The question asks to identify the disorder characterized by escape behaviour with paroxysmal occurrence.
Obsessive compulsive disorder (OCD) is a mental health condition where individuals experience recurring, unwanted thoughts, ideas, or sensations (obsessions) that make them feel driven to do something repetitive (compulsions). These compulsions are performed to try and reduce the distress caused by the obsessions or to prevent some feared event.
The paroxysmal occurrence refers to the sudden, intense, and often unexpected onset of obsessions or the severe anxiety associated with them. These intrusive thoughts or urges can feel overwhelming and appear suddenly, causing significant distress.
Escape behaviour in OCD primarily manifests as the performance of compulsions. Individuals engage in these ritualistic behaviours to escape or neutralize the intense anxiety, fear, or discomfort triggered by their obsessions. This can also involve avoiding situations or triggers that provoke obsessions.
Therefore, the combination of sudden, intense anxiety spikes (paroxysmal occurrence) related to obsessions and the subsequent actions taken to alleviate this distress (escape behaviour via compulsions) is characteristic of Obsessive Compulsive Disorder.
| List I (disease) | List II (signs) |
| A. Conn syndrome | 1. Anosmia |
| B. Turner syndrome | 2. Tetany |
| C. Kallman syndrome | 3. Lymphoedema |
| D. Cushing syndrome | 4. Avascular necrosis of hip |