manilestations are charactersed by presence ol obsesslons and compulsions Obsesslons are recurrent or perslstent Ideas. thoughts

manilestations are charactersed by presence ol obsesslons and compulsions Obsesslons are recurrent or perslstent Ideas. thoughts. images or Impulses compulsions are urges or Impulses io action that when put Into operation lead to compulsive acts which ara performed either according to certain rules or in a stereotyped manner Obsessions and compulsion have certain features in common -(a) An idea or impulse Intrudes impellingly into an indvidual'sconsclous awareness (b) A leeling of intense anxiety accompanies the central manilestation and leads the Individual to take counter measures against the Initial idea or Impulse (c) The obsession or compulsion is ego-alien.i,e. Is experienced as being foreign to andnot apart of one's experience of oneself . it isundesirable and unacceptable (d) The indivdual recognises the obsession or compulsion as being absurd or Irrational (e) The suffering indiVidual feels a strong need to resist those obsessions or compulsions When the symptorrs become severe, the patient may develop additional symptoms of anxiety and/or depression PROGNOSIS - Natural remissions of symptoms are known, hence the prognosis Is not always gloomy Prognosis is bad when the personality is obsessional and symptoms are severe and of long-standing Management 1 Drugs - Fluoxetine (20-GQmg/day) or sanraline(50-3cO mo/day) or clomiprarrine (75-200 mg/day) Trazodon (50-400 mg/day) is also effective in some cases 2 Psychotherapy- Supportive as well as analytical gives satisfactory results In some cases 3 Behaviour therapy - Satisfactory results are seen in some cases IV Hysteria Types of hysterical dsorders-1 Conversion dsordesr-fHysterical neurosis, conversion type) Here the special senses or voluniary nervoue system are affected causing symptoms such as blindness, dealness.