Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches to improving mental health and reducing mental illness.

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Objectives
~ Define obsessions and compulsions
~ Define obsessive compulsive personality disorder
~ Define addiction
~ Explore common obsessions and compulsions and their function
~ Explore why addiction often co-occurs with OCD
~ Identify interventions appropriate to assist people with OCD, OCPD and Addiction.
Introduction
~ “Obsessive-compulsive disorder (OCD), impulse control disorders (ICD) and substance-related disorders (SUD) overlap on different levels, including phenomenology, co-morbidity, neurocircuitry, neurocognition, neurochemistry and family history” Obsessive-Compulsive Disorder, Impulse Control Disorders and Drug Addiction
~ Activity in the orbitofrontal cortex is associated with cocaine and alcohol craving and obsessive–compulsive disorder
~ Obsessions and compulsions are central characteristics of OCD and addiction
~ Proposed that impulse control and obsessive- compulsive disorders may acquire qualities of the other with time
Introduction
~ Compulsivity in OCD and addictions is related to impaired dopamine and serotonin release
~ Treatment of these disorders must address alterations in the underlying motivations (experiential learning) and neurobiology
Obsessions
~ Obsession
~ Disturbing recurrent and persistent thoughts (if I don’t…) or impulses (I must…) that are intrusive
~ Fears of germs, taboo thoughts, aggressive thoughts, need to do particular behaviors to prevent harm
~ Thoughts do not focus exclusively on real problems (generalized anxiety, eating disorders, addiction, PTSD, postpartum depression)
~ The person attempts to ignore or suppress the thoughts or impulses
~ The person is aware that the obsessional thoughts, impulses, or images are a product of his or her own mind

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