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Although ding might do as sonic counterpart to hypertension vitamins order bisoprolol uk the tactile sensation of a snowflake landing on your cheek (a bit like the ding in the Colgate ring of confidence? round your supposedly fresh and gleaming teeth) arrhythmia electrolyte imbalance buy bisoprolol 5 mg on line, a very quiet pffth is blood pressure medication generic cheap 10mg bisoprolol with amex, it seems to blood pressure chart nih generic bisoprolol 5 mg amex me, is the best alternative. If one sound rather than another can even be imagined as more or less appropriate than another for an inaudible sound, then sound is an inextricable part of perceived movement. Besides, as soon as there is movement or friction of an object or objects in air or water, waves spread from the point of that movement or friction. And even if none of the technological and expressive restrictions just mentioned had applied, film distribution companies would have had to include twenty brittle and scratchable 78 rpm discs with the two or three reels of celluloid they circulated to cin emas for each hour-long film. Such hypothetical solutions? would in their turn assume that projectors and record turntables ran at a fixed rate in every cinema to ensure that sound and image were in sync, a technology unavailable before 1926 and which was replaced soon after by the more reliable and less cumbersome system of optical sound. Music could at least temporarily solve the synchronisation problem be cause it has its own logic of temporal and kinetic narrative independent of the way in which visual events unfold. If a record turntable ran at 77 or 79 instead of 78 rpm, sounds would become out of sync with picture, resulting in a three-second difference by the end of each three-minute disc. Besides, the sound quality of 78 rpm discs used at that time deteriorated quickly each time they were played. It was used to sync passages containing both dialogue and performance in the Jazz Singer (1927). Analysing film music film era, it could be played for the duration of an entire scene until the general mood, atmosphere or location changed and different music was required. Moreover, since the music was played live, it was by def inition heard in hi-fi, variable enough in volume and adaptable enough in all its other parameters of expression to accompany large locomo tives, bustling crowds, pastoral idylls and intimate love scenes. A quick glance through any extant cue sheet from the 1910s or any col lection of silent film music from the early 1920s shows that nineteenth century euroclassical music dominates the repertoire. Strauss, Tchaikovsky and Wagner, plus a signifi cant number of pieces in the same vein by less well-known figures. It was, at least in both Europe and North America, the most wide spread and interculturally viable of any musical tradition available at the time. It was a musical tradition with well-established practices for use together with a wide variety of paramusical forms of expression. Its use of notation enabled silent film musicians to synchronise their performance with what was shown on screen. The most obvious classical? forerunners to film music are found in op era, ballet and music for the theatre. Rapee (1924) contains 259 pieces altogether of which 135 are dances, marches or location-specific pieces (national anthems, etc. Music in the euroclassical idiom answers for virtually all the remaining 124 pieces. Other known? euroclassical com posers included by Rapee are Delibes, Elgar, Meyerbeer and Waldteufel. Tone poems and other types of programme music provided another source, as did the piano parts of parlour song whose musical ideas had to fit the lyrics. Reason number three notation as a prerequisite for satisfactory syn chronisation? is even more prosaic. Using a metronome and simple arithmetic we can calculate the duration of those 16 bars by first converting the tempo of 92 beats per minute into beats per second [60? I?m including Lieder by the likes of Schubert and Schumann under parlour song?, not out of disrespect but because they were also quite popular (see, for example, the Golden Treasury of Song (1903)) and often performed in bourgeois parlours. Played by full orchestra, these types of music did not really come into their own until the advent of the talkies. Analysing film music play the piece a little quicker or use simple arithmetic again to calculate the right metronome tempo for our 16 bars of music. Dividing the 64 beats of our piece by the duration (0:40) of the visual extract it has to fit (64? Instead one single product was distrib uted to every cinema and it was obviously desirable that the centrally produced combination of music and moving image be as convincingly synchronised as possible. It was to this end that the system of click tracks, expressed as beats per minute and film frames per click, was de veloped. With the exception of music scenes, title sequences and cer tain types of animated film, the fact that music had as a rule to adapt to visual events rather than vice versa demanded that its synchronisation be planned in the minutest detail. Another example: the 17 bars of silent film music in cut time (2/2 = 34 beats, 4/4 = 68) shown as Figure 14-1(p.

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Whether this is wining and dining together arrhythmia heart rate monitor purchase bisoprolol 10 mg amex, We would like to pulse pressure in septic shock discount 5 mg bisoprolol acknowledge our thanks to blood pressure of 130/80 generic 10mg bisoprolol fast delivery all the companies and organisations who have supported dancing and partying into the earlier hours or just in a relaxed conversation at the end of a busy day the Congress with their Exhibition stands in the Hall and their sponsorship of the Congress heart attack and vine cover order cheapest bisoprolol. However, we do hope that you will Annette Fuhrig Coaching take advantage of the social programme we have put together for the congress. There is no charge for this event and all delegates and their accompanying persons are welcome. We have exclusive use Elsevier SilverCloud of the Zollpackhof Beergarden, located in the heart of Berlin opposite the German Parliament, from 20. This must Workshop 18 Optimizing Treatment for Somatic Symptoms in Psychopathology Room R6 be visible during the workshop in order to gain admission. All the workshops will be held in the Omer van den Bergh, University of Leuven, Belgium & Michael Witthoft, CityCube University of Mainz, Germany Workshop 19 Cognitive Behaviour Therapy for Refugees Room R4 Ulrich Stangier, Schahryar Kananian & Marwan Yehya, the full day workshops and the morning half day workshops will start at 9. Refreshments mid-morning and afternoon, and a light lunch, are Workshop 20 Integrating Couple-based Approaches in Behaviour Therapy for Children Room R7 included in the cost of the workshop. Delegates will receive the materials for their workshop on Nina Heinrichs, Braunschweig University of Technology, Germany arrival at the workshop room or will have been sent them in advance. Certifcates of attendance for the individual workshops will be sent by email to Workshop 23 Ein Gruppentraining fur Mutter mit Borderline-Storung Room S1 delegates at the end of the workshop. Bryant, University of New South Wales, Australia Symposium 2 Level 1 Room A2 Panel Discussion 1 Predicting Treatment Response for Mental Disorders Methods, Findings and Clinical Benefts Level 1? Room A8 Convenor & Chair: Elisabeth Leehr, University of Munster, Germany What Works for Whom, and Under which Relational Contexts? Javier Fernandez-Alvarez, Jaume I University, Spain Cassandra Fehr, University of Ottawa, Canada 09:10 Virtual Social Scenarios for Research and Treatment of Specifc and Social Phobia 26 Can Brief Single Session Cognitive Bias Modifcation of Interpretation Change Spontaneous Online Andreas Muhlberger, University of Regensburg, Germany Interpretations in High Worriers? Tomoko Kishimoto, Nankai University, China Daniel Rudaizky, University of Western Australia, Australia 45 Predictors of Treatment Outcome in Patients with Social Phobia 72 An Internet-Based Mindful Lovingkindness-Compassion Program for University Students with Social Stefanie Kunas, Humboldt Universitat zu Berlin, Germany Anxiety 46 Perfectionism, Automatic Thoughts in Exam Situations and Test Anxiety in Relation to University Students? Seokjin Ryu, Yeungnam University, South Korea Mental Health 73 Different Paths to Social Anxiety and Depression: the Role of Early Memories of Warmth and Safeness and Ana Kurtovic, Faculty of Humanities and Social Sciences Osijek, Croatia Fears of Compassion 47 Is There Any Connection Between Social Anxiety and Narcissistic Traits? Maria do Ceu Salvador, University of Coimbra, Portugal Francesco Lauretta, Institute for Behavioral and Cognitive Psychology and Psychotherapy, Italy 74 A Pilot Study on the Development of a Behavioral Measure of Self-Compassion 48 Interference Effects of Emotional Stimuli on Working Memory Updating in Social Anxiety Hideki Samizo, Waseda University, Japan Chi-Wen Liang, Chung Yuan Christian University, Taiwan, R. Symposium 24 Philip Spinhoven, Leiden University, the Netherlands Level 1 Room A4 11:00 Predictive Value of Attentional Bias for Recurrence of Depression: A 4-Year Prospective Study Transdiagnostic Group Cognitive-Behaviour Therapy for Anxiety Disorders: Results of a Large Hermien Elgersma, University of Groningen, the Netherlands Community-Based Pragmatic Randomized Controlled Trial 11:15 Temporal Stability of Symptoms of Affective Disorders, Cognitive Vulnerability and Personality Over Time Convenor & Chair: Pasquale Roberge, Universite de Sherbrooke, Canada Sacha Struijs, Leiden University, the Netherlands 10:30 Transdiagnostic Group Cognitive-Behaviour Therapy for Anxiety Disorders: Study Design and 11:30 Discussant Outcomes of a Pragmatic Trial Ernst Koster, Ghent University, Belgium Pasquale Roberge, Universite de Sherbrooke, Canada 10:45 Therapeutic Integrity and Participant Adherence: Infuence on Group Cognitive Behaviour Therapy Symposium 28 Effectiveness Level 3 Room M2 Martin D. Provencher, Universite Laval, Canada Collaborative and Proactive Solutions as an Alternative to Parent Management Training for Youth with 11:00 Transdiagnostic Group Cognitive-Behaviour Therapy for Anxiety Disorders: Oppositional Defant Disorder: A Comparison of Therapeutic Models Effects on Cormorbid Diagnoses Convenor: Anna Dedousis-Wallace, University of Technology Sydney, Australia Peter J. A Longitudinal Test of the Mediating Role of Reinout Wiers, University of Amsterdam, the Netherlands Social Disconnection and Stress Martin M. Direct and Indirect Assessment in Andrea Hartmann, Universitat Osnabruck, Deutschland & Jessica Werthmann, Universitat Freiburg, Deutschland Patients with Depression and Obsessive-Compulsive Disorder Barbara Cludius, Ludwig-Maximilians University, Germany Symposium 36 11:30 One Factor or Two? A Preliminary 4 the Relationship Between the Compulsive Buying Tendencies and Early Maladaptive Schemas Tentative in Addiction Treatment Seyma Cetin, Istanbul, Turkey Gabriel Thorens, Geneva University Hospital, Switzerland 5 Injunctive Norms Predict Alcohol Problems: the Impact of Situational Confdence and Gender as Moderators 32 the Mediating Role of Cannabis Use in the Relationship Between Perceived Psychosocial Stress and Charlotte Corran, Concordia University, Canada Dissociative Experiences 6 Early Disadaptive Schemes and Alcohol Consumption in College Students Emily Trethowan, Cairnmillar Institute, Australia Karen Priscila Del Rio Szupszynski, Federal University of Grande Dourados, Brazil 33 the Impact of Alcohol on Academic Performance in University Students 7 Impulsiveness and Emotion Regulation in Binge Watching Mariska van der Hoff, University of Amsterdam, the Netherlands Lucia Di Guida, Istituto Miller Genova, Italy 34 Women, Addiction and Domestic Violence: Are Substance-Dependent Women More Aggressive than 8 Groups 4 Belonging A Group Intervention for People with Addiction that Integrates Social Identity and Non-Dependents? Diana Laura Lopez Navarro, University of Guanajuato, Mexico Tiana Borgers, Osnabruck University, Germany 17 Gender Differences in Unidirectional and Bidirectional Intimate Partner Violence in Addictions 43 Presentation of a Cognitive and Nutritional Group Intervention in Obese Women Jose J. Lopez-Goni, Universidad Publica de Navarra, Spain Rania Boumi, Hellenic Society of Cognitive Psychotherapies/1st Psychiatric Department, N. Level 3 Room R3 Allison Waters, Griffth University, Australia International Politics: A Cognitive Therapy Perspective 14:45 Behavioral and Neural Differences Among Anxious and Non-anxious Youth in Fear Learning and Their Convenor & Chair: Mauro Galluccio, European Association for Negotiation and Mediation Brussels, Belgium Role in Predicting Treatment Outcomes 14:00 Populism: A Cognitive Therapy Perspective Tomer Shechner, University of Haifa, Israel Robert L. On the Trail of the Chicken and Egg? Problem Internet and Cognitive Behavioral Therapy: Advances and Applications in Different Contexts Katarina Krkovic, University of Hamburg, Germany Convenor & Chair: Karen Szupszynski, Federal University of Grande Dourados, Brazil 14:45 Daily Relationship Between Social Exclusion and Paranoia 14:00 Training of Cognitive Therapists in Argentina Edo Yaya, University of Indonesia, Indonesia Ruth Wilner, Asociacion Argentina de Terapia Cognitiva and Asociacion Latinoamericana de Psicoterapias Cognitivas, Argentina Symposium 51 (German Language) 14:20 Effectiveness of an Internet-Based Self-Guided Program to Treat Depression in a Sample of Brazilian Level Level 3? Room M7 Users: A Study Protocol Von der Diagnostik zu Therapiemoglichkeiten bei nicht-suizidalem selbstverletzenden Verhalten bei Rodrigo Lopes, Universidade Catolica de Petropolis, Brazil Jugendlichen und jungen Erwachsenen im ambulanten und stationaren Setting 14:40 Boomerang Effect in an Online Program to Prevent Alcohol Abuse in University Students Convenor & Chair: Tina In-Albon, Universitat Koblenz-Landau, Deutschland Karen P. A Randomized Controlled 87 Mediation Effect of Anxiety on Relationship Between Self-Compassion and Depression: Controlling the Effectiveness and Feasibility Study in School Health and Welfare Services in Finland Effects of Narcissism and Self-Esteem Pauliina Parhiala, Helsinki University Hospital, Finland Keiko Takemori, Kwansei Gakuin University, Japan 62 Infexibility in Assigning Causal Explanations: Effects on Mood and State Rumination 88 Developing a Universal Prevention Program for Depression Among Secondary School Adolescent in China Baruch Perlman, Hebrew University of Jerusalem, Israel Xinfeng Tang, University of Hong Kong, Hong Kong 63 Self-Stigma, Hope, Dissociation, and Personality Features in Treatment of Depressive Inpatients Resistant 89 Depressed Specialized Care Patients? Experience with an Imagery-Interpretation Bias Modifcation to Pharmacotherapy Intervention: A Qualitative Study Jan Prasko, University Hospital Olomouc, Czech Republic Denise the Paste, Radboud University, the Netherlands 64 Cognitive Behavioral Therapy Group in Dysthymic Patients: Changes in Coping Strategies 90 Metta-Based Therapy. Increasing Benevolence in a Chronically Depressed Patient Mireia Prime-Tous, University of Barcelona, Spain Isabel Thinnes, Goethe University Frankfurt, Germany 65 Discrepancies Between Observed and Self-Reported Severity in Depression: the Role of Personality Traits 91 Blending Internet and Mobile-Based Treatment for Depression with Face-to-Face Psychotherapy: Case Irene Ramos-Grille, Consorci Sanitari de Terrassa and Universitat Autonoma de Barcelona, Spain Report of a 48-Year Old Female Patient 66 the Role of Coaches? Online Written Feedback in an Acceptance and Commitment Therapy-Based Ingrid Titzler, University Erlangen-Nurnberg, Germany Intervention for Enhancing University Students? Well-Being and Reducing Psychological Distress: Results 92 the Effect of Mindfulness-Based Cognitive Therapy for Japanese Human Service Professionals: Focusing from an Randomized Controlled Trial Study that Employed A. Text Analysis on Work Stress and Self-Compassion Panajiota Rasanen, University of Jyvaskyla, Finland Nanami Tomori, Ryukyus University, Japan 67 Long-Term Effects of Expectations on Mood: An Experimental Investigation 93 Effect of Attention Control and Self-Compassion on Mind-Wandering Lea Rebstock, Philipps-University of Marburg, Germany Ayumi Umeda, Waseda University, Japan 68 Is It Us or the Fellow Patients? Therapeutic Alliance Within Cognitive Behavioral Analysis System of 94 Early Maladaptive Schemas and Its Association with Comorbidity of Major Depressive Disorder and Anxiety Psychotherapy Group Therapy and Its Effect on Treatment Outcome Symptoms Matthias Alexander Reinhard, Ludwig Maximilian University Munich, Germany Catalina Uribe Castro, Universidad de Los Andes, Columbia 70 Do We Have the Guts to Try this Nauseogenic Stimulus as Interoceptive Exposure? A One-Year Prospective Study 16:30 Engagement and Response to Smartphone Cognitive Behavioral Therapy for Body Dysmorphic Sherry Stewart, Dalhousie University, Canada Disorder: What Can We Learn from Passive Smartphone Data? Corine Dijk, University of Amsterdam, the Netherlands Ingmar Heinig, Technische Universitat Dresden, Deutschland 15:45 Mechanisms of Change in Cognitive Behavior Therapy for Social Anxiety Disorder: the Role of 15:45 Besonderheiten bei der Expositionsbehandlung von Kindern und Jugendlichen mit Angststorungen Negative Self-Imagery, Judgment Bias, Self-Focused Attention, and Safety Behaviors Verena Pfug, Ruhr-Universitat Bochum, Deutschland Jung-Kwang Ahn, Korea University, South Korea 16:00 Dysfunktionen der Emotionsregulation bei Angststorungen sowie deren Veranderungen durch 16:00 Where to Look?

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Most individuals use fingernails prehypertension hypertension buy bisoprolol 10 mg overnight delivery, but they may also use tweezers or pins heart attack usher mp3 10 mg bisoprolol mastercard, and they may also rub or squeeze the skin hypertension forum purchase generic bisoprolol online. Some picking is focused hypertension jnc 7 buy 10mg bisoprolol fast delivery, with preceding anxiety or tension and subsequent relief, while in others picking is automatic without full awareness. Skin picking may occur as a result of boredom or anxiety, and it may lead to a sense of gratification when successfully completed. At least some symptoms of skin picking can be common, as one study found over 60 percent of the cohort causing some skin damage not due to a medical condition (Grant et al. Only when the symptoms reach the criteria for skin picking disorder (lesions, an attempt to stop, and accompanying distress) should the symptoms require intervention (Grant et al. Causes and Risk Factors Although obsessive-compulsive disorder, obsessive-compulsive and related disorder due to another medical condition, substance/medication-induced obsessive-compulsive and related disorder, body dysmorphic disorder, hoarding disorder, trichotillomania, and excoriation are different disorders, they have similar biological, psychological, and social risk factors. The psychological risk factors that influence whether the biological factors are activated include emotional and experiential factors. These studies identify over-activity in the limbic system, including the basal ganglia and cingulate gyrus, which sets the overall emotional disposition. Over-activity in this area is associated with the physical sensations of anxiety, avoidance tendencies, and tics. Over activity in this area is associated with rigid and inflexible thinking (obsessions) and behavior patterns (compulsions). As a result, youth with abnormal functioning in these areas may be particularly susceptible to feeling intensified fear and developing rigid thought and behavior patterns. Research reveals that families of an individual diagnosed with a tic disorder are also more likely to have other first-degree relatives. Moreover, abnormal visual processing may be a potential biological cause of body dysmorphic disorder. Visual abnormalities may impair the ability to distinguish certain facial elements; a visual weakness common to those with body dysmorphic disorder compared to individuals without (Feusner et al. These exhibited patterns suggest individuals with body dysmorphic patients process facial features in pieces rather than as a whole (Ahmed, Genen, & Cook, 2013). While this research is relatively new, it may reveal more information about biological causes of body dysmorphic disorder in the future. Non-hoarding patients had hypermetabolism in the orbitofrontal cortex, caudate nuclei, and thalamus where hoarding patients did not; instead hoarding patients had significantly lower activity in the cingulate cortex (Saxena et al. These thoughts may originate from a traumatic experience, illness, or information from others. As a result of these unpleasant and/or fearful feelings, the youth attempts to escape or avoid the fear (Mowrer, 1939). Any behaviors that are associated with the reduction in fear are then reinforced, even if these behaviors do not cause the reduction in fear. While some compulsions, such as excessive washing, are related to the obsession. The reduction in fear positively reinforces this ritualized behavior (Mowrer, 1939). Behavior patterns maintained through this type of conditioning are difficult to extinguish. These avoidance/escape patterns prevent the youth from fully experiencing the fearful situation. Additionally, symptoms may vary slightly based on cultural values and preferences (Ahmed, Genen, & Cook, 2013). Although research links trichotillomania to genetics, as discussed above, stress can also be a contributing factor (Chamberlain et al. Assessment of obsessive-compulsive disorder should follow general diagnostic practices, including obtaining complete developmental, medical, and family histories; evaluation of psychosocial functioning across multiple domains. Both the parents and the child should complete diagnostic interviews to determine mental rituals and/or obsessions that the parent might not be aware of and behavior problems that the youth may be reluctant to report. The first challenge in diagnosing a child with obsessive-compulsive disorder is distinguishing developmentally appropriate beliefs and behaviors from those symptomatic of obsessive-compulsive disorder. For example, youth with obsessive-compulsive disorder may fear that, by merely thinking a thought. In children, it is important to differentiate developmentally normal magical thinking from pathological beliefs that drive compulsions and cause distress (Shafran, 2001). Young children may insist on sameness and order or adhere to rigid routines, such as elaborate bedtime rituals, as part of normal development in early childhood, reflecting the need for mastery and control (March & Mulle, 1998).

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  • Waking up early in the morning
  • 4 ounces of cooked fish, poultry, or meat
  • Lack of exercise
  • Pronouns and prepositions appropriately
  • May look like warts or ulcers
  • Autoimmune disorders
  • Changes in skin color

Thus arrhythmia genetic testing buy bisoprolol 10 mg without prescription, individuals may search for a particular kind of scab to blood pressure medication plendil discount bisoprolol express pull blood pressure what do the numbers mean order 10mg bisoprolol visa, and they may examine pulse pressure femoral artery generic bisoprolol 5 mg on-line, play with, or mouth or swallow the skin after it has been pulled. Skin picking may be triggered by feelings of anxiety or boredom, may be preceded by an increasing sense of tension (either immedi? ately before picking the skin or when attempting to resist the urge to pick), and may lead to gratification, pleasure, or a sense of relief when the skin or scab has been picked. Some indi? viduals report picking in response to a minor skin irregularity or to relieve an uncomfortable bodily sensation. Skin picking does not usually occur in the presence of other individuals, except im? mediate faniily members. Prevaience In the general population, the lifetime prevalence for excoriation disorder in adults is 1. This likely reflects the true gender ratio of the condition, although it may also reflect dif? ferential treatment seeking based on gender or cultural attitudes regarding appearance. Development and Course Although individuals with excoriation disorder may present at various ages, the skin pick? ing most often has onset during adolescence, commonly coinciding with or following the onset of puberty. For some individuals, the disorder may come and go for weeks, months, or years at a time. Diagnostic iVlaricers Most individuals with excoriation disorder admit to skin picking; therefore, dermato pathological diagnosis is rarely required. Functional Consequences of Excoriation (Sl(in-Picicing) Disorder Excoriation disorder is associated with distress as well as with social and occupational im? pairment. The majority of individuals with this condition spend at least 1 hour per day picking, thinking about picking, and resisting urges to pick. Many individuals report avoiding social or entertainment events as well as going out in public. A majority of indi? viduals with the disorder also report experiencing work interference from skin picking on at least a daily or weekly basis. A significant proportion of students with excoriation disor? der report having missed school, having experienced difficulties managing responsibilities at school, or having had difficulties studying because of skin picking. Medical complica? tions of skin picking include tissue damage, scarring, and infection and can be life-threaten? ing. It frequently requires antibiotic treat? ment for infection, and on occasion it may require surgery. The description of body-focused repetitive behavior disorder in other spec? ified obsessive-compulsive and related disorder excludes individuals whose symptoms meet diagnostic criteria for excoriation disorder. While stereotypic movement disorder may be charac? terized by repetitive self-injurious behavior, onset is in the early developmental period. For example, individuals with the neurogenetic condition Prader-Willi syndrome may have early onset of skin picking, and their symptoms may meet criteria for stereotypic movement disorder. Excoriation disorder is not diagnosed if the skin lesion is primarily attributable to deceptive behaviors in factitious disorder. Excoriation disorder is not diagnosed if the skin picking is primarily attributable to the intention to harm oneself that is characteristic of nonsuicidal self-injury. Excoriation disorder is not diagnosed if the skin picking is primarily attributable to another medical condition. For example, scabies is a dermatolog ical condition invariably associated with severe itching and scratching. However, excori? ation disorder may be precipitated or exacerbated by an underlying dermatological condition. For example, acne may lead to some scratching and picking, which may also be associated with comorbid excoriation disorder. The differentiation between these two clirucal situations (acne with some scratching and picking vs. If such skin picking is clinically significant, then a diagnosis of substance/med? ication-induced obsessive-compulsive and related disorder should be considered. Substance/Medication-Induced Obsessive-Compulsive and Related Disorder Diagnostic Criteria A. Obsessions, compulsions, skin picking, hair pulling, other body-focused repetitive be? haviors, or other symptoms characteristic of the obsessive-compulsive and related dis? orders predominate in the clinical picture.

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