Pluralist Psychiatry Deck

Exploring Mental Health Through Multiple Lenses

Beyond DSM checklists → Toward integrated understanding
Obsessive-Compulsive Disorder (OCD)

Biological Lens

Core Perspective:

Neurobiological dysfunction in cortico-striato-thalamo-cortical circuits

Key Points:

  • Dysregulation in serotonin neurotransmitter systems
  • Hyperactivity in orbitofrontal cortex and anterior cingulate
  • Genetic heritability estimated at 45-65%
  • Response to SSRIs suggests serotonergic involvement

Primary Interventions:

Pharmacotherapy (SSRIs, clomipramine) + neurostimulation techniques

Limitations:

Doesn't explain cultural variations or meaning-making aspects

1 of 5 lenses

Discussion Prompts for Your Team

• Which lens resonates most with your clinical experience?

• How might combining 2-3 lenses change your treatment approach?

• What blind spots might each lens create?

• How do patient preferences align with different lenses?

• What would truly integrated care look like?

• How can we move beyond diagnostic reductionism?

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