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	<title>Comments on: OCD and Big Macs</title>
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	<link>http://www.kevinmd.com/blog/2008/09/ocd-and-big-macs.html</link>
	<description>medical blog</description>
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		<title>By: Sue</title>
		<link>http://www.kevinmd.com/blog/2008/09/ocd-and-big-macs.html/comment-page-1#comment-87268</link>
		<dc:creator>Sue</dc:creator>
		<pubDate>Wed, 10 Sep 2008 15:20:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/ocd-and-big-macs.html#comment-87268</guid>
		<description>The only OCD thing I see about this is that he saved the receipts.  Eating 23,000 burgers simply shows that he&#039;s from Wisconsin, land of the unhealthy eater.  Wonder where he goes for Friday fish fry...</description>
		<content:encoded><![CDATA[<p>The only OCD thing I see about this is that he saved the receipts.  Eating 23,000 burgers simply shows that he&#8217;s from Wisconsin, land of the unhealthy eater.  Wonder where he goes for Friday fish fry&#8230;</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/09/ocd-and-big-macs.html/comment-page-1#comment-87263</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 09 Sep 2008 20:05:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/ocd-and-big-macs.html#comment-87263</guid>
		<description>I think he would be more properly &quot;diagnosed&quot; with Obsessive Compulsive Personality d/o.  He seems fine with his behavior and his interview demonstrates good insight. Now if he were also morbidly obese and wished to stop eating fast food but felt compulsed to continue eating big macs everyday then perhaps it would be closer to an axis I d/o like OCD.  &lt;br/&gt;&lt;br/&gt;The best description i have heard about psychiatry diagnoses is that is just like bird watching.  You look for patterns and try to match it to known entities.  You are always looking for something new, but then you probably would just mistake it for something else anyways.  I dont like watching birds...which probably helps to explain my dislike for psyche.&lt;br/&gt;&lt;br/&gt;mike</description>
		<content:encoded><![CDATA[<p>I think he would be more properly &#8220;diagnosed&#8221; with Obsessive Compulsive Personality d/o.  He seems fine with his behavior and his interview demonstrates good insight. Now if he were also morbidly obese and wished to stop eating fast food but felt compulsed to continue eating big macs everyday then perhaps it would be closer to an axis I d/o like OCD.  </p>
<p>The best description i have heard about psychiatry diagnoses is that is just like bird watching.  You look for patterns and try to match it to known entities.  You are always looking for something new, but then you probably would just mistake it for something else anyways.  I dont like watching birds&#8230;which probably helps to explain my dislike for psyche.</p>
<p>mike</p>
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		<title>By: Brad Levinson</title>
		<link>http://www.kevinmd.com/blog/2008/09/ocd-and-big-macs.html/comment-page-1#comment-87262</link>
		<dc:creator>Brad Levinson</dc:creator>
		<pubDate>Tue, 09 Sep 2008 19:20:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/ocd-and-big-macs.html#comment-87262</guid>
		<description>Interesting article.  Thanks for sharing, Kevin!&lt;br/&gt;&lt;br/&gt;I wonder, though, if he&#039;s obsessed in the colloquial sense of &quot;obsessed,&quot; or if he really has OCD.&lt;br/&gt;&lt;br/&gt;As I understand OCD (psychology major, here) there&#039;s no pleasure in performing ritualistic behavior.  &lt;br/&gt;&lt;br/&gt;So, when the article says &quot;he&#039;s in love with the burgers, which are the highlights of his days,&quot; it seems to undermine the extent of his OCD.  If by not eating the burgers, he went into all-out panic mode, then I&#039;d say he&#039;s sure got it.&lt;br/&gt;&lt;br/&gt;It is nice to see, however, OCD being mentioned in the media without references to cleaning - that&#039;s a stereotype that certainly needs to be broken.&lt;br/&gt;&lt;br/&gt;- Brad</description>
		<content:encoded><![CDATA[<p>Interesting article.  Thanks for sharing, Kevin!</p>
<p>I wonder, though, if he&#8217;s obsessed in the colloquial sense of &#8220;obsessed,&#8221; or if he really has OCD.</p>
<p>As I understand OCD (psychology major, here) there&#8217;s no pleasure in performing ritualistic behavior.  </p>
<p>So, when the article says &#8220;he&#8217;s in love with the burgers, which are the highlights of his days,&#8221; it seems to undermine the extent of his OCD.  If by not eating the burgers, he went into all-out panic mode, then I&#8217;d say he&#8217;s sure got it.</p>
<p>It is nice to see, however, OCD being mentioned in the media without references to cleaning &#8211; that&#8217;s a stereotype that certainly needs to be broken.</p>
<p>- Brad</p>
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