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Question

Fear of contamination, counting behaviours, and having to check and recheck are features characteristic of

The correct answer is
Obsessive-compulsive disorder

OCD Symptoms: Fear of Contamination, Checking, Counting

The question describes specific behaviors and fears: fear of contamination, repetitive counting, and excessive checking. These are hallmark signs associated with a particular mental health condition.

Identifying Key Symptoms

  • Fear of Contamination: An intense worry about germs, dirt, or potentially harmful substances, leading to avoidance or excessive cleaning.
  • Counting Behaviours: Compulsively counting objects, steps, or words, often to neutralize an obsession or prevent harm.
  • Checking and Rechecking: Repeatedly verifying actions (like locking doors, turning off appliances) to ensure safety or prevent negative outcomes.

Analyzing the Options

  • Panic Attacks: Characterized by sudden, intense fear with physical symptoms (racing heart, shortness of breath), not typically persistent obsessions or compulsions.
  • Agoraphobia: Involves fear of specific situations or places where escape might be difficult, often linked to panic.
  • Obsessive-Compulsive Disorder (OCD): Defined by obsessions (intrusive thoughts, fears) and compulsions (repetitive behaviors performed to reduce anxiety from obsessions). The symptoms listed (contamination fear, counting, checking) are classic examples of obsessions and compulsions in OCD.
  • Generalized Anxiety Disorder (GAD): Involves excessive, persistent worry about various everyday things, but not typically the specific ritualistic behaviors seen in OCD.

Conclusion

The combination of contamination fears, counting behaviours, and the need to check and recheck directly aligns with the diagnostic criteria for Obsessive-Compulsive Disorder. These repetitive behaviours (compulsions) are often performed in response to intrusive thoughts or fears (obsessions).

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Important Questions from Anxiety Disorders

  1. The following drugs are useful in generalized anxiety disorders except:
  2. The following modes of therapy may be useful for treatment of obsessive compulsive disorder $except$ :
  3. Which of the following medical conditions does not mimic an anxiety disorder state?
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