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EP7 - OCD and Related Disorders DSM 5: Symptoms in Adults, OCD vs Anxiety

OCD and related disorders DSM 5 explained in plain language: Docs Tracey and Paul cover OCD in adults, OCD vs anxiety, and the symptoms families often miss.

OCD and related disorders DSM 5 explained in plain language: Docs Tracey and Paul cover OCD in adults, OCD vs anxiety, and the symptoms families often miss. The episode answers what obsessive compulsive and related disorders are, how obsessions and compulsions differ from everyday worry, and which conditions sit together in DSM-5-TR, the diagnostic manual clinicians use. In this episode: - What are obsessions and compulsions, and when do they become OCD? - How common is OCD, what is the average age of onset, and when should families suspect it? - How is OCD different from anxiety, depression, and obsessive compulsive personality disorder (OCPD)? - Which conditions are included in obsessive compulsive and related disorders? - What are common OCD symptoms in adults, including contamination fears, checking, counting, and intrusive thoughts? - What is body dysmorphic disorder, and how does muscle dysmorphia fit? - What do hoarding disorder, trichotillomania (compulsive hair pulling), and excoriation disorder (compulsive skin picking) look like? - What is the gold standard treatment for OCD, including exposure and response prevention (ERP), selective serotonin reuptake inhibitors (SSRIs), transcranial magnetic stimulation (TMS), and deep brain stimulation? Resources mentioned: the OCD Foundation website, described as a good resource for people across the country, and Charlie Brady, PhD, named as an OCD expert. Listen everywhere: Apple Podcasts: https://podcasts.apple.com/us/podcast/id6810333888 Watch on YouTube: https://www.youtube.com/@TMBOdocs Helpful resources: Got a question for the show? Submit it here: https://www.tmbodocs.com/contact Want to listen to more episodes? Start here: https://www.tmbodocs.com/podcast Need personalized help? Visit: https://www.tmbodocs.com Why subscribe? If you are an everyday person or family member trying to recognize mental-health struggles in yourself or someone you love, this show gives you warm, clinically precise language without shame or jargon. Mental-health professionals and primary-care colleagues will also find practical explanations of DSM-5-TR categories, symptoms, and treatments. Docs Tracey Skale and Paul Keck bring 70+ years combined experience, frontline patient stories, neuroscience, and a married-couple rhythm that makes hard topics approachable. The goal is simple: make mental health conversations informative, thoughtful, approachable, and relevant while leading with hope and treatability. What mental-health question would you like Docs Tracey and Paul to discuss next? Share it in the comments. If you or someone you love is in crisis, call or text 988 (988 Suicide & Crisis Lifeline) in the US. Disclaimer: This episode is for educational and general discussion only. It is not a substitute for personalized medical advice, diagnosis, or treatment. Consult your own qualified healthcare professional. If you or someone you love is in crisis, call or text 988 (988 Suicide & Crisis Lifeline) in the US. DISCLAIMER: This podcast discusses mental health topics that may be sensitive or triggering for some listeners. The information shared is for educational and general discussion purposes only and is not a substitute for personalized medical advice, diagnosis or treatment. Please consult your own qualified healthcare professional for guidance tailored to your unique needs and circumstances. If you are in crisis, reach out to a local mental health provider or call the 988 Suicide & Crisis Lifeline. Chapters: 00:00 Introduction 01:14 How OCD moved out of anxiety disorders in DSM-5-TR 02:31 Obsessions, compulsions, and how OCD is diagnosed 06:39 Common OCD symptoms, shame, and contamination fears 08:14 Insight, catatonia look-alikes, and comorbid conditions 12:28 Brain areas, PANDAS, and risk factors 19:52 OCD vs normal childhood rituals and common compulsions 25:43 Body dysmorphic disorder, hoarding, trichotillomania, and skin picking 44:36 OCD vs anxiety, depression, and OCPD 49:17 Treatment: ERP, SSRIs, TMS, and hope DISCLAIMER: This podcast discusses mental health topics that may be sensitive or triggering for some listeners. The information shared is for educational and general discussion purposes only and is not a substitute for personalized medical advice, diagnosis or treatment. Please consult your own qualified healthcare professional for guidance tailored to your unique needs and circumstances. If you are in crisis, reach out to a local mental health provider or call the 988 Suicide & Crisis Lifeline. Produced, Edited, and Distributed by @PodBrosMedia https://podbrosmedia.com

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About the authors

  • Dr. Tracey Skale, MD

    Psychiatrist with more than three decades of experience, and Chief Medical Officer at Greater Cincinnati Behavioral Health Services for more than 20 years.

  • Dr. Paul Keck, MD

    Founding President and CEO – Emeritus of the Lindner Center of HOPE and Professor Emeritus of Psychiatry at the University of Cincinnati College of Medicine.

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