This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Neurotic, Stress Related and Somatoform Disorders, Subject name: Psychiatry
True about obsessive compulsive disorders are all except: 
Select and explain. 
A. Obsessions are ego alien, B. Patient tries to resist against obsessions and compulsions, C. Obsessions are egosyntonic, D. Insight is present
C: Obsessions are egosyntonic
Answer: C: Obsessions are egosyntonic 
Explanation: Obsessions are ego dystonic and not ego syntonic. Obsessive-compulsive disorder Obsessions are Recurrent, intrusive thoughts images or impulses, which cause anxiety Patient considers them as a product of their own mind (D/d thought inseion) Patient finds them excessive, irrational and senseless, at some time during the illness (D/d delusions) Patient tries to resist or neutralize them Ego dystonic (not acceptable to self) With good insight/poor insight/absent insight (delusional belief)