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South West London and St George’s Mental Health NHS Trust together with the charity Hospital Rooms have partnered with internationally renowned art gallery...
NHS mental health trusts and councils promised action to limit the pandemic’s long-term impact on the wellbeing of south Londoners at a virtual community summit this week.
Once the University inform you of your placement you are expected to email your PPE at least one week prior to the start date in order to introduce yourself and make arrangements to do a pre-placement visit. You can also ask any questions which will help you prepare for your placement experience. It would be useful for you to provide a summary of your learning to-date for your practice placement educator.
Please follow any instructions that your PPE gives you e.g. provide Smartcard number as this helps us save time by completing processes before you arrive.
Also, you might find it helpful to start thinking about your particular learning objectives prior to starting the placement.
You are expected to present yourself in a professional manner at all times whilst on placement, abide by the Trust values, policies and procedures and act in accordance with the RCOT Code of Ethics and Professional Conduct for Occupational Therapists.
Your hours of work will be dependent on service requirements and students are expected to comply with the normal hours of work for your placement setting.
There are different ways to treating OCD.
Stepped-care model for OCD
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Exposure Response Prevention (ERP) is a form of cognitive behaviour therapy (CBT) and produces response rates of 85% in subjects who complete therapy. Patients are first required to produce a hierarchy of anxiety-inducing situations. The client then faces the feared situations or objects without performing the compulsive ritual. The objective of ERP is to produce habituation, where anxiety reduces naturally after prolonged exposure to the stimulus. A reduction in anxiety is seen within 60-90 minutes if the patient does not engage in anxiolytic behaviours. The patient works through the graded hierarchy tackling the least feared challenges first.
ERP can be delivered in a variety of forms, including self-help programs such as books, computer packages and telephone therapy. These provide a self-directed approach to overcoming OCD but with some therapist input for goal identification and early education. CBT often has long waiting lists and is demanding on therapists time. Self-help approaches have the potential to help more patients with minimal input from a clinician and may be monitored at the primary care level.
Psychological interventions for children with OCD follow similar principles as adult-based therapies. It is important to acknowledge developmental discrepancies and language ability in children. Significant emphasis should also be placed on involvement of the family.
Find out about the National OCD/BDD service provided by the Trust.
Clomipramine and the Selective Serotonin Reuptake Inhibitors (SSRIs) are the most effective drugs in the treatment of OCD. This is due to their ability to specifically inhibit the synaptic reuptake of serotonin. Advice on prescribing for OCD
The epidemiology and aetiology of OCD.
Here are the differential diagnoses and screening questions for OCD.
Reason for consultation
|Dermatologist||Chapped hands, eczema, trichotillomania|
|Cosmetic surgeon||Concerns about appearance|
|Oncologist||Fear of cancer|
|Genitourinary specialist||Fear of HIV|
|Neurologist||OCD associated with Tourette's syndrome|
|Obstetrician||OCD in pregnancy|
|Gynaecologist||Vaginal discomfort from douching|
*These screening questions were compiled from the following articles: