Neurobiology of Obsessive Compulsive Disorder and Co Occurring Mental Health Issues

Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com Neurobiology of Obsessive Compulsive Disorder and Co Occurring Mental Health Issues is a video by Dr. Dawn Elise Snipes on integrative behavioral health approaches to improving mental health and reducing mental illness.

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Objectives
- Explore the overlap and concurrence of OCD, and generalized anxiety, eating disorders, addiction, PTSD, body dysmorphic disorder
- Identify neurotransmitters, emotional reactions and cognitive issues involved in each and what that may mean for treatment

Introduction
- ~90% of individuals with OCD have other psychiatric comorbidities
- Anxiety disorders 75.8%
- Mood disorders 63.3%
- Major depressive disorder (MDD) 40.7%
- Eating Disorders 8-12%
- BDD in patients with OCD is 9% to 15% (compared to 3% in non-OCD)
- Impulse control disorders 55.9%
- Substance use disorders (SUDs) 38.6%
- Due to the differences in neurological and neurochemical profiles of the different disorders, it is important to recognize that treatments need to differ.

Summary
- There is significant overlap between OCD and other psychiatric disorders
- While ERP and SSRIs are the gold standard for addressing OCD behaviors, it is also important to address other underlying issues which may contribute to neurotransmitter disruption.
- Trauma history (powerlessness and unsafeness)
- Lack of emotional regulation skills
- Lack of happiness promoting behaviors
- Lack of secure attachment (oxytocin)
- Poor nutrition, sleep, iron deficiency
- Hormone imbalances (gonadal or thyroid)
- Medication side effects (hormones, steroids, thyroid, RLS, antipsychotics)

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