Megan FoxxeCOMM 2405/Public SpeakingProfessor ElianOctober 22, 2007

“This Speech Must Be Perfect”

Outline

Purpose Statement: To inform my audience of the proper definition of Obsessive Compulsive Disorder and explain the daily difficulties people with OCD suffer from.

Introduction

I. Toby Shalhoub plays a detective on USA network’s “Monk”

A. He has won multiple awards for his portrayal of detective Adrian Monk

1. Two Emmy awards

2. A Golden Globe award

3. A Screen Actors’ Guild award

B. The character “Monk” suffers from Obsessive Compulsive Disorder and a plethora of other phobias

II. MTV made an episode of their documentary show “True Life” dedicated to Obsessive Compulsive Disorder (Episode 25)

A. The show followed three people suffering from OCD

1. Morgan is an aspiring actress who thinks God will punish her, if she doesn’t perform her rituals, by killing her mother

2. Ryan is a musician who doesn’t know why he has OCD, but his rituals prevent him from having a normal life

3. Jessica believed her OCD stemmed from a bad relationship, and now she is a habitual counter

4. By going through extensive therapy two of these people were rehabilitated

a. Morgan went to a fake funeral for her mother

i. She no longer feels the need to ritualizeii. She was recently signed with an agent

b. Jessica also went through therapyi. She made it through her first semester of college without

ritualsii. No longer has physical symptoms (headaches) from not

performing rituals

(Transition: So, what exactly is Obsessive Compulsive Disorder?)

Body

I. Obsessive Compulsive disorder is most commonly known as OCD

II. It has worked its way into English terminology to describe an meticulous or absorbed into a cause

A. This is known as clinomorphism

B. Clinophorism is a deliberate or unintentional simplification, alteration, or amplification of the term for a medical condition

1. It is usually for dramatic effect

III. OCD is not infatuation, fixation or perfectionismIV. It is a type of psychiatric anxiety disorderV. It is the most commonly mistaken self-diagnosed disorder today

(Transition: Now we know what it’s not, so what IS OCD?)

VI. To be diagnosed with OCD on must obsessions or compulsions alone, or obsessions and compulsionsA. Obsessions are defined by:

1. Recurrent and persistent thoughts, impulses, or images that are experienced at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress.

2. The thoughts, impulses, or images are not simply excessive worries about real-life problems.

3. The person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action.

4. The person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind, and are not based in reality.

5. The tendency to haggle over small details that the viewer is unable to fix or change in any way. This begins a mental pre-occupation with that which is inevitable.

B. Compulsions are defined by:

1. Repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly.

2. The behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessive.

C. Other mandatory symptoms to be diagnosed with OCD:1. The sufferer must realize that his/her obsessions or compulsions are

unreasonable or excessive2. the obsessions or compulsions must be time-consuming (taking up more than

one hour per day), cause distress, or cause impairment in social, occupational, or school functioning

VII. These symptoms may cause feelings similar to depressionVIII. Symptoms present in OCD suffers (may include some, all or none of the following):

1. Frequent hand washing2. Repeated clearing of the throat, which doesn’t need clearing3. Specific counting systems4. Lining up objects in absolute right angles or parallel5. Having to “cancel out” bad thoughts with good ones6. A fear of contamination7. A need for both sides of the body to feel even

(Transition: Who does OCD effect, and how is it treated?)

IX. OCD effects 1 out of 50 adultsX. The lifetime prevalence rate for both sexes is 2.5%

XI. The lifetime prevalence rate for those who graduate high school is lower than those who have not

XII. The lifetime prevalence rate for those who graduate college with a degree is higher than those with only some college experience

XIII. The onset of symptoms is earlier in men than it is in womenXIV. The onset of symptoms usually ranges from late teens to mid-20s in both sexes XV. OCD is not hereditaryXVI. Diagnosis:

1. On average, people with OCD see three to four doctors and spend 9 years seeking

treatment before they receive a correct diagnosis

2. Studies find that it takes an average of 17 years from the time OCD begins for people to

obtain appropriate treatment

XVII. OCD tends to be underdiagnosed and undertreated

1. Secretive about their symptoms

2. Lack insight about illness

3. Many healthcare providers are not familiar with the symptoms or are not trained in

providing the appropriate treatments

XVIII. Earlier diagnosis and proper treatment can help people avoid the suffering associated with

OCD

1. Lessens the risk of developing other problems, such as depression

XIX. Treatments for OCD are1. Behavioral therapy2. Cognitive therapy3. Medications4. Combination treatments

XX. The most commonly used treatment for OCD is Cognitive Behavior therapy1. Exposure and ritual prevention involves gradually learning to tolerate the anxiety

associated with not performing ritualized behaviorsXXI. Because it is believed that OCD stems from a complication with the bodies serotonin

balance, it is common to be prescribed antidepressants to treat OCD

Conclusion

I. People suffering from OCD often don’t get the treatment that is necessaryII. People often incorrectly diagnose themselves with OCD in an attempt to understand

a set of other symptomsIII. If gone untreated, the effects of OCD can often be crippling and debilitatingIV. The only people who can correctly diagnose and treat OCD are doctors and trained

professionals

V. Those who believe they have OCD should seek treatment in order to control their urges to ritualize and classify information