Ethan has alluded it to many avoidance behaviors during the interview so far

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Avoidance is a key area to assess in OCD. Ethan has alluded it to many avoidance behaviors during the interview so far

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1. Fear of harming wife/others - compulsions around checking, avoidance behaviors
2. Scrupulosity around offending others - compulsion is around checking
3. Protecting other people - mental replaying, clearing obstacles

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It’s challenging to differentiate someone with hypochondriasis and OCD symptoms. Any tips to help differentiate this?

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Eric is jumping to this Item 1b to help clarify Item 1

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Eric is jumping to this Item 1b to help clarify Item 1

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Can you see me?

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I like how Eric posed this hypothetical. How much more productive would you be? How much better would your relationship be?

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I like how Eric posed this hypothetical. How much more productive would you be? How much better would your relationship be?

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If his 2 major OCD symptoms vary in severity & interference, then would you choose the higher number or lower one?

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Note, this ability to not go back to sleep may also be counted in interference (Item 2)

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Note, this ability to not go back to sleep may also be counted in interference (Item 2)

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Assessing frequency of attempts and forcefullness of attempts to resist are the key components here

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Assessing frequency of attempts and forcefullness of attempts to resist are the key components here

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Now Eric is getting into Q5 -- success at resisting 

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Now Eric is getting into Q5 -- success at resisting 

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Does mental checking count as compulsive behaviour or obsessive thought?

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Does mental checking count as compulsive behaviour or obsessive thought?

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Any tips in handling those who can't give an exact answer (2 to 4 hrs, or 5 to 10x checking) but one of their compulsions is the extreme need for precision?

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Any tips in handling those who can't give an exact answer (2 to 4 hrs, or 5 to 10x checking) but one of their compulsions is the extreme need for precision?

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Here is where it gets tricky to understand where avoidance plays into the rating... could we discuss avoidance further?

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Here is where it gets tricky to understand where avoidance plays into the rating... could we discuss avoidance further?

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Also, what do you do if the patient isn't working? 

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Also, what do you do if the patient isn't working? 

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Could you then argue that this could be rated a 3 if we are only counting the compulsions and not the avoidance here?

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Also speaking longitudinally, are we reasking the symptom checklist and modifying it at each visit, or are we carrying the initial checklist throughout the trial?